GERD
In patients with frequent GERD symptoms (eg, >2 times per week) and no alarm signs or symptoms (eg, dysphagia, odynophagia, anorexia, weight loss, evidence of gastrointestinal bleeding), initial treatment is recommended with a daily proton pump inhibitor (PPI) (eg, omeprazole) for at least 8 weeks. Lifestyle changes (eg, smoking cessation, alcohol reduction) should be pursued as well. Such a patient whose symptoms fail to improve with