Figure 10 - Type II paraesophageal hiatal hernia.

In this example, the entire stomach has herniated into the chest leading to an "upside-down stomach." Because the EGJ remains within the hiatus, there is no element of type I herniation in this example. (See also Figure 23 to understand the resultant gastric configuration.) (Source: Kahrilas and Pandolfino,⁷⁵ with permission.)