A 31-year-old man presented with heartburn, epigastric pain, and vomiting underwent upper digestive endoscopy. The scope revealed peptic esophagitis# (arrows in video 1), wide incompetent lower esophageal sphincter#, and vigorous gastric peristalsis# (video2). The patient gave a history of proton pump inhibitor intake 7 years ago. Is the management, surgical or medical?
A 31-year-old man presented with heartburn, epigastric pain, and vomiting underwent upper digestive endoscopy. The scope revealed peptic esophagitis# (arrows in video 1), wide incompetent lower esophageal sphincter#, and vigorous gastric peristalsis# (video2). The patient gave a history of proton pump inhibitor intake 7 years ago. Is the management, surgical or medical?
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