Abstract
Allison is credited for suggesting that symptoms of a sliding hiatal hernia are the lament of an irritated esophagus rather than a throttled stomach, but it remained for Belsey in Bristol and Nissen in Basel to validate the thesis with reliable antireflux operations. Nissen's discovery was serendipitous, Belsey's the product of years of trial and error. The English-speaking world got the message of Belsey's operation through protégés like Skinner who, in rummaging around the Frenchay record room, discovered a treasure trove of unpublished material. Whether judged by fresh insights, number of cases, or duration of follow-up, the Skinner/Belsey report was a winner 25 years ago and remains so today.
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