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Surgery
A 40-year-old woman complains of heartburn located in the epigastic and retrosternal areas. She also has symptoms of regurgitation. Endoscopy shows erythema of the esophagus consistent with reflux esophagitis. The patient has tried conservative measures, including PPIs with no improvement in symptoms. Which of the following is TRUE?
Manometry does not add any additional information.
The 24-hour pH test is no longer used.
If endoscopy has been done, an esophagogram is unnecessary.
Nissen fundoplication is the surgical treatment of choice.
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