Our Summary

This research paper discusses supragastric belching, a condition where one burps excessively. This condition is now recognized as having a behavioral origin and this can be accurately detected using a method called esophageal impedance monitoring. It has been found that this condition is connected to other digestive disorders. By understanding this disorder better, we can identify ways to treat it, some of which have already been studied and have shown promising results.

The study found that supragastric belching is linked to a sensation of a lump in the throat, known as globus, and reflux symptoms in patients who do not respond to certain heartburn medication. Patients who have supragastric belching and weak movement in the esophagus burp more frequently. Chewing gum or undergoing a certain type of weight loss surgery has no effect on this condition. In children, there seems to be a connection between excessive swallowing of air and supragastric belching, but this is not observed in adults.

Recent successful treatments include educating the patient about the condition and providing behavioral therapy from a health psychologist with expertise in digestive disorders. The study concludes that with the increase in recognition and diagnosis of supragastric belching, there is a need to understand this condition better, especially its connection to other digestive disorders. More research is needed to find more treatment options for this non-dangerous but disruptive condition.

FAQs

  1. What is supragastric belching and how is it diagnosed?
  2. What is the relationship between supragastric belching and other gastrointestinal disorders?
  3. What are some of the recent successful treatments for supragastric belching?

Doctor’s Tip

One helpful tip that a doctor might give to a patient with gastric sleeve surgery is to be mindful of their eating habits and portion sizes. It is important to eat smaller meals more frequently throughout the day to prevent overeating and to allow the stomach to properly digest food. Additionally, it is important to chew food thoroughly and eat slowly to avoid discomfort or complications. Following a healthy and balanced diet, as well as staying hydrated, can also help to support the success of the gastric sleeve surgery. Regular follow-up appointments with a healthcare provider are also important to monitor progress and address any concerns.

Suitable For

Patients who are typically recommended gastric sleeve surgery include those who are severely obese with a body mass index (BMI) of 40 or higher, or those with a BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, high blood pressure, or sleep apnea. Candidates for gastric sleeve surgery should also have a history of unsuccessful weight loss attempts through diet and exercise, and be committed to making lifestyle changes post-surgery to maintain weight loss. Additionally, patients should be in good overall health and have a willingness to follow a strict post-operative diet and exercise regimen.

Timeline

Before undergoing gastric sleeve surgery, a patient typically goes through a process that includes consultations with a healthcare provider, evaluations to determine if they are a suitable candidate for the surgery, pre-operative diet and exercise requirements, and education about the procedure and post-operative care.

After gastric sleeve surgery, a patient experiences a period of recovery and adjustment to their new diet and eating habits. They will be closely monitored by healthcare professionals for any complications or issues that may arise. Over time, the patient will begin to see weight loss and improvements in their overall health and quality of life. Follow-up appointments and support from a healthcare team will be important for long-term success and maintenance of weight loss.

What to Ask Your Doctor

  1. What is gastric sleeve surgery and how does it work?
  2. Am I a good candidate for gastric sleeve surgery?
  3. What are the potential risks and complications associated with gastric sleeve surgery?
  4. How much weight can I expect to lose after gastric sleeve surgery?
  5. What dietary and lifestyle changes will I need to make after the surgery?
  6. Will I need to take any supplements or vitamins after gastric sleeve surgery?
  7. What is the long-term success rate of gastric sleeve surgery?
  8. How often will I need to follow up with you after the surgery?
  9. Are there any support groups or resources available for patients who have undergone gastric sleeve surgery?
  10. What should I do if I experience any complications or side effects after the surgery?

Reference

Authors: Ooi JL, Vardar R, Sifrim D. Journal: Curr Opin Gastroenterol. 2016 Jul;32(4):302-9. doi: 10.1097/MOG.0000000000000276. PMID: 27206156