Early this morning I completed my Barium test-- yuck! The radiologist pointed out that I have, in fact, a small but noticeable hiatal hernia. That would certainly explain the worsening symptoms in the past decade and would also account for inefficacy of the Bard Endocinch procedure. Anyone else here discover a hiatal hernia? I'm assuming that this must be a common ailment among reflux sufferers. Thursday, I go back for an endoscopy.