Hiatal Hernia: When Stomach Anatomy Affects GERD Risk
How Significant Is Hiatal Hernia for GERD and Overall Health?
Hiatal hernia has significant clinical importance, particularly for gastroesophageal reflux disease, as it disrupts the normal anatomical barriers that prevent acid reflux. While many small hiatal hernias are asymptomatic, larger hernias substantially increase GERD risk and severity, and may require specific treatment approaches beyond standard acid suppression therapy.
Dr. Kumar’s Take
Hiatal hernia represents a perfect example of how anatomy affects function in GERD. While not everyone with a hiatal hernia develops severe reflux, it’s a major risk factor that changes how we approach treatment. Large hernias often don’t respond well to medications alone and may need surgical repair. The key is understanding that hiatal hernia isn’t just an incidental finding - it’s often the underlying anatomical problem driving persistent GERD symptoms.