Characteristics of symptomatic belching in patients with belching disorder and patients who exhibit gastroesophageal reflux disease with belching
Shin Ok JeongJoon Seong LeeTae Hee LeeSu Jin HongYoung Kyu ChoJunseok ParkSeong Ran JeonHyun Gun KimJin-Oh Kim
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Abstract:
Belching disorder (BD) is clinically distinct from gastroesophageal reflux disease (GERD) with belching. Supragastric belching (SGB) is closely associated with reflux episodes. This study investigates belch characteristics in association with reflux, compared between patients with BD and those who had GERD with belching.Impedance pH monitoring data from 10 patients with BD and 10 patients with GERD who exhibited belching were retrospectively analyzed. Belches were considered "isolated" or "reflux-related" and acidic/non-acidic. Belch characteristics were compared between patients with BD and those with GERD.Symptomatic belches were more frequent in patients with BD than in patients with GERD (median, 160.5 vs 56.0, P < 0.05). SGB was the most common type in both groups; common subtypes comprised "isolated" in patients with BD and "isolated during the reflux period" in patients with GERD. Reflux-related SGB was more common in patients with GERD than in BD (78.3% vs 45.2%, P < 0.005). Both "preceding belching" including the reflux period and acidic SGB were more common in patients with GERD than in BD (31.8% vs 8.6% and 38.1% vs 8.9%, both P < 0.05). Supragastric belch number positively correlated with all reflux episodes in patients with GERD (adjusted R2 = 0.572, P = 0.007).BD is characterized by more belching, compared to GERD. SGB is more frequently associated with reflux in GERD than in BD; acidity may be related to GERD. In BD, SGB is typically non-acidic and unrelated to reflux. Distinct SGB characteristics may reflect different pathogenic mechanisms of reflux and associated symptoms.Keywords:
Esophageal pH monitoring
Summary Gastroesophageal pH monitoring and reflux scintigraphy were simultaneously performed in 65 children, who were being investigated for suspected gastroesophageal reflux disease. The aim of the study was to compare, peak per peak, the information provided by the two techniques during a 1-h simultaneous-recording period. During this period, 123 reflux episodes were recorded with both techniques, but only six occurred simultaneously. Significantly more reflux episodes were recorded on scintigraphy (n = 88; p < 0.05), particularly during the first half-hour period (n = 62), if compared with the number of pH drops greater than 1 unit, even at pH levels higher than 4 (n = 41; p < 0.05). It is concluded that the two techniques explore differently the reflux phenomenon.
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Objectives To study lower esophageal pH changes and its clinical value in neonates with gastroesophageal reflux (GER).Methods Thc distal esophageal monitoring was per formed using a Synectics Digitrapper Systenl for ambulatory pH rccording. Each period longer than 15 seconds during which the pH4. 0 is defined as a reflux episode. Thirty-six cases suspected GER were done and 15 asymptomatic newborn served as controls.Results The results showed that 22 cases of 36 were physiologicaI reflux and 14 cases pathological reflux according to Boix -Ochoa score more than 11. 99 and acid reflux index more than 10% while 2 of 15 controls to be physiological reflux and the other 13 remained normal.Conclusions The results indicated that 24-hour esophageal pH monitoring should be considered as the most reliable way for early diagnosis of neonatal GER.
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Objective To investigate the association between Hp infection and gastroesophageal reflux disease(GERD).Methods One hundred and two patients with GERD by endoscopy for the detection of Hp were divided into the group with Hp(+) and Hp(-).Comparison of the severe degree of reflux esophagitis by endoscopy and the rate of recurrence between the two groups were performed after eradication of the bacterria in 6 and 12 months.Results Detectable rate of severe GERD of Hp(+) and Hp(-) were 35.3% and 64.7% respectively.There was significant difference between the two groups.The total rate of recurrence after eradicating Hp 6 months,12 months in Hp(+) GERD was 66.1%,Hp(-) GERD was 43.3%,there was significant difference.Conclusion The prevalence of severe GERD in Hp(-) was higher than that in Hp(+).The rate of recurrence in Hp(+) GERD was high after eradicating Hp 12 months.Hp may has protective effect for GERD.
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Summary Gastroesophageal pH monitoring and reflux scintigraphy were simultaneously performed in 65 children, who were being investigated for suspected gastroesophageal reflux disease. The aim of the study was to compare, peak per peak, the information provided by the two techniques during a 1‐h simultaneous‐recording period. During this period, 123 reflux episodes were recorded with both techniques, but only six occurred simultaneously. Significantly more reflux episodes were recorded on scintigraphy ( n = 88; p < 0.05), particularly during the first half‐hour period ( n = 62), if compared with the number of pH drops greater than 1 unit, even at pH levels higher than 4 (n = 41; p < 0.05). It is concluded that the two techniques explore differently the reflux phenomenon.
Esophageal pH monitoring
Esophageal disease
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Esophageal pH monitoring
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Impedance-pH monitoring allows detailed characterization of gastroesophageal reflux and esophageal activity associated with reflux. We assessed the characteristics of nocturnal reflux and esophageal activity preceding and following reflux.
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Gastroesophageal reflux disease (GERD) is a common chronic condition in the United States, affecting as many as 40% of adults. Although questionnaire-based studies have found the prevalence of the disease to be equal in men and women, the relative prevalence of GERD in males and females has yet to be established by quantitative, clinical evaluation. Moreover, preliminary research suggests that there are gender differences in the pathology and symptomatology of GERD, and the increased prevalence of GERD in pregnancy may indicate that sex hormones play a role in the disease. Additional research is necessary to confirm these findings.
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