A 58-year-old man with BMI 31 kg/m² and long-standing GERD has persistent symptoms on once-daily PPI. Next evidence-based step?...

Question

A 58-year-old man with BMI 31 kg/m² and long-standing GERD has persistent symptoms on once-daily PPI. Next evidence-based step?

Accepted Answer

Increase PPI to twice daily before meals for 8 weeks

Answer

Stop PPI and switch to sucralfate

Answer

Immediate EGD only

Answer

Add promotility agent routinely

Answer

Add nighttime H2 blocker for all patients without reassessing PPI timing

us-abfm MCQ (SBA): GERD-Refractory Optimization