Abstract
Although our initial concern was to determine the true incidence of hiatal hernia in North American children relative to that reported from the United Kingdom and Europe, it became increasingly clear that the basic cause of symptoms in children (as well as in adults) was abnormal gastroesophageal reflux due to incompetence of the lower esophageal sphincter (LES) with or without demonstrable hernia, and Dr. Mones should have had no difficulty noting this in the paper.
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