Fujiwara Yasuhiro, Sawada Akinari, Hashimoto Atsushi, Takashima Shingo, Tanaka Fumio
Department of Gastroenterology, Osaka City University Graduate School of Medicine.
Nihon Shokakibyo Gakkai Zasshi. 2020;117(12):1081-1086. doi: 10.11405/nisshoshi.117.1081.
A 52-year-old woman had a 6-month history of frequent belching;however, esophagogastroduodenoscopy revealed no abnormal findings. She presented to our department with belching refractory to several medications. Abdominal radiography revealed no massive gas in the stomach and intestine. She had frequent belching during the medical interview but no belching during speaking. Findings from high-resolution esophageal manometry and esophageal impedance pH monitoring confirmed supragastric belching. Thus, she was diagnosed as having excessive supragastric belching, which improved with cognitive behavioral therapy.
一名52岁女性有6个月频繁嗳气的病史；然而，食管胃十二指肠镜检查未发现异常。她因多种药物治疗无效的嗳气症状前来我院就诊。腹部X线检查未发现胃和肠道内有大量气体。在病史采集过程中她频繁嗳气，但说话时不嗳气。高分辨率食管测压和食管阻抗pH监测结果证实为胃上嗳气。因此，她被诊断为胃上嗳气过多，经认知行为疗法后病情好转。
