Pre evaluation tests required:
* Upper GI endoscopy (if not recently performed)
* 24-hour pH impedance monitoring (gold standard to document acid/non-acid reflux)
* High-resolution esophageal manometry (to assess esophageal motility and determine the most appropriate procedure)
Next Steps
If testing confirms significant reflux with a mechanically defective LES and normal esophageal motility, anti-reflux surgery can be highly effective, particularly for regurgitation-predominant symptoms.
Health Tips
Need to visit hospitals and visit Gastro surgeons for the costs of the procedures.