Figure 2

In case 6, a sliding hernia was identified under endoscopy (A), which was considered as the cause of the patient’s GER and then the asthmatic symptoms. This anatomical defect was then corrected by laparoscopic repair of the HH with LF (B). Although her respiratory symptoms was significantly relieved, the remaining cough was still evident, an additional anti-reflux SRF was conducted (C &D), which finally cleared her cough.