RT Book, Section
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
SR Print(0)
ID 1105840067
T1 Belsey–Mark IV Fundoplication/Collis Gastroplasty
T2 Adult Chest Surgery, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-178189-3
LK accesssurgery.mhmedical.com/content.aspx?aid=1105840067
RD 2023/03/30
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.