Candidates for surgery should have anatomical defects such as large hiatal hernias affecting the motility of the normal upper gastrointestinal tract which need to be corrected. Candidates also include those patients whose reflux persists in the hypopharynx despite maximum doses of PPIs, those who have abundant reflux material, and those with duodenum-gastric reflux or reflux complications 37,54.
Para ser candidatos deben existir defectos anatómicos susceptibles de ser corregidos, como hernias hiatales grandes que tengan motilidad del tracto digestivo superior normal, pacientes que persisten con reflujo en hipofaringe a pesar de máximas dosis, abundante material refluido, pacientes con reflujo duodeno-gástrico o con complicaciones derivadas del reflujo 37, 54.