Prospective, multicenter, 2:1 randomized, cross-over, two arms
* Control arm: Double-dose PPI \[Omeprazole 20 mg BID (twice a day)\]
* Treatment arm: LINX Reflux Management System Up to 20 study centers throughout the U.S. will participate. Approximately150 patients will be enrolled into the study. Subjects will be randomized 2:1 into the double-dose PPIs arm (100 subjects) and the LINX arm (50 subjects).