Gut · 2026
Excessive supragastric belching can be identified in up to one-fifth of patients with conclusive gastro-oesophageal reflux disease.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Chan Walter W, Franz Allison, Garcia-Marmolejo Juan Pablo, Hurtte Edward, Pesantez Fernanda, Pía Adrián, Smith Nathon, Tudehope Fiona, Yehuda Reuma Margalit, Arguero Maria Julieta, Barber-Caselles Claudia, Chen Chien-Lin, Cisternas Daniel, Glasinovic Esteban, Hani Albis, Morales Eugenia, Rogers Benjamin D, Sawada Akinari, Serra Jordi, Serra Katja, Wong Ming-Wun, Yazaki Etsuro, Zerbib Frank, Sifrim Daniel, Gyawali C Prakash
Аннотация
BACKGROUND: Supragastric belching (SGB) can trigger reflux episodes, but the contribution of SGB to pathological reflux burden is incompletely understood.
OBJECTIVE: To characterise and identify clinical predictors for excessive SGB-related gastro-oesophageal reflux disease (GERD) phenotype.
DESIGN: This was a multicentre cross-sectional study of patients with acid exposure time (AET) >6% on pH-impedance monitoring off therapy across 11 international tertiary centres. SGB episodes were manually identified. Excessive SGB was defined by ≥13 episodes/24 hours. SGB-related AET was determined by duration of pH <4 following an SGB episode. Univariate and multivariable analyses assessed relationships between excessive SGB and conclusive GERD.
RESULTS: Of 580 patients (age 56.1±0.6 year, 62% women) from four world regions (Europe/North America/Latin America/Asia), 107 (18.5%) had excessive SGB (p=0.97 across regions). Excessive SGB-related GERD phenotype had lower total AET (p=0.01) with 24.6±2.2% total AET attributable to SGB, higher total reflux episodes (TRE, p=0.0006) and higher number of SGB-related symptom episodes (p<0.0001). On logistic regression, higher TRE (OR 1.01, 95% CI 1.004 to 1.014, p=0.0004) independently predicted excessive SGB, while predominant perceptive symptoms (heartburn/chest pain, OR 0.36, 95% CI 0.155 to 0.854, p=0.002) and higher distal AET (OR 0.96, 95% CI 0.920 to 0.998, p=0.042) were negative predictors. On receiver-operating characteristics curve analysis, >115 TRE and >56 proximal reflux episodes achieved >90% specificity for excessive SGB.
CONCLUSIONS: Excessive SGB is found in up to 20% of patients with conclusive GERD, with 25% of AET attributable to SGB. Higher TRE (>115 TRE, >56 proximal episodes) and more SGB-associated symptoms are predictors of excessive SGB-related GERD phenotype.
OBJECTIVE: To characterise and identify clinical predictors for excessive SGB-related gastro-oesophageal reflux disease (GERD) phenotype.
DESIGN: This was a multicentre cross-sectional study of patients with acid exposure time (AET) >6% on pH-impedance monitoring off therapy across 11 international tertiary centres. SGB episodes were manually identified. Excessive SGB was defined by ≥13 episodes/24 hours. SGB-related AET was determined by duration of pH <4 following an SGB episode. Univariate and multivariable analyses assessed relationships between excessive SGB and conclusive GERD.
RESULTS: Of 580 patients (age 56.1±0.6 year, 62% women) from four world regions (Europe/North America/Latin America/Asia), 107 (18.5%) had excessive SGB (p=0.97 across regions). Excessive SGB-related GERD phenotype had lower total AET (p=0.01) with 24.6±2.2% total AET attributable to SGB, higher total reflux episodes (TRE, p=0.0006) and higher number of SGB-related symptom episodes (p<0.0001). On logistic regression, higher TRE (OR 1.01, 95% CI 1.004 to 1.014, p=0.0004) independently predicted excessive SGB, while predominant perceptive symptoms (heartburn/chest pain, OR 0.36, 95% CI 0.155 to 0.854, p=0.002) and higher distal AET (OR 0.96, 95% CI 0.920 to 0.998, p=0.042) were negative predictors. On receiver-operating characteristics curve analysis, >115 TRE and >56 proximal reflux episodes achieved >90% specificity for excessive SGB.
CONCLUSIONS: Excessive SGB is found in up to 20% of patients with conclusive GERD, with 25% of AET attributable to SGB. Higher TRE (>115 TRE, >56 proximal episodes) and more SGB-associated symptoms are predictors of excessive SGB-related GERD phenotype.