Ann Thorac Surg 1979;27:564-566
© 1979 The Society of Thoracic Surgeons
"Collis-Belsey" Fundoplication for Uncomplicated Hiatal Hernia and Gastroesophageal Reflux
Harold C. Urschel, Jr., M.D.*,
Maruf A. Razzuk, M.D.
From the Department of Thoracic and Cardiovascular Surgery, Baylor University Medical Center and the University of Texas Health Science Center, Dallas, TX
* Address reprint requests to Dr. Urschel, 1201 Barnett Tower, 3600 Gaston Ave, Dallas, TX 75204
The combined Collis gastroplasty—Belsey Mark IV fundoplication was used in 86 patients with uncomplicated hiatal hernia followed for up to 8 years. Marked relief of symptoms was obtained, with no initial morbidity and mortality. Recurrence of hernia occurred in 1 patient. Minimal gastroesophageal reflux was observed in a few patients. Manometric and pH studies performed after operation showed a competent valve without notable esophageal reflux. The Collis gastroplasty creates a lesser curvature gastric tube that lengthens the so-called functional esophagus and eliminates tension at the suture line of the Belsey Mark IV fundoplication.
Copyright © 1979 by The Society of Thoracic Surgeons.