Algorithmic Framework and Clinical Decision Criteria for Non-Surgical GERD Screening and ARMA Candidate Stratification

A standardized clinical methodology and algorithmic screening framework developed for pre-endoscopic stratification of patients with refractory gastroesophageal reflux disease (GERD) evaluated for Anti-Reflux Mucosal Ablation (ARMA). The framework incorporates validated patient-reported outcomes (adapted from GerdQ) and anatomical exclusion criteria. The interactive digital implementation is publicly accessible at: https://drsafian.com/arma-gerd-score/