By rray, 31 December, 2014 Maintenance PPI tx [S/M] at lowest effective dose, incl. on-demand or intermittent tx [C/L]<sup>28</sup>
By rray, 31 December, 2014 Erosive esophagitis: 8-wk PPI<sup>27</sup> course as tx of choice for sx relief/erosion healing [S/H]
By rray, 31 December, 2014 Surgery w/ experienced surgeon is as effective as medical tx in carefully selected chronic GERD pts [S/H].<sup>29</sup> Referral reasons include: esophagitis refractory to medical tx, desire to d/c medical tx, noncompliance, medical tx side-effects, etc
By rray, 31 December, 2014 Maintenance PPI tx [S/M] at lowest effective dose, incl. on-demand or intermittent tx [C/L]<sup>28</sup>
By rray, 31 December, 2014 Options: laparoscopic fundoplication or bariatric sx. Obese pts should be considered for gastric bypass [C/M]. Current endoscopic tx or transoral incisionless fundoplication<sup>26</sup> not recommended as alternative to traditional med/surg tx [C/M].
By rray, 31 December, 2014 Pre-op ambulatory pH monitoring is mandatory in pts w/o evidence of erosive esophagitis. All pts need pre-op manometry to r/o achalasia or scleroderma-like esophagus [S/M].