Belching in Gastroesophageal Reflux Disease: Literature Review
Belching is a common phenomenon. However, it becomes bothersome if excessive. Impedance–pH monitoring can classify the belching into two types: gastric belching and supragastric belching (SGB). The former is a physiological mechanism to vent swallowed air from the stomach, whereas the latter is a be...
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doaj-1e2324e7d1574f5d8788aed67c5b59a12020-11-25T03:53:17ZengMDPI AGJournal of Clinical Medicine2077-03832020-10-0193360336010.3390/jcm9103360Belching in Gastroesophageal Reflux Disease: Literature ReviewAkinari Sawada0Yasuhiro Fujiwara1Daniel Sifrim2Department of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka 545-8585, JapanDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka 545-8585, JapanWingate Institute of Neurogastroenterology, Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London E1 2AJ, UKBelching is a common phenomenon. However, it becomes bothersome if excessive. Impedance–pH monitoring can classify the belching into two types: gastric belching and supragastric belching (SGB). The former is a physiological mechanism to vent swallowed air from the stomach, whereas the latter is a behavioral disorder. Gastroesophageal reflux disease (GERD) is the most relevant condition in both types of belching. Recent findings have raised awareness that excessive SGB possibly sheds light on the pathogenesis of a part of proton pump inhibitor (PPI) refractoriness in GERD. SGB could cause typical reflux symptoms such as heartburn, regurgitation or chest pain in two ways: SGB-induced gastroesophageal reflux or SGB-induced esophageal distension. In PPI-refractory GERD, it is important to detect hidden SGB as a cause of reflux symptoms since SGB requires psychological treatment instead of high dose PPIs or pain modulators. In the case of PPI-refractory GERD with excessive SGB, recent studies imply that the combination of a psychological approach and conventional treatment can improve treatment outcome.https://www.mdpi.com/2077-0383/9/10/3360gastric belchingsupragastric belchingepidemiologyimpedance-pH monitoringgastroesophageal reflux diseasenon-erosive reflux disease |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Akinari Sawada Yasuhiro Fujiwara Daniel Sifrim |
spellingShingle |
Akinari Sawada Yasuhiro Fujiwara Daniel Sifrim Belching in Gastroesophageal Reflux Disease: Literature Review Journal of Clinical Medicine gastric belching supragastric belching epidemiology impedance-pH monitoring gastroesophageal reflux disease non-erosive reflux disease |
author_facet |
Akinari Sawada Yasuhiro Fujiwara Daniel Sifrim |
author_sort |
Akinari Sawada |
title |
Belching in Gastroesophageal Reflux Disease: Literature Review |
title_short |
Belching in Gastroesophageal Reflux Disease: Literature Review |
title_full |
Belching in Gastroesophageal Reflux Disease: Literature Review |
title_fullStr |
Belching in Gastroesophageal Reflux Disease: Literature Review |
title_full_unstemmed |
Belching in Gastroesophageal Reflux Disease: Literature Review |
title_sort |
belching in gastroesophageal reflux disease: literature review |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2020-10-01 |
description |
Belching is a common phenomenon. However, it becomes bothersome if excessive. Impedance–pH monitoring can classify the belching into two types: gastric belching and supragastric belching (SGB). The former is a physiological mechanism to vent swallowed air from the stomach, whereas the latter is a behavioral disorder. Gastroesophageal reflux disease (GERD) is the most relevant condition in both types of belching. Recent findings have raised awareness that excessive SGB possibly sheds light on the pathogenesis of a part of proton pump inhibitor (PPI) refractoriness in GERD. SGB could cause typical reflux symptoms such as heartburn, regurgitation or chest pain in two ways: SGB-induced gastroesophageal reflux or SGB-induced esophageal distension. In PPI-refractory GERD, it is important to detect hidden SGB as a cause of reflux symptoms since SGB requires psychological treatment instead of high dose PPIs or pain modulators. In the case of PPI-refractory GERD with excessive SGB, recent studies imply that the combination of a psychological approach and conventional treatment can improve treatment outcome. |
topic |
gastric belching supragastric belching epidemiology impedance-pH monitoring gastroesophageal reflux disease non-erosive reflux disease |
url |
https://www.mdpi.com/2077-0383/9/10/3360 |
work_keys_str_mv |
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