Gastroesophageal reflux disease (GERD) is known to cause a variety of
symptoms that lead a patient to seek otolaryngologic care. New advance
s in the treatment of GERD have enabled otolaryngologists to eliminate
most of the signs and symptoms caused by acid reflux. Omeprazole, the
most recent pharmacologic advancement, has been reported to be univer
sally successful in controlling acid release from the stomach of patie
nts with GERD. This report describes a series of patients with GERD fo
r whom high-dose omeprazole therapy was not successful in completely r
educing gastric acid levels of GERD symptomatology.