1 MCQs in Surgery for NEET PG
A 56-year-old obese man (BMI 34) with a 12-year history of nightly heartburn refractory to standard-dose proton pump inhibitor undergoes upper endoscopy. He reports nocturnal cough, hoarseness, and intermittent dysphagia. Endoscopy reveals a 4 cm hiatal hernia and multiple longitudinal mucosal breaks extending from the squamocolumnar junction. The structure marked **A** in the diagram—confluent mucosal breaks bridging between the tops of mucosal folds but involving less than 75% of esophageal circumference—is identified. According to the Los Angeles Classification, what is the most appropriate next step in management?
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