There are several ways to diagnose GERD, which include:

  • Standard upper GI Endoscopy
  • Transnasal Endoscopy (TNE)
  • Barium Swallow
  • pH Monitoring/Impedance
    • Standard pH Impedance
    • Restech pH for airway reflux
  • Manometry
  • Gastric Emptying Study

Treatment Options

Treatment options for GERD begin with diet and lifestyle changes and then progress in a stepped-up fashion from least invasive to more invasive.


  • PPIs are most widely used
  • Treat acid-only reflux
  • Approximately 30% of patients on medications do not have adequate symptom control
  • Medications treat the symptoms but not the cause of GERD

Radiofrequency – Stretta

  • RF energy treats the cause of reflux, regardless of the type (acid, bile, etc.)
  • Stretta fills the treatment gap when medications fail to control chronic GERD symptoms, offering an alternative to invasive surgery and implants

Anti-Reflux Surgery

  • Laparoscopic Fundoplication
    • Laparascopic instruments are used to wrap part of the stomach around the esophagus with the goal of improving the barrier function

Transoral Incisionless Fundoplication (TIF)

  • An endoscopically (through the mouth) guided instrument allowing the creation of a partial fundoplication without incisions

Surgically Implanted Devices

  • A magnetic ring of beads that is introduced through laparascopic surgery and wraps around the esophagus with the goal of limiting reflux events
Patients & Families » Information About GERD/Reflux » Diagnosis and Treatments