Korean J Neurogastroenterol Motil.  2003 Dec;9(2):155-158.

A Case of Reflux Esophagitis with Hiatal Hernia Treated by the Belsey Mark IV Operation

• Kim YS
• Choi SC
• Nah YH

Abstract

Reflux esophagitis (RE) is a common disease in Western countries. Recently, the incidence of RE is increasing in Korea, but the disease is rarely treated here through operations. Herein, we report a case of RE treated by the Belsey-Mark IV operation. The patients was a 62-year-old woman with a long history of anterior chest pain and heartburn. Endoscopy revealed severe RE with hiatal hernia and ambulatory 24-hour pH monitoring revealed severe gastroesophageal reflux. We failed to manage her symptoms using a double dose proton pump inhibitor and decided to perform surgical therapy. After the operation, the patient had difficulty in belching and felt epigastric discomfort. However, These symptoms improved with conservative management, and she is still comfortable without recurrence.

Keyword

Reflux esophagitis; Hiatal hernia; Belsey Mark IV operation

MeSH Terms

Chest Pain
Endoscopy
Eructation
Esophagitis, Peptic*
Female
Gastroesophageal Reflux
Heartburn
Hernia, Hiatal*
Humans
Hydrogen-Ion Concentration
Incidence
Korea
Middle Aged
Proton Pumps
Recurrence
Proton Pumps