The Belsey Mark-IV procedure in gastro-esophageal reflux and hiatal hernia.

The long-term results were assessed of 75 patients, who underwent 76 Belsey Mark-IV operations for disabling symptoms of gastro-esophageal reflux and hiatal hernia. The mean follow-up of the patients was 4.5 years (range 1-10 years). All reflux symptoms resolved in addition to normal gross endoscopic appearances in 87 per cent of the patients. The complications were minimal and the side effects few.