Sydney Heartburn Clinic - Professor Gregory Falk

15/10/2026

Strong association has been between oesophageal motility and extra-oesophageal silent reflux (LPR).

This systematic review suggests a trend toward ineffective esophageal motility, esophageal sphincter hypotension, or impaired dynamics in patients with swallowing, voice, and breathing LPRD-related symptoms and findings. Further prospective controlled studies including patients with a demonstrated L...

14/10/2026

Fundoplication is preferable in giant hiatus hernia repair.

There is a higher rate of recurrence of gastroesophageal reflux disease, recurrence of hernia and reoperation when no fundoplication is performed during a paraesophageal hernia repair but a lower risk of dysphagia, but none of these reached statistical significance.(Comment 1) Paraesophageal hernia....

13/10/2026

Age and comorbidity do not preclude repair of giant hiatus hernia ( A study of 23,000 patients).

While PEH patients have worse post-operative outcomes than GERD patients, we note that differences in mortality are explained by pulmonary complications, VTE, and hemorrhage. The impact of hemorrhagic complications on this group underscores the importance of careful dissection. Additionally, age and...

21/07/2026

Silent Reflux Mimics: Asthma-like symptoms often starting in your 30s and 40s.

04/06/2026

Large Hiatus Hernia:
Often, unexplained anaemia resolves in the majority of patients after hernia repair (Surgical Endoscopy, 2026)

Unexplained IDA resolves in > 90% of patients following PEH repair, with durable results often maintained despite anatomical recurrence. These findings suggest PEH repair should be considered for patients with unexplained, refractory IDA. Prospective studies are needed to establish evidence-based .....

03/06/2026

https://onlinelibrary.wiley.com/doi/10.1111/ans.70771

Background The symptomatology of large hiatus hernia (LHH) has been historically poorly understood, with cardiorespiratory symptoms caused by LHH being underappreciated by clinicians. This study rep...

07/05/2026