Laparoscopic Modified Belsey Fundoplasty (Gastroesophageal Valvuloplasty) for relief of Gastroesophageal Reflux Disease: Review of Technique and Results

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.