PMID- 37844547
OWN - NLM
STAT- MEDLINE
DCOM- 20240110
LR  - 20240110
IS  - 1421-9867 (Electronic)
IS  - 0012-2823 (Linking)
VI  - 105
IP  - 1
DP  - 2024
TI  - Belching Disorders and Rumination Syndrome: A Literature Review.
PG  - 18-25
LID - 10.1159/000534092 [doi]
AB  - BACKGROUND: Belching disorders and rumination syndrome (RS) are disorders of 
      gut-brain interaction (DGBIs) in Rome IV. Belching disorders are composed of 
      excessive gastric belching (GB) and supragastric belching (SGB). Excessive GB is 
      related to physiological phenomenon whereas excessive SGB and RS are behavioral 
      disorders. SUMMARY: A recent large internet survey found that prevalence of 
      belching disorders and RS were 1% and 2.8%, respectively. It has been recognized 
      that not a few patients with two behavioral disorders, excessive SGB and RS, 
      could be misdiagnosed as proton pump inhibitors (PPI)-refractory gastroesophageal 
      reflux disease (GERD). In patients with reflux symptoms, distinguishing these 
      conditions is essential because they need psychological treatment (i.e., 
      cognitive behavioral therapy (CBT) rather than acid suppressants. Clinicians 
      should take a medical history meticulously first to identify possible excessive 
      SGB and/or RS. High-resolution impedance manometry and/or 24-h impedance-pH 
      monitoring can offer an objective diagnosis of the disorders. Several therapeutic 
      options are available for excessive SGB and RS. The first-line therapy should be 
      CBT using diaphragmatic breathing that can stop the behaviors involving complex 
      muscle contraction (e.g., abdominal straining) to generate SGB or rumination. 
      Overlap with eating disorders and/or other DGBIs such as functional dyspepsia can 
      make management of the behavioral disorders challenging since such coexisting 
      conditions often require additional treatments. KEY MESSAGES: Excessive SGB and 
      RS are not unusual conditions. It is important to raise awareness of the 
      behavioral disorders for appropriate management.
CI  - (c) 2023 S. Karger AG, Basel.
FAU - Sawada, Akinari
AU  - Sawada A
AD  - Department of Gastroenterology, Osaka Metropolitan University Graduate School of 
      Medicine, Osaka, Japan.
FAU - Fujiwara, Yasuhiro
AU  - Fujiwara Y
AD  - Department of Gastroenterology, Osaka Metropolitan University Graduate School of 
      Medicine, Osaka, Japan.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20231016
PL  - Switzerland
TA  - Digestion
JT  - Digestion
JID - 0150472
SB  - IM
MH  - Humans
MH  - Eructation/diagnosis/epidemiology/etiology
MH  - *Rumination Syndrome/complications
MH  - *Gastroesophageal Reflux/diagnosis/epidemiology/therapy
MH  - *Dyspepsia/complications
MH  - Stomach
MH  - Manometry
OTO - NOTNLM
OT  - Belching
OT  - Disorders of gut-brain interaction
OT  - Gastroesophageal reflux disease
OT  - Rumination syndrome
OT  - Supragastric belching
EDAT- 2023/10/17 00:42
MHDA- 2024/01/10 06:41
CRDT- 2023/10/16 18:20
PHST- 2023/06/30 00:00 [received]
PHST- 2023/09/08 00:00 [accepted]
PHST- 2024/01/10 06:41 [medline]
PHST- 2023/10/17 00:42 [pubmed]
PHST- 2023/10/16 18:20 [entrez]
AID - 000534092 [pii]
AID - 10.1159/000534092 [doi]
PST - ppublish
SO  - Digestion. 2024;105(1):18-25. doi: 10.1159/000534092. Epub 2023 Oct 16.