This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Surgery
[{'content': "Laparoscopic operation for gastrointestinal reflux should be considered in a patient with any of the following situation Except \nSelect and explain. \nA. Barret's esophagus, B. Daily proton pump inhibitors for symptomatic relief, C. Esophageal stricture, D. Significant esophageal shoening", 'role': 'user'}, {'content': "Answer: D \nExplanation: .Indications for surgical treatment * Failure of drug treatment * Sliding hernia *Barrett's ulcer * Severe pain * Presence of complications like bleeding/stricture/ shoening Principles of antireflux surgeries * Operation should restore the LES pressure twice the resting gastric pressure * The adequate length of the intraabdominal oesophagus should be maintained * Apposition of diaphragmatic crurae, reduction of a hiatus hernia when present * Repaired OG junction should relax adequately during swallowing * Tension-free fundoplication should be done Ref: SRB&;s manual of surgery,3 rd ed, pg no 741", 'role': 'assistant'}]