- Ulcers in the hiatal sac of patients with Hiatus hernia
- Tend to be at, or near, where stomach folds constricted by the diaphragm
- Thought caused by mechanical trauma at the level of constriction of the diaphragm
- Uncommon (5.3% incidence)
- Usually asymptomatic
- Can cause anaemia
- Symptomatic UGIB rare
- Usually an incidental finding during upper endoscopy in patients with hiatal hernia
- Can manage with Fe+ replacement, PPIs
- May require surgical correction of hernia