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What is the tretment for refractory GERD to PPI?



What is the tretment for refractory GERD to PPI?

PPI proton pump inhibitors, the ultimate treatment is fundoplasty
, there are many surgical techniques, but there are some criteria dependin of age, duration of sintoms, barret esophagus, for example, if you are young, have a barret esophagus and is refractary to medical treatment, youre a candidate for surgery.
Think the term "refractory GERD" means it does not respond to treatment. Don't know what PPI means.
One treatment option is a surgical procedure called the Laproscopic Nissen Fundoplasty. You should look it up and contact a general surgeon to discuss the options. Hope this helps.
either Nexium or surgery that will never allow you to belch again
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