Chronic belching can be a difficult and socially disabling symptom often attributed to reflux with poor response to therapy. In patients where aerophagia is identified as a clear cause, treatment with baclofen may not be tolerated, and biofeedback therapy is time-intensive and may still not be effective. In this pilot study, an office-based easy-to-perform method based on sustained glottal opening was used in five patients with chronic belching, in whom reflux and other causes had been excluded. Treatment consisted of having the patient breathe slowly and diaphragmatically with his or her mouth open during supine, then sitting periods to prevent belching. When this was successful, patients were then counseled on continuing this breathing with mouth slightly ajar as an outpatient using this persistently. Wide mouth opening was used for rescue therapy of belching attacks. All five patients responded to the office-based therapy with complete cessation of belching during the visit. At 1-month follow up, four patients remained asymptomatic. One patient was asymptomatic but for two breakthrough attacks easily managed with the protocol. A simple office-based procedure based on complete glottal opening can be curative for a subset of patients with chronic eructation secondary to repetitive air swallowing.

译文

慢性嗳气可能是一种困难的社交障碍症状,通常归因于对治疗反应不佳的反流。在明确原因为吞气症的患者中,可能无法耐受巴氯芬的治疗,并且生物反馈疗法需要时间,并且可能仍然无效。在这项初步研究中,基于持续声门开放的基于办公室的易于执行的方法被用于五名慢性being的患者,其中排除了反流和其他原因。治疗包括让患者在仰卧时张着嘴缓慢地呼吸和隔膜,然后坐着以防止嗳气。成功后,建议患者继续使用这种呼吸,使其保持半开的嘴巴,作为持续使用这种呼吸的门诊患者。张开嘴巴用于抢救of气袭击。所有五名患者都对基于办公室的治疗做出了反应,在就诊期间完全停止了being气。在1个月的随访中,有4名患者无症状。一名患者无症状,但两次突破性发作很容易通过该方案进行。基于完全声门开放的简单的基于办公室的程序可以治愈一部分继发于反复吞咽空气的慢性勃起患者。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录