Clinical Analysis of the Belsey Mark IV Operation in Hiatal Hernia with Gastroesophageal Reflux and Achalasia / 대한흉부외과학회지

ABSTRACT

Background:The incidence of gastroesophageal reflux disease(GERD)is increasing recently, but medical management for GERD has many limitations.Therefore,variable surgical treatments have been introduced. MATERIAL AND METHOD: A retrospective study was done in 10 patients who underwent the Belsey Mark IV operation at Korea university Guro hospital between 1996 and 2001.Preoperative diagnoses were hiatal hernia with gasroesophageal reflux in 8 patients and achalasia in 2 patients. RESULT: Mean age of the patients was 54.3 +/- 19.0 years.Belsey Mark IV operation was performed on patients where preoperative medical failed and mean hospital days were 13.1 +/- 2.6 days.We routinely practiced follow-up endoscopy on postoperative 3rd,6th,9th,and 12th months.After remission for reflux and esophagitis,they were transferred to internal medicine department.Six patients of hiatal hernia with reflux (one patient who lost follow-up and the other patient who didn't practice the follow-up endoscopy due to short postoperative follow-up period were excluded)had lowered endoscopic gradings and two patients of achalasia did not complained of reflux symptoms,postoperatively.We experienced 10%operation failure rate. CONCLUSION: We experienced satisfactory operation results with Belsey Mark IV in hiatal hernia with GERD and achalasia patients.