Question

A 62-year-old with refractory GERD symptoms despite PPI and normal endoscopy requires reflux testing. Which is correct?

Accepted Answer

Perform pH-impedance monitoring off PPI if GERD diagnosis not established

Answer

Perform barium swallow first-line

Answer

Continue PPI and no testing

Answer

Perform esophageal manometry to diagnose GERD alone

Answer

Start anti-reflux surgery without objective testing

Practice question

A 62-year-old with refractory GERD symptoms despite PPI and normal endoscopy requires reflux testing. Which is correct?