Chronic Burping and Belching

Abstract

This article is part of the Topical Collection on Neurogastroenterology and GI Motiliy Keywords Supragastric belching I Speech therapy I Cognitive behavioral therapy I Baclofen Abbreviations SGB Supragastric belching _ GB Gastric belching _ UES Upper esophageal sphincter _ LES Lower esophageal sphincter _ TLESR Transient lower esophageal sphincter relaxation _ GERD Gastroesophageal reflux disease _ CBT Cognitive behavioral therapy _ AET Acid exposure time _ GABA Gamma-aminobutyric acid _ LTF Toupet fundoplication

Supragastric belching

“…[ 39 ] All these studies were rather small. Nevertheless, the available data and experts' opinion[ 40 ] suggest that psychological therapies are effective and represent the main treatment option in SGB. However, the major drawback in clinical practice is the availability of experts trained in speech therapy or CBT.…”

Belching

“…Supragastric belching is associated with a pattern of air entering the esophagus and subsequently exiting the esophagus in the setting of increased esophageal and gastric pressure. [2][3][4] Air is drawn into the esophagus by suction (a result of arboral diaphragmatic movement resulting in negative intrathoracic pressure) or by an increase in pharyngeal pressure, leading to a pressure gradient driving air into the esophagus. 5 These mechanisms are distinct from air swallowing, a clinical entity called aerophagia.…”

“…14 Supragastric belches coming after reflux events may represent the body's response to unpleasant esophageal sensation caused by reflux. 3,28 Indeed belches coming after reflux events were shown to respond to acid suppressive treatment, while belches preceding acid reflux events were not. 28 In addition, reflux hypersensitivity has been associated with supragastric belching.…”

Prevalence and risk factors of belching disorders: A cross‐sectional study among freshman college students

“…Therefore, investigating the prevalence and risk factors of belching disorders among college students is of great significance for evaluating the occurrence of excessive belching and exploring management strategies. Unfortunately, so far, few studies have been conducted on the epidemiology and risk factors of belching disorders 1,13 …”

“…Unfortunately, so far, few studies have been conducted on the epidemiology and risk factors of belching disorders. 1,13 In this study, we aimed to determine the prevalence of belching disorders using Rome IV criteria in a school-based population and to assess the impact of various lifestyle factors on belching disorders.…”