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The Annals of Thoracic Surgery, Vol 27, 564-566, Copyright © 1979 by The Society of Thoracic Surgeons

ARTICLES

"Collis-Belsey" fundoplication for uncomplicated hiatal hernia and gastroesophageal reflux

HC Urschel Jr and MA Razzuk

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.




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Copyright © 1979 by The Society of Thoracic Surgeons.