Dr. John Lipham, Chief, Upper GI & General Surgery at the University of Southern California
In the video Dr. Lipham discusses outcomes in LINX® patients with acid reflux or GERD and large Hiatal Hernias.

• The barrier to reflux is both the LES and the integrity of the crura
• Hiatal hernia is one of the reasons patients have reflux
• The LES makes up about half of the reflux barrier, the Integrity of the crura makes up the other half
• In general, as the hiatal hernia gets bigger, the reflux gets worse
• No matter what size the hernia is, it needs to be fixed to restore that component to the barrier