Question

A 65-year-old woman with persistent GERD despite 8 weeks of standard-dose PPI once daily. What is the next step?

Accepted Answer

Double the PPI dose or split BID before meals

Answer

Stop PPI and use antacids only

Answer

Proceed to surgery without further evaluation

Answer

Empiric antibiotics

Answer

Immediate 24-hour pH impedance with PPI held for 7 days as first step for all

Practice question

A 65-year-old woman with persistent GERD despite 8 weeks of standard-dose PPI once daily. What is the next step?