Document Detail


Rumination documented by using combined multichannel intraluminal impedance and manometry.
MedLine Citation:
PMID:  15067630     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Radu Tutuian; Donald O Castell
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
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:
Created Date:  2004-04-06     Completed Date:  2004-08-13     Revised Date:  2006-09-18    
Medline Journal Info:
Nlm Unique ID:  101160775     Medline TA:  Clin Gastroenterol Hepatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  340-3     Citation Subset:  IM    
Affiliation:
Division of Gastroenterology/Hepatology, Medical University of South Carolina, Charleston, 29425, USA. tutuianr@musc.edu
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MeSH Terms
Descriptor/Qualifier:
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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