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# Principles of Surgical Therapy - Create a flap valve : **at least 3 cm** - Adequate length of the distal ES in the positive-pressure environment of the abdomen : 2 cm or more - Allow the reconstructed cardia to relax on deglutition *If not relax, you are creating another problem* - Only the **fu...

# Principles of Surgical Therapy - Create a flap valve : **at least 3 cm** - Adequate length of the distal ES in the positive-pressure environment of the abdomen : 2 cm or more - Allow the reconstructed cardia to relax on deglutition *If not relax, you are creating another problem* - Only the **fundus** of the stomach should be **used** - Gastric wrap should be properly placed - Damage to the vagal nerves should be avoided