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Fig. 10A. —Type 2 paraesophageal hernia with obstruction in 68-year-old woman. (Reprinted with permission from [2]) Early radiograph from barium upper gastrointestinal series (A) and drawing of radiograph (B) show fundus massively distended with air in abdomen. Nasogastric tube is in place with tip in fundus. Orally administered barium outlines esophagus with esophagogastric junction at hiatus. Small amounts of barium have progressed into intraabdominal and intrathoracic (arrow) portions of stomach.