What creates a stronger les nisen or linx surgery

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You don't really want the strongest. You want the exact tightness that's right for YOU! That's what the testing is about.

I had a weak swallow - "wimpy" according to the doctor who did my study. I'd never have been able to swallow against a full Nissen. We read about "floppy" Nissen. That just means loose. Mine was a Toupet - only partial wrapped around the esophagus. There are 360 degrees they can do a wrap. Also the size of the "bougie" that's used to measure around will make a difference in how tight the new valve will be.

Do you have a hiatal hernia? If so, how large and what type? If that has to be repaired, that has to be taken into consideration too.

Is there any part of the stomach or the valve sticking above the diaphragm? If the esophagus isn't long enough to get put back under the diaphragm it has to be lengthened, either by letting it down (cutting it loose) or doing a Heller myotomy to make a bit more esophagus.

So keep reading. It's not so simple as strongest.

I had a HH repair and a floppy 360 NF. Whether that is stronger or better is up to the surgeon. I was very worried about swallowing after surgery and my surgeon assured me that he would use a Bougie to ensure that there would be sufficent opening for the food to pass through the LES and into the stomach.

The Bougie is a spacer that is inserted through the mouth and into the esophagus as he would do if he were doing an endoscope proceedure. The bougie holds the LES open during the NF surgery so the the wrap will not be too tight. After surgery it is removed and the LES and wrap are alowed to do their job.

I don't know which proceedure is best. I only know that mine has made a world of difference in my life and I have not taken one Nexium or antacid since the surgery 2 1/2 years ago and have not had a single incident of reflux. There is not one thing that I cannot eat. However I have to be careful not to be a glutton and overeat.