Sohn Ki Chang, Jeong Young Hoon, Jo Dong Ho, Heo Won Gak, Yeom Dong Han, Choi Suck Chei, Ryu Han Seung
Division of Gastroenterology, Department of Internal Medicine, Digestive Disease Research Institute, Wonkwang University College of Medicine, Iksan, Korea.
Korean J Gastroenterol. 2015 Nov;66(5):282-5. doi: 10.4166/kjg.2015.66.5.282.
Aerophagia is a disorder caused by abnormal accumulation of air in the gastrointestinal tract as a result of repetitive and frequent inflow of air through the mouth. For the diagnosis of this condition, it is difficult to objectively measure the air swallowing. However, multichannel intraluminal impedance monitoring facilitates the differential diagnosis between normal air swallowing and pathologic aerophagia, and can aid in the determination of the frequency and amount of air swallowed. In this report, in addition to a literature review, we describe a case of 36-year-old man with abdominal distension who was diagnosed with aerophagia using esophageal impedance monitoring and was treated with clonazepam.
吞气症是一种由于空气经口腔反复频繁流入导致胃肠道内空气异常积聚而引起的病症。对于这种病症的诊断,客观测量吞气情况较为困难。然而,多通道腔内阻抗监测有助于鉴别正常吞气和病理性吞气症,并能辅助确定吞气的频率和量。在本报告中,除了文献综述外,我们还描述了一例36岁腹胀男性患者,其通过食管阻抗监测被诊断为吞气症,并接受了氯硝西泮治疗。