TY - CHAP M1 - Book, Section TI - Belsey–Mark IV Fundoplication/Collis Gastroplasty A1 - Odell, David D. A1 - Gangadharan, Sidhu P. A1 - DeCamp, Malcolm M. A2 - Sugarbaker, David J. A2 - Bueno, Raphael A2 - Colson, Yolonda L. A2 - Jaklitsch, Michael T. A2 - Krasna, Mark J. A2 - Mentzer, Steven J. A2 - Williams, Marcia A2 - Adams, Ann PY - 2015 T2 - Adult Chest Surgery, 2e AB - The management of gastroesophageal reflux disease and hiatus hernia has continually evolved in both general and thoracic surgery over the last century. Although the introduction of improved medical management in the form of H2 blockers and proton pump inhibitors (PPIs) has reduced the number of patients presenting to the surgeon for management of this disease, a well-defined role for surgical treatment remains in the circumstances of medical failure or medication intolerance as well as for a fixed anatomical abnormality. Beginning in the late 1950s with the work of Belsey, Nissen, Hill, and Collis and extending through the present day, there has been great debate as to the optimal surgical approach to reflux disease and repair of paraesophageal hernia. Most recently, minimally invasive approaches have gained favor. However, the traditional techniques of open hiatal hernia repair and fundoplication are required in select patient groups. This chapter will discuss the current application of the transthoracic Collis–Belsey approach to hiatal hernia repair with a focus on appropriate patient selection and evaluation. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesssurgery.mhmedical.com/content.aspx?aid=1105840067 ER -