? ???? - ???? ????? ???? ????? ???? ???? ?? ?? - ?? > ???? > ?????? ??[one]These hernias are usually small and don't induce any indications. Paraesophageal hiatal hernias, Conversely, are significantly less frequent but far more severe. They happen when a Portion of the stomach pushes up from the hiatus and turns into trapped next to the esophagus.