| Rumination documented by using combined multichannel intraluminal impedance and manometry. | |
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MedLine Citation:
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PMID: 15067630 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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According to the Rome criteria, rumination is considered to be an esophageal functional disorder. Because documentation of rumination is difficult, it has been suggested that rumination is a clinical diagnosis. Even though a clinical diagnosis of rumination can be based only on history, this conclusion often leaves both the patient and the physician dissatisfied. In this article we describe the case of a 26-year-old man referred for evaluation of persistent regurgitation. By using combined multichannel intraluminal impedance and manometry we were able to document the sequence of events leading to regurgitation. These include an increase in intra-abdominal pressure identified in the pressure transducer located in the stomach, which initiates the reflux event identified by both impedance changes as well as common cavity phenomenon, followed by peristaltic fore contractions, which clear the intraesophageal content, a pattern highly suggestive for rumination. The opportunity to review these documented changes visually helps to make the patient aware of the functional aspects of the condition, avoiding unwarranted therapies and providing the opportunity to reinforce behavioral modifications. |
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Authors:
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Radu Tutuian; Donald O Castell |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association Volume: 2 ISSN: 1542-3565 ISO Abbreviation: Clin. Gastroenterol. Hepatol. Publication Date: 2004 Apr |
Date Detail:
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Created Date: 2004-04-06 Completed Date: 2004-08-13 Revised Date: 2006-09-18 |
Medline Journal Info:
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Nlm Unique ID: 101160775 Medline TA: Clin Gastroenterol Hepatol Country: United States |
Other Details:
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Languages: eng Pagination: 340-3 Citation Subset: IM |
Affiliation:
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Division of Gastroenterology/Hepatology, Medical University of South Carolina, Charleston, 29425, USA. tutuianr@musc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Diagnosis, Differential Electric Impedance Esophagoscopy / methods Feeding and Eating Disorders of Childhood / diagnosis* Gastric Acidity Determination Gastroesophageal Reflux / diagnosis*, drug therapy Humans Male Manometry / methods* Myoelectric Complex, Migrating* Sensitivity and Specificity Severity of Illness Index |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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