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The Western Journal of Medicine Jan 1987
Topics: Aerophagy; Flatulence; Humans
PubMed: 3825100
DOI: No ID Found -
Ear, Nose, & Throat Journal Mar 2018A patient with Rett syndrome presented to our Emergency Department with extensive subcutaneous emphysema in the cervical region, chest wall, upper extremities, and back....
A patient with Rett syndrome presented to our Emergency Department with extensive subcutaneous emphysema in the cervical region, chest wall, upper extremities, and back. Diagnostic evaluation revealed a mucosal tear in the posterior pharyngeal wall and an abscessed retropharyngeal lymph node, but she had no known history of trauma to account for these findings. This report discusses the occurrence of subcutaneous emphysema in the context of a rare neurodevelopmental disorder and proposes accentuated aerophagia, a sequela of Rett syndrome, as the most likely underlying mechanism.
Topics: Adult; Aerophagy; Female; Humans; Pharynx; Rett Syndrome; Subcutaneous Emphysema
PubMed: 29554407
DOI: 10.1177/014556131809700304 -
Postgraduate Medical Journal Jul 1980A case of fetal tension pneumoperitoneum following gastric perforation due to aerophagy is described. Comment is made on the probably pathogenesis.
A case of fetal tension pneumoperitoneum following gastric perforation due to aerophagy is described. Comment is made on the probably pathogenesis.
Topics: Adult; Aerophagy; Female; Humans; Pneumoperitoneum; Radiography; Stomach Rupture
PubMed: 7443610
DOI: 10.1136/pgmj.56.657.516 -
Gut Nov 2004Patients with aerophagia are believed to have excessive belches due to air swallowing. Intraluminal impedance monitoring has made it possible to investigate the validity...
BACKGROUND
Patients with aerophagia are believed to have excessive belches due to air swallowing. Intraluminal impedance monitoring has made it possible to investigate the validity of this concept.
METHODS
The authors measured oesophageal pH and electrical impedance before and after a meal in 14 patients with excessive belching and 14 healthy controls and identified patterns of air transport through the oesophagus. The size of the gastric air bubble was measured radiographically. In four patients prolonged oesophageal manometry was performed simultaneously.
RESULTS
In all subjects, impedance tracings showed that a significant amount of air is propulsed in front of about a third of the swallow induced peristaltic waves. Two types of retrograde gas flow through the oesophagus (belch) were observed. In the first type air flowed from the stomach through the oesophagus in oral direction ("gastric belch"). In the second type air entered the oesophagus rapidly from proximal and was expulsed almost immediately in oral direction ("supragastric belch"). The incidence of air-containing swallows and gastric belches was similar in patients and controls but supragastric belches occurred exclusively in patients. There was no evidence of lower oesophageal sphincter relaxation during supragastric belches. Gastric air bubble size was not different between the two groups.
CONCLUSIONS
In patients with excessive belching the incidence of gaseous reflux from stomach to oesophagus is similar to that in healthy subjects. Their excess belching activity follows a distinct pattern, characterised by rapid antegrade and retrograde flow of air in the oesophagus that does not reach the stomach.
Topics: Adult; Aerophagy; Electric Impedance; Eructation; Esophagus; Female; Humans; Hydrogen-Ion Concentration; Male; Manometry; Middle Aged; Monitoring, Physiologic; Postprandial Period
PubMed: 15479671
DOI: 10.1136/gut.2004.042945 -
Alimentary Pharmacology & Therapeutics Apr 2007Frequent belching is a common symptom in patients with functional dyspepsia with a reported incidence up to 80%. We hypothesized that patients with functional dyspepsia...
BACKGROUND
Frequent belching is a common symptom in patients with functional dyspepsia with a reported incidence up to 80%. We hypothesized that patients with functional dyspepsia possibly have a higher frequency of belching than healthy subjects secondary to frequent air swallowing.
AIM
To assess air swallowing, belching, acid and non-acid reflux patterns of patients with functional dyspepsia.
METHODS
Combined 24-h oesophageal impedance and pH monitoring was performed in 10 functional dyspepsia patients and 10 controls. Analysis of the impedance-pH signals included incidence of air swallows, belching, acid and non-acid reflux.
RESULTS
The incidence of air swallows in functional dyspepsia patients were significantly higher compared with controls (153 +/- 15 vs. 79 +/- 10, P < 0.001), while the incidence of liquid-only swallows were not significantly increased. The proportions of gas-containing reflux episodes (belches) and non-acid reflux episodes in functional dyspepsia patients were significantly higher when compared with controls (66.4 vs. 44.4%, P = 0.04 and 70.1 vs. 45.9%, P = 0.009, respectively).
CONCLUSION
Patients with functional dyspepsia swallow air more frequently than controls and this is associated with an increased incidence of non-acid gaseous gastro-oesophageal reflux.
Topics: Adult; Aerophagy; Dyspepsia; Eructation; Female; Gastric Acid; Gastric Acidity Determination; Gastric Emptying; Gastroesophageal Reflux; Humans; Hydrogen-Ion Concentration; Male; Manometry; Middle Aged
PubMed: 17403001
DOI: 10.1111/j.1365-2036.2007.03279.x -
Journal of Clinical Sleep Medicine :... Jul 2017
Topics: Aerophagy; Continuous Positive Airway Pressure; Cross-Over Studies; Humans; Masks; Sleep Apnea, Obstructive
PubMed: 28633717
DOI: 10.5664/jcsm.6650 -
Revista Espanola de Enfermedades... May 2018We report the case of a previously healthy 2-year-old child who presented with significant abdominal distension. After several interventions that proved ineffective,...
We report the case of a previously healthy 2-year-old child who presented with significant abdominal distension. After several interventions that proved ineffective, pathologic aerophagia was eventually diagnosed. In pediatrics, pathologic aerophagia is an uncommon disorder that almost exclusively affects children with an underlying neurological condition. It may lead to multiple diagnostic tests and unnecessary aggressive therapies. A recent case report associated aerophagia with a novel concept of abdomino-phrenic dyssynergia.
Topics: Aerophagy; Ataxia; Child, Preschool; Humans
PubMed: 29685045
DOI: 10.17235/reed.2018.5444/2017 -
Pediatrics Jun 2006This report describes an adolescent boy who has Tourette's syndrome and developed a subtle but significant increase in vocal tics after an 8-month respite. The increase...
This report describes an adolescent boy who has Tourette's syndrome and developed a subtle but significant increase in vocal tics after an 8-month respite. The increase in vocal tics was associated with an acute increase in psychological stressors and resulted in recurrent air swallowing, which, in turn, caused abdominal cramping, eructation, and flatus, eventually leading to aeroenteria. Air swallowing was recognized only after a second hospital admission for recurrent ileus. Air swallowing and associated symptoms were mitigated by reinstitution of psychopharmacologic treatment and an increase in the patient's self-awareness of the air-swallowing behavior. Clinically significant air swallowing has not been described previously in Tourette syndrome or a tic disorder. This case is important for pediatricians and pediatric gastroenterologists because either may be the first to evaluate a child or an adolescent with unexplained recurrent ileus. This report also documents the importance of the connection between the brain and the body.
Topics: Adolescent; Aerophagy; Humans; Ileus; Male; Recurrence; Tourette Syndrome
PubMed: 16651280
DOI: 10.1542/peds.2005-2914 -
Journal of Clinical Sleep Medicine :... Oct 2008
Topics: Aerophagy; Case-Control Studies; Comorbidity; Continuous Positive Airway Pressure; Cross-Sectional Studies; Eructation; Gastroesophageal Reflux; Humans; Sleep Apnea, Obstructive
PubMed: 18853701
DOI: No ID Found -
Alimentary Pharmacology & Therapeutics Nov 2005Aerophagia is a functional upper gastrointestinal disorder that has not previously been well described in a large patient group. (Comparative Study)
Comparative Study
BACKGROUND
Aerophagia is a functional upper gastrointestinal disorder that has not previously been well described in a large patient group.
AIMS
To describe the initial evaluation of patients who presented with symptoms of aerophagia at a tertiary medical centre.
METHODS
A computerized search was used to identify all patients who were diagnosed with aerophagia at the Mayo Clinic, Rochester between 1996 and 2003 (n = 79). Individual medical charts were abstracted for information on the demographics, clinical features, co-morbid diagnoses, diagnostic workup and treatment. Information on presenting symptoms was also collected for a group of patients who were classified as having functional dyspepsia for comparison (n = 121).
RESULTS
The median duration of symptoms in patients with aerophagia was 24 months. The most common symptoms were belching (56%), abdominal pain (19%), bloating (27%) and abdominal distension (19%). Patients with functional dyspepsia had a higher prevalence of reporting nausea, vomiting, early satiety, weight loss and abdominal pain (all P < 0.01, adjusting for age, gender and body mass index). Significantly more patients with aerophagia had anxiety (19%) than those with functional dyspepsia (6%, P < 0.01).
CONCLUSIONS
Individuals with aerophagia experience prolonged upper gastrointestinal symptoms. Initial presenting symptoms appear to be distinctly different from those who have functional dyspepsia.
Topics: Abdominal Pain; Adult; Aerophagy; Anxiety; Deglutition Disorders; Dyspepsia; Female; Heartburn; Humans; Male; Middle Aged; Nausea; Satiety Response; Vomiting; Weight Loss
PubMed: 16225495
DOI: 10.1111/j.1365-2036.2005.02651.x