 OR Discussion of Procedures by Variant Variant 1: Epigastric pain with clinical suspicion for acid reflux or esophagitis or gastritis or peptic ulcer or duodenal ulcer. Initial imaging. GERD is a common medical disorder in the western world; it is reported that as many as 7% of Americans have episodes of heartburn every day and approximately 42% experience heartburn at least once a month [6]. Although GERD is a common disorder, its diagnosis is not straightforward; the primary reason for this is that the symptoms aNew York University Langone Medical Center, New York, New York and UT Southwestern Medical Center, Dallas, Texas. bJohns Hopkins Hospital, Baltimore, Maryland. cPanel Chair, Johns Hopkins University School of Medicine, Baltimore, Maryland. dPanel Vice-Chair, University of Alabama Medical Center, Birmingham, Alabama. eUniversity of Arizona, Banner University Medical Center, Tucson, Arizona. fDuke University Medical Center, Durham, North Carolina. gOregon Health & Science University, Portland, Oregon. hUMass Medical School, Worcester, Massachusetts. iEmory University, Atlanta, Georgia. jStanford University Medical Center, Stanford, California. kMontefiore Medical Center, Bronx, New York. lNorthwestern University Feinberg School of Medicine, Chicago, Illinois, Primary care physician. mUniversity of Connecticut, Farmington, Connecticut. nNorthShore University HealthSystem, Evanston, Illinois. oUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; American College of Emergency Physicians. pUniversity of Cincinnati Medical Center, Cincinnati, Ohio. qThe University of Mississippi Medical Center, Jackson, Mississippi; American College of Physicians. rThe Ohio State University Wexner Medical Center, Columbus, Ohio. sPhoenix Indian Medical Center, Phoenix, Arizona; American College of Surgeons. tSpecialty Chair, Virginia Commonwealth University Medical Center, Richmond, Virginia.
Epigastric Pain.  OR Discussion of Procedures by Variant Variant 1: Epigastric pain with clinical suspicion for acid reflux or esophagitis or gastritis or peptic ulcer or duodenal ulcer. Initial imaging. GERD is a common medical disorder in the western world; it is reported that as many as 7% of Americans have episodes of heartburn every day and approximately 42% experience heartburn at least once a month [6]. Although GERD is a common disorder, its diagnosis is not straightforward; the primary reason for this is that the symptoms aNew York University Langone Medical Center, New York, New York and UT Southwestern Medical Center, Dallas, Texas. bJohns Hopkins Hospital, Baltimore, Maryland. cPanel Chair, Johns Hopkins University School of Medicine, Baltimore, Maryland. dPanel Vice-Chair, University of Alabama Medical Center, Birmingham, Alabama. eUniversity of Arizona, Banner University Medical Center, Tucson, Arizona. fDuke University Medical Center, Durham, North Carolina. gOregon Health & Science University, Portland, Oregon. hUMass Medical School, Worcester, Massachusetts. iEmory University, Atlanta, Georgia. jStanford University Medical Center, Stanford, California. kMontefiore Medical Center, Bronx, New York. lNorthwestern University Feinberg School of Medicine, Chicago, Illinois, Primary care physician. mUniversity of Connecticut, Farmington, Connecticut. nNorthShore University HealthSystem, Evanston, Illinois. oUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; American College of Emergency Physicians. pUniversity of Cincinnati Medical Center, Cincinnati, Ohio. qThe University of Mississippi Medical Center, Jackson, Mississippi; American College of Physicians. rThe Ohio State University Wexner Medical Center, Columbus, Ohio. sPhoenix Indian Medical Center, Phoenix, Arizona; American College of Surgeons. tSpecialty Chair, Virginia Commonwealth University Medical Center, Richmond, Virginia.