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This animation demonstrates how a sliding hiatus hernia forms, which is the more common type. The esophagus passes through a hole in the diaphragm into the stomach. Normally, the stomach is below the diaphragm, with the esophageal sphincter acting as a valve to prevent acid from flowing back up. In a sliding hernia, the sphincter and stomach push up into the chest, potentially preventing proper closure of the sphincter and causing heartburn.
