Korean J Gastroenterol.  2019 Jan;73(1):56-59. 10.4166/kjg.2019.73.1.56.

A Supragastric Belching Case Treated with Speech Therapy

Affiliations
  • 1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 2Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 3Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mskwon@amc.seoul.kr

Abstract

No abstract available.


MeSH Terms

Eructation*
Speech Therapy*

Figure

  • Fig. 1 Patterns of gas movement as recorded on 24-hr pH impedance testing. Air enters the proximal part of esophagus and travels downward rapidly. Impedance levels shows rapidly antegrade rise of signals in the proximal channels and progressing to the distal impedance channels. Thereafter, the air is cleared from the distal esophagus to oral side. Impedance levels shows rapid return of impedance signals from the distal to proximal impedance channels.

  • Fig. 2 Patterns of serial air flow (indicated by arrows) as recorded on videofluorescent swallowing study. (A, B) Show the air swallowing from the pharyngeal and laryngeal spaces into the esophagus followed by (C, D) showing supragastric belching.


Reference

1. Kessing BF, Bredenoord AJ, Smout AJ. The pathophysiology, diagnosis and treatment of excessive belching symptoms. Am J Gastroenterol. 2014; 109:1196–1203. (Quiz) 1204.
Article
2. Cho YK. Belching. Korean J Gastroenterol. 2017; 70:273–277.
Article
3. Ryu HS, Choi SC, Lee JS. Belching (eructation). Korean J Gastroenterol. 2014; 64:4–9.
Article
4. Bredenoord AJ. Belching, aerophagia, and rumination. J Pediatr Gastroenterol Nutr. 2011; 53:Suppl 2. S19–S21.
5. Bredenoord AJ. Management of belching, hiccups, and aerophagia. Clin Gastroenterol Hepatol. 2013; 11:6–12.
Article
6. Stanghellini V, Chan FK, Hasler WL, et al. Gastroduodenal disorders. Gastroenterology. 2016; 150:1380–1392.
Article
7. Hemmink GJ, Ten Cate L, Bredenoord AJ, Timmer R, Weusten BL, Smout AJ. Speech therapy in patients with excessive supragastric belching--a pilot study. Neurogastroenterol Motil. 2010; 22:24, e2-3–28, e2-3.
8. Bredenoord AJ, Weusten BL, Sifrim D, Timmer R, Smout AJ. Aerophagia, gastric, and supragastric belching: a study using intraluminal electrical impedance monitoring. Gut. 2004; 53:1561–1565.
Article
9. Ooi JL, Vardar R, Sifrim D. Supragastric belching. Curr Opin Gastroenterol. 2016; 32:302–309.
Article
10. Cigrang JA, Hunter CM, Peterson AL. Behavioral treatment of chronic belching due to aerophagia in a normal adult. Behav Modif. 2006; 30:341–351.
Article
11. Katzka DA. Simple office-based behavioral approach to patients with chronic belching. Dis Esophagus. 2013; 26:570–573.
Article
12. Spiegel SB. Uses of hypnosis in the treatment of uncontrollable belching: a case report. Am J Clin Hypn. 1996; 38:263–270.
Article
13. Blondeau K, Boecxstaens V, Rommel N, et al. Baclofen improves symptoms and reduces postprandial flow events in patients with rumination and supragastric belching. Clin Gastroenterol Hepatol. 2012; 10:379–384.
Article
14. Greenhill C. Motility: baclofen effective for rumination and supragastric belching in a pilot study. Nat Rev Gastroenterol Hepatol. 2011; 9:3.
Full Text Links
  • KJG
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr