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How to Manage Refractory Gastroesophageal Reflux Disease CME DisclosuresRelease Date: November 26, 2007; Valid for credit through November 26, 2008 | | Physicians - maximum of 1.0 AMA PRA Category 1 Credit(s)™ for physicians |  | 
| Contents of This CME Activity |  |
 | Gastroesophageal reflux disease (GERD) patients who are unresponsive to 4-8 weeks of treatment with proton pump inhibitors (PPIs) twice daily may have refractory GERD, and endoscopy is an appropriate first step. Subsequent differential diagnosis and management depend on the results of endoscopy and other tests, such as pH testing, manometry, and impedance monitoring. - How to Manage Refractory Gastroesophageal Reflux Disease
Joel E. Richter, MD
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Medscape, LLC designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity.
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