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With type I, or sliding hiatal hernia, there is a widening of the muscular hiatal tunnel and circumferential laxity of the phrenoesophageal membrane, allowing a portion of the gastric cardia to herniate upward (Figure 2)

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Case Study 3: Sarahs Preventive Care Coverage Sarah, a 75-year-old Medicare beneficiary, had a routine wellness exam where her doctor identified potential symptoms of a B12 deficiency