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Supragastric belching: Pathogenesis, diagnostic issues and treatment.

Authors:
Stefan L Popa Teodora Surdea-Blaga Liliana David Mihaela Fadgyas Stanculete Alina Picos Dan L Dumitrascu Giuseppe Chiarioni Abdulrahman Ismaiel Dinu I Dumitrascu

Saudi J Gastroenterol 2022 May-Jun;28(3):168-174

Department of Anatomy, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Belching is defined as an audible escape of air from the esophagus or the stomach into the pharynx. It becomes pathologic if it is excessive and becomes bothersome. According to Rome IV diagnostic criteria, there is a belching disorder when one experiences bothersome belching (severe enough to impact on usual activities) more than 3 days a week. Esophageal impedance can differentiate between gastric and supragastric belching. The aim of this review was to provide data on pathogenesis and diagnosis of supragastric belching and study its relationship with gastroesophageal reflux disease and psychological factors. Treatment options for supragastric belching are also presented.

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http://dx.doi.org/10.4103/sjg.sjg_405_21DOI Listing
May 2022

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Supragastric belching: Pathogenesis, diagnostic issues and treatment.

Authors:
Stefan L Popa Teodora Surdea-Blaga Liliana David Mihaela Fadgyas Stanculete Alina Picos Dan L Dumitrascu Giuseppe Chiarioni Abdulrahman Ismaiel Dinu I Dumitrascu

Saudi J Gastroenterol 2022 May-Jun;28(3):168-174

Department of Anatomy, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Belching is defined as an audible escape of air from the esophagus or the stomach into the pharynx. It becomes pathologic if it is excessive and becomes bothersome. According to Rome IV diagnostic criteria, there is a belching disorder when one experiences bothersome belching (severe enough to impact on usual activities) more than 3 days a week. Read More

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May 2022
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Management of supragastric belching.

Authors:
Monica Velosa Ilia Sergeev Daniel Sifrim

Neurogastroenterol Motil 2022 02 4;34(2):e14316. Epub 2022 Jan 4.

Wingate Institute of Neurogastroenterology, Bart and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.

Increased SGB is currently more often recognized not only in patients with belching as a main symptom, but also in patients with reflux like symptoms that are refractory to PPI treatment or patients with reflux hypersensitivity. Detection of increased SGB during analysis of impedance-pHmetry can help to better understand the pathophysiology of symptoms in individual patients and to provide more focused and specific treatment. At the moment, the most efficient treatments for increased SGB are CBT and Speech therapies, pharmacological treatment being less effective and prone to mild secondary effects. Read More

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Is belching increasing after bariatric bypass surgery in the long term period?

Authors:
F Akyüz B Göksoy P Telli N Nizam A Atasoy B Çavus B F Çalıkoglu K Demir S Kaymakoğlu F Beşışık U Barbaros

Acta Gastroenterol Belg 2021 Oct-Dec;84(4):601-605

Istanbul University, Istanbul Faculty of Medicine, Department of Surgery, Istanbul, Turkey.

Background And Aims: Gastric bypass surgery effectively treats obesity; however, its association with belching, which occurs in other bariatric surgeries, remains unclear. Hence, we aimed to evaluate belching occurrence after gastric bypass surgery.

Methods: We enrolled 12 healthy volunteers and 17 patients (12 and 5 underwent Roux-en-Y gastric bypass and mini-gastric bypass surgeries 24 (18-54) months prior, respectively). Read More

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Belching: Pathogenesis, Clinical Characteristics, and Treatment Strategies.

Authors:
Vikram Rangan Tia Sheth Johanna Iturrino Sarah Ballou Judy Nee Anthony Lembo

J Clin Gastroenterol 2022 01;56(1):36-40

Division of Gastroenterology, Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA.

Purpose: Belching is a common condition that frequently overlaps with other functional gastrointestinal disorders. While not associated with any increase in mortality, it is associated with impaired health-related quality of life. Management is challenging, as there are no pharmacologic therapies specifically targeted towards this disorder. Read More

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Belching in children: Prevalence and association with gastroesophageal reflux disease.

Authors:
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Neurogastroenterol Motil 2022 01 30;34(1):e14194. Epub 2021 Jun 30.

Barts and The London School of Medicine and Dentistry, Upper GI Physiology Unit Royal London Hospital, Wingate Institute of Neurogastroenterology, Blizard Institute, Queen Mary University of London, London, UK.

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January 2022
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