RT Book, Section
A1 Odell, David D.
A1 Gangadharan, Sidhu P.
A1 DeCamp, Malcolm M.
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Burt, Bryan M.
A2 Groth, Shawn S.
A2 Loor, Gabriel
A2 Wolf, Andrea S.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1170407726
T1 Belsey–Mark IV Fundoplication/Collis Gastroplasty
T2 Sugarbaker’s Adult Chest Surgery, 3e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260026931
LK accesssurgery.mhmedical.com/content.aspx?aid=1170407726
RD 2024/04/24
AB The  management  of  gastroesophageal  reflux  disease  (GERD)  and  hiatal  hernia  has  evolved  in  both  general  and  thoracic  surgery  over  the  course  of  the  past  century.  The  advent  of  H2  blockers  and  proton  pump  inhibitors  (PPIs)  markedly  improved  options  for  medical  management  and  reduced  the  number  of  patients  presenting  to  the  surgeon.  However,  a  well-defined  role  for  surgical  treatment  remains  in  the  circumstances  of  medical  failure  or  medication  intolerance,  as  well  as  for  a  fixed  anatomic  abnormality  such  as  a  larger  hiatal  hernia.  Beginning  in  the  late  1950s  with  the  work  of  Belsey,  Nissen,  Hill,  and  Collis  and  extending  through  the  present  day,  the  optimal  surgical  approach  to  reflux  disease  and  repair  of  paraesophageal  hernia  has  been  a  topic  of  debate  among  surgeons.  In  the  modern  era,  minimally  invasive  approaches  (predominantly  laparoscopy)  have  become  the  mainstay  of  surgical  treatment  for  both  GERD  and  hiatal  hernia.  However,  the  traditional  techniques  of  open  hiatal  hernia  repair  and  fundoplication  are  required  in  select  patient  groups.  This  chapter  discusses  the  current  application  of  the  transthoracic  Collis–Belsey  approach  to  hiatal  hernia  repair  with  a  focus  on  appropriate  patient  selection  and  evaluation.