Patients with limb-girdle muscular dystrophy (LGMD) may develop swallowing disorders as the disease progresses. We detected a novel swallowing pattern in patients with LGMD, characterized by unique findings such as a rumination-like behavior, where food reaches the vallecula and piriform sinuses and then is regurgitated back into the oral cavity, re-chewed, and swallowed again. We termed this swallowing pattern "rumination swallowing." In this report, we describe a case of rumination swallowing, as observed through a videofluoroscopic (VF) examination, in a 56-year-old patient with LGMD.
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http://dx.doi.org/10.7759/cureus.68846 | DOI Listing |
Cureus
September 2024
Graduate School of Health Science, Fukui Health Science University, Fukui, JPN.
Rev Esp Enferm Dig
May 2024
Aparato Digestivo, Hospital Clínico San Carlos, España.
45 year-old male patient with history of heartburn and regurgitation of non-acid food in the immediate postprandial period, with no symptomatic improvement after anti-acid treatment. The patient underwent an upper endoscopy that was unremarkable. A high-resolution impedance manometry (HRIM) was performed according to Chicago Protocol 4.
View Article and Find Full Text PDFMedicine (Baltimore)
April 2024
Department of Respiratory and Critical Care Medicine, The First People's Hospital of Longquanyi District, Chengdu, Sichuan, China.
This study aimed to investigate the relationship between endoscopic gastroesophageal valve grading and mean nocturnal baseline impedance (MNBI) and postreflux swallow-induced peristaltic wave index (PSPWI) in patients with gastroesophageal reflux disease (GERD). A total of 120 patients diagnosed with GERD disease were included in the study. According to the classification of endoscopic gastroesophageal valves, the patients were divided into 5 groups, group 1 as baseline group, and Group 2-4 as Hill grade I-IV.
View Article and Find Full Text PDFTzu Chi Med J
March 2024
Department of Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien, Taiwan.
Gastroesophageal reflux disease (GERD), a prevalent condition with multifactorial pathogenesis, involves esophageal motor dysmotility as a key contributing factor to its development. When suspected GERD patients have an inadequate response to proton-pump inhibitor (PPI) therapy and normal upper endoscopy results, high-resolution manometry (HRM) is utilized to rule out alternative diagnosis such as achalasia spectrum disorders, rumination, or supragastric belching. At present, HRM continues to provide supportive evidence for diagnosing GERD and determining the appropriate treatment.
View Article and Find Full Text PDFJ Pediatr Gastroenterol Nutr
April 2024
Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Rumination syndrome (RS) is a complex functional disorder characterized by recurrent, repetitive regurgitation of recently swallowed food. RS may have medical and psychosocial implications, compromising the quality of life and causing high rates of school absenteeism. Pediatric RS has been poorly studied and little evidence regarding its treatment is available.
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