? ???? - ???? ????? ???? ????? ???? ???? ?? ?? - ?? > ???? > ?????? ??[1]These hernias tend to be small and don't result in any indicators. Paraesophageal hiatal hernias, Then again, are considerably less widespread but extra really serious. They occur whenever a A part of the abdomen pushes up in the hiatus and gets trapped next to the esophagus.