• Grading system for hiatus hernias using retroflexed scope, (seeing if GOJ grips scope)
  • Hill 1
    • Tight approximation of the gastroesophageal fold against the endoscope.
  • Hill 2
    • Loose grip of the gastroesophageal valve around the endoscope, with intermittent opening.
  • Hill 3
    • Presence of a hiatal hernia, characterized by a visible gap between the squamocolumnar junction and the diaphragmatic crura.
  • Hill 4
    • Large hiatal hernia with a wider diaphragmatic opening

AFS Hiatus Grade