Whenever I had an endoscopy my esophagus was not even inflamed. (I had been on 40mg PPIs twice a day for years, and they obviously were doing their job in regards to the safety of my esophagus.)
My PCP pushed and pushed for the surgery against my GI docs better judgement, because he was certain that my reflux was causing my lung issues to be far more severe. Finally, after 5 years of suffering and my PCP's haranguing, he finally gave in and gave me the option of "continuing on the medication or see a surgeon". The medication wasn't working, so I chose the surgical option.
My surgeon's only concern was my DeMeester score, which was very borderline. Still, he was willing to go forward on the information he received from my docs. He assured me that if my asthma was being caused by reflux, then my asthma issues would improve. I had surgery 3 weeks later, and the rest is history.
I always knew it was a crap-shoot and that it might not do the trick for me. Still, I was out of options and couldn't go on living the way I was. So I decided to take the chance that it might help, and if it didn't, at least we could cross that option off the "To Do" list. Thankfully, it did work. If I needed a redo, I'd have it in a second because I don't want to go back to the way I was.
Good luck with your quest for a solution!
Words of wisdom by Eckhart Tolle:
"Whatever you fight, you strengthen, and what you resist, persists.”
“Worry pretends to be necessary but serves no useful purpose”
“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”