Punkkinen Jari, Haak Riikka, Kaartinen Meri, Walamies Markku
Duodecim. 2016;132(22):2073-9.
Supragastric belching differs from common gastric belching. It can be detected by 24-hour intra-esophageal impedance monitoring. Belching is seldom the only symptom: reflux symptom is present in 95% and dysphagia in 65% of the patients. In supragastric belching, the air does not come from the stomach but instead from the esophagus. Belching is caused by the patient him/herself swallowing air into the esophagus. This voluntary but unconscious symptom is treated by therapy in which explaining the mechanism of belching for the patient and learning of correct diaphragmatic breathing technique play a central role. Habit reversal is utilized for teaching the patient to react correctly to preemptive symptoms.
嗳气与普通的胃嗳气不同。它可通过24小时食管内阻抗监测检测出来。嗳气很少是唯一的症状：95%的患者存在反流症状，65%的患者存在吞咽困难。在嗳气中，气体并非来自胃部，而是来自食管。嗳气是由患者自身将空气吞咽入食管所致。这种自主但无意识的症状通过向患者解释嗳气机制并学习正确的膈肌呼吸技巧起核心作用的治疗方法来治疗。习惯逆转法用于教导患者对先发症状做出正确反应。
