The Belsey Mark IV: an operation with an enduring role in the management of complicated hiatal hernia

BMC Surgery

Table 2 Overview of symptomatic patients

Patient		Indication	Heartburn	Regurgitation	Dysphagia	Esophagitis	24-Hr pH	Medication
1	Pre	Recurrence	Moderate	Moderate	Absent	SM II	Abnormal	PPi
	Post	Moderate		Mild	Absent	SM I	Abnormal	PPi
2	Pre	Recurrence	Mild	Absent	Absent	SM I	Abnormal	PPi
	Post		Mild	Absent	Absent	SM I	Abnormal	PPi
3	Pre	Recurrence	Mild	Absent	Absent	SM I	Abnormal	PPi
	Post		Mild	Mild	Absent	No esophagitis	Normal	PPi
4	Pre	Previous abdominal surgery	Moderate	Absent	Absent	SM I	Normal	PPi
	Post		Mild	Absent	Absent	No esophagitis	Abnormal	None
5	Pre	Previous abdominal surgery	Moderate	Absent	Absent	SM II	Abnormal	PPi
	Post		Absent	Absent	Mild	No esophagitis	Normal	None

SM, Savory-miller classification; Pre, Preoperatively; Post, Postoperatively; PPi, proton pump inhibitors.

ISSN: 1471-2482