In my case, the big hold-up was a low DeMeester score. They love high scores with lots of typical reflux symptoms. LPR is a little trickier. Some are worried that you'll have the surgery and it won't fix the problem. Still, with perseverence it can be overcome.
LPR symptoms can definitely be improved with surgery. I think the problem is that the reflux is not taken to zero, and therefore there will still be some occuring, although much less. (It will be taken to "normal", which in my case wasn't that much lower than what they found in my testing.) It definitely improved my health and quality of life dramatically.
You'll need all the testing...endoscopy, barium swallow, 24hr PH monitor/BRAVO, manometry, and perhaps a stomach emptying test. The manometry will test your swallowing reflex, so the surgeon will know what type of wrap is best for you.
Nissen Fundoplication 2/09
"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.”