Читать книгу The Esophagus - Группа авторов - Страница 97

Rumination syndrome is one of the most misunderstood diagnoses in gastroenterology. It is commonly confused with and treated as gastroesophageal reflux, refractory vomiting, achalasia, or gastroparesis. When the use of proton pump inhibitors (PPIs) fails, patients may undergo fundoplication. Similarly, patients undergo multiple unnecessary and sometimes invasive tests. When the syndrome is recognized, it is often incorrectly assumed to be psychogenic in origin, sometimes as a form of bulimia, and treated by addressing the putative psychiatric disorder and stress reduction. This therapeutic strategy alone is unlikely to lead to resolution of symptoms. Rumination syndrome has a clear pathophysiology that must be understood to provide an adequate treatment response. In this chapter, its presentation, etiology, and therapy will be discussed in detail.