Case Study 1

Poll

What would you do next for this patient?

• PPI test for 2 weeks

• Diagnostic EGD

• High resolution manometry

• Stop drugs contributing to GERD symptoms

Poll

What would you do next for this patient?

• Lifestyle modification

• H2RA

• P-CAB

• Fundoplication

Poll

The patient was treated with lansoprazole 1x30 mg ac. Symptoms were partially relieved. What would you do next?

• Double PPI dose

• Change to other PPI

• Add non-PPI medication (H2RA, alginate, etc)

• Change to P-CAB

Poll

The patient was then treated with esomeprazole 2x40 mg ac for 8 weeks. He complained that his heartburn was still bothering him -> GERD-Q score was now 12 (from 13). Based on his symptoms, what would you diagnose the patient with?

• GERD

• Refractory GERD

• Refractory symptoms of GERD

• Functional heartburn