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Managing PPI resistant GORD

Managing PPI resistant GORD



Time to Complete

0.5 hours


August 10, 2015


August 10, 2015

Programme Description

This case study by Dr Neel Sharma and colleagues looks at the management of gastro-oesophageal reflux disease that is resistant to proton pump inhibitors. Key learning points for healthcare professionals include lifestyle advice, when upper GI endoscopy should be undertaken, changing medications and surgical interventions.

Educational Objectives

After reading this article the healthcare professional should be better able to:
  • Give lifestyle advice on the management of GORD
  • Consider alternative management strategies to PPIs
  • Discuss the surgical interventions in the management of GORD resistant to PPIs
  • Faculty

    Activity authors
    Dr Neel Sharma
    Visiting clinical research fellow
    Division of Gastroenterology and Hepatology
    National University Hospital

    Professor Lawrence Ho Khek Yu
    Senior consultant
    Division of Gastroenterology & Hepatology, vice dean (research)
    Yong Loo Lin School of Medicine
    National University of Singapore

    Dr Jamie Dalrymple
    Primary Care Society for Gastroenterology

    Test author
    Dr Ravi Ramanathan
    United Kingdom


    This is a learning activity provided by MIMS Learning, featuring learning material and a test. Completing the test enables you to claim 0.5 learning credits (0.5 hours learning). This credit award is recommended by MIMS Learning based on completing the activity and reflecting on what you have learned. If you spend less time on the activity we recommend claiming fewer credits.

    Please proceed with the activity until you have successfully answered all the test questions and completed your evaluation. You will then receive your MIMS Learning CPD certificate, which will be added to your CPD organiser for access at any time.


    Hardware and Software Requirements
    • A computer with an internet connection
    • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
    • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required