The reflux of stomach contents into the oesophagus (tube leading to the stomach) is known as gastro-oesophageal reflux (GOR). The consequence is a chemical insult to the oesophagus from acid, enzymes, and sometimes bile. Reflux occurs commonly, but infrequently, in most people, and probably causes little harm because the natural movement (peristalsis) of the oesophagus clears the acid and food back into the stomach. When acid reflux from the stomach is frequent and persistent, the result is damage to the lining of the oesophagus. This is known as reflux oesophagitis or peptic oesophagitis. A hiatus hernia, while commonly associated with reflux, is not essential for reflux to occur.