Stephen J. Schueler, M.D.

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Hiatal Hernia Underlying Cause

Normally, the esophagus passes through a hole in the diaphragm, before attaching to the stomach. In a person with a hiatal hernia, part of the stomach slides through the opening in the diaphragm and enters the chest cavity.

Hiatal hernia may be caused by a birth defect in the diaphragm, or it may be caused by weakness of the muscles in the diaphragm that occurs with age.

Continue to Hiatal Hernia Anatomy

Last Updated: Mar 19, 2009 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Hiatal Hernia References
  1. Gorenstein A, Cohen AJ, Cordova Z, Witzling M, Krutman B, Serour F. Hiatal hernia in pediatric gastroesophageal reflux. J Pediatr Gastroenterol Nutr. 2001 Nov;33(5):554-7. [11740228]
  2. Jones MP, Sloan SS, Rabine JC, Ebert CC, Huang CF, Kahrilas PJ. Hiatal hernia size is the dominant determinant of esophagitis presence and severity in gastroesophageal reflux disease. Am J Gastroenterol. 2001 Jun;96(6):1711-7. [1141981]
  3. Leeder PC, Smith G, Dehn TC. Laparoscopic management of large paraesophageal hiatal hernia. Surg Endosc. 2003 Sep;17(9):1372-5. [12820060]
  4. Puri V, Kakarlapudi GV, Awad ZT, Filipi CJ. Hiatal hernia recurrence: 2004. Hernia. 2004 Dec;8(4):311-7. [15300469]
  5. Wu AH, Tseng CC, Bernstein L. Hiatal hernia, reflux symptoms, body size, and risk of esophageal and gastric adenocarcinoma. Cancer. 2003 Sep 1;98(5):940-8. [12942560]
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