Читать книгу The Esophagus - Группа авторов - Страница 107

Although there are many misconceptions about rumination syndrome, it is hoped that with a clear understanding, this easily diagnosed and treatable condition will become more established in gastroenterology practice. In its simplest form, rumination syndrome can be considered, diagnosed, and treated in one office visit, typically following years of misdiagnosis and spurious testing. In its severe and/or complicated form, physiologic testing primarily with high‐resolution fed manometry is available for confirmation of the diagnosis and initiation of biofeedback therapy. There are aspects of this disease that continue to puzzle us, such as why it starts and how precisely coordination of the mind, abdomen, and esophagus achieve this form of regurgitation, leaving open the hope that future research can find an early preventative rather than treatment alone.