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Four operations later and Saschan has had a further endometriosis diagnosis and has been treated for fibroids and a hiatus hernia exacerbated by the wait for surgery on the NHS.

Bolsonaro said he will undergo procedures to correct a hiatus hernia and a deviated septum.

Miss Lowry's medical cause of death was recorded as pulmonary aspiration due to hiatus hernia and acute cholecystitis - inflammation of the gall bladder.

Patients should not have the balloon implanted if they are pregnant or planning a pregnancy, have a hiatus hernia or history of gastric ulcers, other gastrointestinal disease or previous abdominal surgery.