Abstract

Nissen fundoplication is by far the most common surgical procedure for the repair of gastroesophageal reflux in the United States. However, Nissen fundoplication is associated with significant complications and a high failure rate. Belsey Mark IV repair creates a valve spanning 270 of the circumference of the gastroesophageal junction by intussuscepting the esophagus into the stomach by 2cm. However, the conventional Belsey Mark IV repair as performed through a left thoracotomy is associated with the morbidity of a thoracotomy. A laparoscopic Belsey repair is a minimally invasive procedure which is associated with excellent relief of reflux. We review the technique and results of laparoscopic Belsey fundoplasty.

Keywords: GERD; Fundoplication; Belsey; Antireflux surgery; Gastroesophageal valvuloplasty