Which of the following patient scenarios would be best managed with anti-reflux surgery?
A. A patient with heartburn but normal 24 hour pH monitoring and an intact lower esophageal sphincter
B. A patient with primarily respiratory manifestations of gastroesophageal reflux
C. A patient with increased acid exposure and a mechanically defective sphincter who responds well to medical therapy but requires continued long-term medication for continued relief
D. A patient with gastroesophageal reflux but excessive complaints of epigastric pain, nausea, vomiting, and loss of appetite
Answer:B
Which of the following patient scenarios would be best managed with anti-reflux surgery?
A. A patient with heartburn but normal 24 hour pH monitoring and an intact lower esophageal sphincter B. A patient with primarily respiratory manifestations of gastroesophageal reflux C. A patient with increased acid exposure and a mechanically defective sphincter who responds well to medical therapy but requires continued long-term medication for continued relief D. A patient with gastroesophageal reflux but excessive complaints of epigastric pain, nausea, vomiting, and loss of appetite