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©2013 UpToDate ® Print Email Three most commonly performed antireflux operations Nissen fundoplication shown at top. Most surgeons perform a "floppy" wrap over a 50 French Maloney dilator and add sutures posterioriorly to approximate the crura of the diaphragm. The Belsey Mark IV repair (lower left) is performed transthoracically, while the Hill procedure (lower right) is performed via the abdominal route. Reproduced with permission from Kahrilas, PJ, Hogan, WJ. Gastroesophageal reflux disease. In: Gastrointestinal Disease: Pathophysiology, Diagnosis, Management, Sleisenger, MH, Fordtran, JS (Eds), WB Saunders, Philadelphia 1993. p. 396. Copyright © 1993 W.B. Saunders.