Introduction: Gastroesophageal reflux disease (GERD) arises from contact of the esophageal epithelium with acidic gastric contents that significantly affects the patient’s quality of life. Hiatal hernia is one of the factors causing reflux. Hiatus hernia refers to condition in which elements of the abdominal cavity, most commonly the stomach, herniate through the oesophageal hiatus into the mediastinum. Hiatal hernia is a frequent finding during upper gastrointestinal endoscopy. Type I hiatal hernia is the sliding hiatal hernia, which accounts for more than 95% of all hiatal hernias and remaining 5% is paraesophageal hiatal hernias. Aim and Objectives: The aim of the study was to detect the frequency of hiatal hernia (HH), in patients with Gastroesophageal reflux disease (GERD), to compare the acid reflux pattern in patients with and without HH, and to search the relationship between the erosive gastroesophageal reflux (GER) and HH. Materials and Methods: A total of 64 patients (30 Male, 34 Female) with GERD were examined. The patients who presented with complaints of upper gastrointestinal symptoms and underwent upper gastrointestinal endoscopy in Hind Institute of Medical Sciences, Mau Ataria, Sitapur, UP. During the period of April 2022 to July 2023. The frequency of hiatal hernia (HH), in patients with GERD, the acid reflux pattern, the relation of body mass index and erosive esophagitis with HH were studied. Results: Out of 64 patients, 30 males (46.875%) and 34 females (53.125%) were part of the study, who presented with upper GI symptoms, 11 (17.19%) patients were diagnosed with hiatus hernia. Out of these 11 cases, 9 patients (81.81%) were found to be having sliding type of hiatus hernia and 2 patients (18.18%) having rolling type. The mean age of the patients was 44.0 6 ±9.6 years. Hernia was small in 6 (54.54%) cases, medium in 3 (27.27%), and large in 2 (18.18%). There was no significant difference in body mass indices between patients with HH and GERD. HH was found to be significantly correlated with GERD (P≤ 0.05). Conclusion: Hiatal hernia is very closely associated with GERD by 17.19% incidences. Early diagnosis and timely management or surgical intervention reduces morbidity associated with hiatus hernia and acid reflux. Hence, all patients presenting with persistent upper gastrointestinal symptoms should undergo upper GI endoscopy managed accordingly.

Introduction: Gastroesophageal reflux disease (GERD) arises from contact of the esophageal epithelium with acidic gastric contents that significantly affects the patient’s quality of life. Hiatal hernia is one of the factors causing reflux. Hiatus hernia refers to condition in which elements of the abdominal cavity, most commonly the stomach, herniate through the oesophageal hiatus into the mediastinum. Hiatal hernia is a frequent finding during upper gastrointestinal endoscopy. Type I hiatal hernia is the sliding hiatal hernia, which accounts for more than 95% of all hiatal hernias and remaining 5% is paraesophageal hiatal hernias. Aim and Objectives: The aim of the study was to detect the frequency of hiatal hernia (HH), in patients with Gastroesophageal reflux disease (GERD), to compare the acid reflux pattern in patients with and without HH, and to search the relationship between the erosive gastroesophageal reflux (GER) and HH. Materials and Methods: A total of 64 patients (30 Male, 34 Female) with GERD were examined. The patients who presented with complaints of upper gastrointestinal symptoms and underwent upper gastrointestinal endoscopy in Hind Institute of Medical Sciences, Mau Ataria, Sitapur, UP. During the period of April 2022 to July 2023. The frequency of hiatal hernia (HH), in patients with GERD, the acid reflux pattern, the relation of body mass index and erosive esophagitis with HH were studied. Results: Out of 64 patients, 30 males (46.875%) and 34 females (53.125%) were part of the study, who presented with upper GI symptoms, 11 (17.19%) patients were diagnosed with hiatus hernia. Out of these 11 cases, 9 patients (81.81%) were found to be having sliding type of hiatus hernia and 2 patients (18.18%) having rolling type. The mean age of the patients was 44.0 6 ±9.6 years. Hernia was small in 6 (54.54%) cases, medium in 3 (27.27%), and large in 2 (18.18%). There was no significant difference in body mass indices between patients with HH and GERD. HH was found to be significantly correlated with GERD (P≤ 0.05). Conclusion: Hiatal hernia is very closely associated with GERD by 17.19% incidences. Early diagnosis and timely management or surgical intervention reduces morbidity associated with hiatus hernia and acid reflux. Hence, all patients presenting with persistent upper gastrointestinal symptoms should undergo upper GI endoscopy managed accordingly.