Brief Article
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World J Gastroenterol. Feb 14, 2014; 20(6): 1582-1584
Published online Feb 14, 2014. doi: 10.3748/wjg.v20.i6.1582
Is the severity of gastroesophageal reflux dependent on hiatus hernia size?
Thomas Franzén, Lita Tibbling
Thomas Franzén, Lita Tibbling, Faculty of Health and Sciences, Linköping University, Department of Surgery, Vrinnevi Hospital Norrköping, SE-601 82 Norrköping, Sweden
Author contributions: Franzén T and Tibbling L participated equally in the development, implementation and management of this project, and were equally involved in the writing of the manuscript.
Correspondence to: Thomas Franzén, MD, PhD, Faculty of Health and Sciences, Linköping University, Department of Surgery, Vrinnevi Hospital Norrköping, SE-601 82 Norrköping, Sweden. thomas.franzen@lio.se
Telephone: +46-10-1030000 Fax: +46-10-1043216
Received: June 4, 2013
Revised: September 26, 2013
Accepted: October 19, 2013
Published online: February 14, 2014
Core Tip

Core tip: Patients with a large hiatus hernia assessed by high resolution esophageal manometry are more prone to have pathological gastroesophageal reflux and to have more acid symptoms than patients with a small hiatus hernia. However, it is unlikely that patients with an absence of acid symptoms will have pathological reflux regardless of hernia size.