Clinical practice update: Expert reviewDiagnosis and Treatment of Rumination Syndrome
Section snippets
Methods
The recommendations outlined in this review are based on expert opinion and on relevant publications from PubMed and Embase (through February 2018) without a formal systematic review of evidence. To identify relevant ongoing trials, we queried clinicaltrials.gov. The Clinical Practice Updates Committee of the American Gastroenterological Association has reviewed these recommendations.
Summary and Conclusions
Rumination syndrome is an uncommon functional gastrointestinal disorder, but likely is under-recognized in clinical practice. We recommend that physicians consider rumination syndrome in the differential diagnosis of patients presenting with regurgitation, refractory gastroesophageal reflux, or vomiting. A clinical diagnosis can be made in most cases. The algorithm in Figure 4 outlines a suggested approach to patients with postprandial regurgitation or vomiting, with a focus on how to evaluate
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Rumination syndrome
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2023, Cognitive and Behavioral PracticeGlobal Prevalence and Impact of Rumination Syndrome
2022, GastroenterologyCitation Excerpt :The American Gastroenterology Association clinical practice guideline on rumination confirms that the diagnosis of rumination syndrome can be based on the Rome IV criteria. Further evaluation is recommended in cases where there is doubt about the diagnosis, or inadequate response to therapy.1 Previous studies have shown that esophageal impedance manometry with postprandial registration provides the strongest diagnostic evidence for rumination syndrome, making it the best choice for a gold standard.50,51
Understanding Disordered Eating Risks in Patients with Gastrointestinal Conditions
2022, Journal of the Academy of Nutrition and DieteticsCitation Excerpt :Rumination syndrome is a functional GI diagnosis that can be missed, delayed, or untreated leading to significant health consequences.44 In the GI literature, rumination syndrome is described as the subconscious physiological contraction of abdominal muscles while voluntarily relaxing the lower esophageal sphincter, which allows food and liquid to be regurgitated leading to re-chewing, re-swallowing, or spitting out.45 The true prevalence of rumination syndrome is likely underestimated due to lack of physician awareness; and although it is perceived as predominantly a diagnosis seen in women, this is likely related to women seemingly more likely to seek health care for DBGIs.46
Rumination syndrome: Critical review
2022, Gastroenterologia y Hepatologia
Conflicts of interest The authors disclose no conflicts.