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1.
PLoS One ; 17(7): e0271494, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35905055

RESUMO

BACKGROUND: Aerophagia is a common functional gastrointestinal disorder among children. The disease leads to symptoms related to air in the intestine leading to burping, abdominal distension, and excessive flatus. We aimed to perform a systematic review and a meta-analysis to assess the epidemiology of aerophagia in children. METHODS: We conducted a thorough electronic databases (MEDLINE, EMBASE, PsycINFO and Web of Science) search for all epidemiological surveys conducted in children on aerophagia. All selected studies were assessed for their scientific quality and the extracted data were pooled to create a pooled prevalence of aerophagia. RESULTS: The initial search identified 76 titles. After screening and in depth reviewing, 19 studies representing data from 21 countries with 40129 children and adolescents were included in the meta-analysis. All studies have used standard Rome definitions to diagnose aerophagia. The pooled prevalence of aerophagia was 3.66% (95% Confidence interval 2.44-5.12). There was significant heterogeneity between studies [I2 98.06% with 95% Confidence interval 97.70-98.37). There was no gender difference in prevalence of aerophagia in children. The pooled prevalence of aerophagia was highest in Asia (5.13%) compared to other geographical regions. CONCLUSION: In this systematic review and meta-analysis, we found aerophagia has a significant prevalence across the world.


Assuntos
Aerofagia , Gastroenteropatias , Adolescente , Aerofagia/diagnóstico , Aerofagia/epidemiologia , Criança , Eructação , Humanos , Prevalência , Inquéritos e Questionários
2.
Sanid. mil ; 78(2): 98-100, abril 2022. ilus
Artigo em Espanhol | IBECS | ID: ibc-213565

RESUMO

Abdominal aortic aneurysms are a frequent alteration in the population over 65 years old, who have risk factor. In most of cases, are asymptomatic, and they can be diagnosed as an incidental finding in the study of other pathologies, however, in this case, the patient presents digestive symptoms and it was in abdominal exploration where we find a pulsatile abdominal mass , it necessary to request an urgent abdominal ultrasound that confirmed the existence of a high risk AAA.It is essential the physical examination as well as the clinic of the patient, making a good differential diagnosis of potentially serious pathologies. (AU)


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Microaneurisma , Aorta , Aorta Abdominal , Constipação Intestinal , Aerofagia , Hiperlipidemias , Hiperuricemia
3.
Rev. med. vet. zoot ; 68(1): 37-51, ene.-abr. 2021. tab
Artigo em Espanhol | LILACS, COLNAL | ID: biblio-1352091

RESUMO

RESUMEN La aerofagia es la estereotipia clásica más común en los equinos, con una etiología poca entendida; sin embargo, se reconoce por ser de naturaleza multifactorial. Además, se ha asociado con efectos negativos sobre la salud de los equinos portadores. El objetivo de este estudio fue describir los factores de riesgo y la frecuencia de presentación de la aerofagia en una población de caballos criollos colombianos (CCC). Fueron encuesta-dos 42 criaderos, entre los que se presentó un total de 1063 CCC (488 machos y 575 hembras). De esta población, el 5,27% (56 animales) fue plenamente identificado con aerofagia. Esta prevalencia fue superior a la mayoría de otros reportes de Sur América. La aerofagia, posiblemente obedeció tanto a factores inherentes al animal como a factores externos relacionados con el manejo; sin embargo, se requiere el diseño de estudios longitudinales sobre prácticas de manejo y de líneas dentro de la raza para cuantificar y validar la información relacionada con la posible predisposición genética o racial a la aerofagia y a otras estereotipias y comportamientos anormales observados en estos animales.


ABSTRACT Crib-biting is the most common classic stereotype in equines, with a poorly understood etiology; however, it is recognized for being multifactorial in nature. Furthermore, it has been associated with negative effects on the health of horses. The objective of this study was to describe the risk factors and the frequency of presentation of crib-biting in a population of Colombian Creole Horses (CCC by its Spanish acronym). We surveyed Forty-two properties, which meant a total of 1063 CCC (488 males and 575 females). Of this population, 5,27% (56 animals) were fully identified with crib-biting. This prevalence was higher than most other reports in South America. Crib-biting is possibly due to both inherent of the animal and external factors related to management; however, the design of longitudinal studies on management practices and genetic lines within the breed is required to quantify and validate the information related to the possible genetic or racial predisposition for this and other stereotypes and abnormal behaviors observed in horses.


Assuntos
Animais , Bovinos , Comportamento , Bem-Estar do Animal , Aerofagia , Cavalos , Estresse Fisiológico , Prevalência , Inquéritos e Questionários , Predisposição Genética para Doença , Comitês de Ética em Pesquisa
4.
Eur Rev Med Pharmacol Sci ; 25(18): 5836-5842, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34604975

RESUMO

OBJECTIVE: Functional gastrointestinal disorders are common gastrointestinal diseases. The pathophysiology is multifactorial and psychosocial distress worsens symptoms severity. Since the end of 2019 the world has been facing COVID-19 pandemic. The associated control measures have affected the psychological health of people. The aim of the present study is to evaluate the impact of the COVID-19 pandemic on the prevalence of functional gastrointestinal disorders among Italian children and adolescents. PATIENTS AND METHODS: The study sample is composed of 407 patients (187 males, 220 females), aged from 10 to 17 years. The mean age is 14.27 ± 2.24 years. The study was conducted through the Italian version of the Questionnaire on Pediatric Gastrointestinal Symptoms-Rome III Version.  The prevalence of each disorder has been calculated as the ratio of affected subjects for each disease and the total number of effective cases for that specific disease. RESULTS: The study demonstrates that the prevalence of Functional Gastrointestinal Disorder in Italian children, during the COVD-19 pandemic, is higher, compared with the one reported in the previous studies. The most frequent disorders are Abdominal Migraine and Irritable Bowel Syndrome. CONCLUSIONS: Our study is the first one which provides data of the prevalence of Functional gastrointestinal disorders in sample of Italian adolescents, during the COVID-19 pandemic. The study underlines the need to focus on stress management, in order to reduce the effects of the lockdown on the psychological wellness of the youngest.


Assuntos
COVID-19/psicologia , Gastroenteropatias/etiologia , Gastroenteropatias/psicologia , Quarentena/psicologia , Isolamento Social/psicologia , Estresse Psicológico/complicações , Dor Abdominal/epidemiologia , Dor Abdominal/etiologia , Dor Abdominal/psicologia , Adolescente , Aerofagia/epidemiologia , Aerofagia/etiologia , Aerofagia/psicologia , COVID-19/epidemiologia , COVID-19/prevenção & controle , Criança , Constipação Intestinal/epidemiologia , Constipação Intestinal/etiologia , Constipação Intestinal/psicologia , Dispepsia/epidemiologia , Dispepsia/etiologia , Dispepsia/psicologia , Incontinência Fecal/epidemiologia , Incontinência Fecal/etiologia , Incontinência Fecal/psicologia , Feminino , Gastroenteropatias/diagnóstico , Gastroenteropatias/epidemiologia , Humanos , Síndrome do Intestino Irritável/epidemiologia , Síndrome do Intestino Irritável/etiologia , Síndrome do Intestino Irritável/psicologia , Itália , Masculino , Transtornos de Enxaqueca/epidemiologia , Transtornos de Enxaqueca/etiologia , Transtornos de Enxaqueca/psicologia , Prevalência , Síndrome da Ruminação/epidemiologia , Síndrome da Ruminação/etiologia , Síndrome da Ruminação/psicologia , Estresse Psicológico/diagnóstico , Inquéritos e Questionários , Vômito/epidemiologia , Vômito/etiologia , Vômito/psicologia
5.
J Clin Gastroenterol ; 55(9): 772-777, 2021 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-33009193

RESUMO

BACKGROUND: Aerophagia is a functional gastrointestinal disorder characterized by repeated air swallowing leading to chronic abdominal distension. Symptoms can be long lasting, lead to frustration, and distress. This study describes prevalence, related factors, and symptomatology of aerophagia, together with its relationship with emotional stress. MATERIALS AND METHODS: Cross-sectional study. Adolescents aged 10 to 17 years from selected state schools by convenient sampling from Jakarta, Indonesia, were recruited. Rome III self-administered questionnaire was used to compile data on gastrointestinal symptoms. Data on sociodemographic characteristics, intestinal and extraintestinal symptoms, and stressful life events were collected using a separate questionnaire. RESULTS: A total of 1796 questionnaires were included in the analysis [males 732 (40.8%), mean age 13.58 (SD 0.992) years]. There were 81 (4.5%) subjects diagnosed with aerophagia. When the criterion of belching was removed from the diagnosis of aerophagia, the prevalence drops to only 2 (0.1%). subjects. Bivariate analysis showed that sociodemographic factors have no correlation with aerophagia. In subjects with aerophagia, among the intestinal-related and extraintestinal symptoms, only loss of appetite was significantly more common in the aerophagia population (33.3%) when compared with controls (22.8%). Death of a close family member [adjusted odds ratio (OR), 2.78; 95% confidence interval (CI), 1.46-5.31; P=0.002], divorce or separation of parents (adjusted OR, 2.54; 95% CI, 1.38-4.66; P=0.003), and divorce followed by separate individual remarriage of parents (adjusted OR, 2.01; 95% CI, 1.01-3.98; P=0.046) were found to be significantly associated with aerophagia by multivariate analysis. CONCLUSIONS: The prevalence of aerophagia was found in 4.5% of Indonesian school-aged children according to Rome III criteria, but the prevalence was found only 0.1% if the belching is removed from the criteria. Besides the main symptoms, only loss of appetite was significantly more common in aerophagia among intestinal-related and extraintestinal symptoms. Family-related stress showed a significant correlation with aerophagia.


Assuntos
Aerofagia , Ansiedade , Adolescente , Aerofagia/epidemiologia , Criança , Estudos Transversais , Humanos , Indonésia/epidemiologia , Masculino , Prevalência , Inquéritos e Questionários
6.
Zhongguo Dang Dai Er Ke Za Zhi ; 22(9): 975-979, 2020 Sep.
Artigo em Chinês | MEDLINE | ID: mdl-32933629

RESUMO

OBJECTIVE: To study the clinical features of aerophagia in children. MEYJODS: A retrospective analysis was performed on the medical data of 46 children with aerophagia who were diagnosed and treated in Children's Hospital Affiliated to Nanjing Medical University from October 2011 to September 2019. RESULTS: Among these 46 children, 15 (33%) had Tourette syndrome. Abdominal distension was the most common symptom and was observed in 45 children (98%). The 24-hour esophageal multichannel intraluminal impedance monitoring showed a mean number of 341 times of air swallowing and a mean number of 212 times of gas reflux, and 95% of gas refluxes occurred in the upright body position. Compared with those without Tourette syndrome, the children with Tourette syndrome had a significantly higher incidence rate of air swallowing symptoms (67% vs 6%, P<0.001), but there were no significant differences in other symptoms and the results of 24-hour esophageal impedance. Dietary adjustment, psycho-behavioral therapy, and drug intervention significantly improved the scores of clinical symptoms and quality of life, among which psycho-behavioral therapy was an important intervention measure. CONCLUSIONS: Some children with aerophagia may have Tourette syndrome, and such children are more likely to have air swallowing symptoms. Psycho-behavioral therapy is one of the most important treatment methods, and children with aerophagia tend to have a good prognosis after treatment.


Assuntos
Aerofagia , Refluxo Gastroesofágico , Criança , Impedância Elétrica , Humanos , Qualidade de Vida , Estudos Retrospectivos
9.
J Pediatr Gastroenterol Nutr ; 70(1): e7-e11, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31880681

RESUMO

A few studies have shown that esophageal air events (EAEs), such as air-swallows, may be associated with symptoms that have historically been associated with gastroesophageal reflux disease (GERD). To objectively test a hypothesis that all EAE types (air-swallows, supragastric belches and gastric belches) can be associated with GERD-like symptoms, we removed the impedance "tags" from the GER episodes (placed during autoscan) and instead tagged either air-swallows, supragastric belches or gastric belches in each of 3 copies of the 24-hour impedance tracing for 2 infant patients who presented with symptoms suggestive of GER as an etiology. Impedance system software (MMS) analyses revealed that, in both infants, all EAE types were significantly associated (SAP >95%) with 1 or more of the GERD-like symptom types (cough, pain/crying, back-arching, and gagging). These data underscore the importance of considering other diagnoses when developing management strategies for treating GERD-like symptoms in infants.


Assuntos
Aerofagia/diagnóstico , Impedância Elétrica , Eructação/diagnóstico , Refluxo Gastroesofágico/diagnóstico , Diagnóstico Diferencial , Monitoramento do pH Esofágico , Esôfago/fisiopatologia , Feminino , Humanos , Lactente , Masculino
11.
Rev. esp. enferm. dig ; 110(5): 332-333, mayo 2018. ilus
Artigo em Espanhol | IBECS | ID: ibc-174423

RESUMO

Presentamos un niño previamente sano de dos años con importante distensión abdominal al que después de varias intervenciones con escasa respuesta se diagnosticó aerofagia patológica. La aerofagia patológica en pediatría es un trastorno infrecuente, casi exclusivo en niños con enfermedad neurológica de base. Puede ser motivo de múltiples exámenes complementarios y tratamientos agresivos innecesarios. La reciente publicación de un caso asocia la aerofagia con un novedoso concepto, la disinergia abdómino-frénica


We report the case of a previously healthy 2-year-old child who presented with significant abdominal distension. After several interventions that proved ineffective, pathologic aerophagia was eventually diagnosed. In pediatrics, pathologic aerophagia is an uncommon disorder that almost exclusively affects children with an underlying neurological condition. It may lead to multiple diagnostic tests and unnecessary aggressive therapies. A recent case report associated aerophagia with a novel concept of abdomino-phrenic dyssynergia


Assuntos
Humanos , Masculino , Pré-Escolar , Aerofagia/etiologia , Ataxia/diagnóstico , Aerofagia/diagnóstico , Ataxia/complicações , Radiografia Abdominal
12.
Rev Esp Enferm Dig ; 110(5): 332-333, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29685045

RESUMO

We report the case of a previously healthy 2-year-old child who presented with significant abdominal distension. After several interventions that proved ineffective, pathologic aerophagia was eventually diagnosed. In pediatrics, pathologic aerophagia is an uncommon disorder that almost exclusively affects children with an underlying neurological condition. It may lead to multiple diagnostic tests and unnecessary aggressive therapies. A recent case report associated aerophagia with a novel concept of abdomino-phrenic dyssynergia.


Assuntos
Aerofagia/etiologia , Ataxia/diagnóstico , Aerofagia/diagnóstico , Ataxia/complicações , Pré-Escolar , Humanos
13.
Arch Dis Child ; 103(11): 1077-1079, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-29705723

RESUMO

Persistent, inconsolable crying in young infants is common, distressing but usually benign. This selective review examines perceptions and perceived origins of this phenomenon in babies where serious pathology has been excluded. Adult brains have evolved to become hypersensitive to infant cries. Babies respond to parental stress by crying more, thus setting up a vicious cycle. Most treatments appear to work largely through a placebo effect. The imperative for healthcare professionals is to reduce parental anxiety by offering reassurance and support.


Assuntos
Choro/fisiologia , Choro/psicologia , Comportamento do Lactente/fisiologia , Comportamento do Lactente/psicologia , Relações Pais-Filho , Pais/educação , Pais/psicologia , Aerofagia/psicologia , Aerofagia/terapia , Cólica/psicologia , Cólica/terapia , Constipação Intestinal/psicologia , Constipação Intestinal/terapia , Refluxo Gastroesofágico/psicologia , Refluxo Gastroesofágico/terapia , Humanos , Lactente , Recém-Nascido , Hipersensibilidade a Leite/psicologia , Hipersensibilidade a Leite/terapia , Educação de Pacientes como Assunto , Apoio Social
14.
Ear Nose Throat J ; 97(3): E22-E24, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29554407

RESUMO

A patient with Rett syndrome presented to our Emergency Department with extensive subcutaneous emphysema in the cervical region, chest wall, upper extremities, and back. Diagnostic evaluation revealed a mucosal tear in the posterior pharyngeal wall and an abscessed retropharyngeal lymph node, but she had no known history of trauma to account for these findings. This report discusses the occurrence of subcutaneous emphysema in the context of a rare neurodevelopmental disorder and proposes accentuated aerophagia, a sequela of Rett syndrome, as the most likely underlying mechanism.


Assuntos
Aerofagia/genética , Síndrome de Rett/complicações , Enfisema Subcutâneo/genética , Adulto , Feminino , Humanos , Faringe
15.
Artigo em Inglês | MEDLINE | ID: mdl-28971549

RESUMO

BACKGROUND: Aerophagia is a common childhood functional gastrointestinal disorder. We studied the association between adverse life events (ALEs), psychological maladjustment, somatization, and aerophagia (AP) in adolescents. We also assessed the impact of AP on their health-related quality of life (HRQoL). METHODS: A cross-sectional survey was conducted on 2500 subjects of 13-18 years in 8 randomly selected schools in Sri Lanka. Translated, validated, and self-administered questionnaires were used to collect data. Aerophagia was diagnosed using Rome III criteria. KEY RESULTS: A total of 2453 questionnaires were analyzed (males 1200 [48.9%], mean age 14.8 years, SD 1.6 years). Of them, 371 adolescents had AP (15.1%). Aerophagia was associated with exposure to physical abuse (20.4% vs. 12.7% in controls, P < .0001), emotional abuse (20.3% vs. 8.2% in controls, P < .0001), and other ALEs (22% vs. 10.2% in controls, P < .001). One hundred and ninety (51.2%) adolescents with AP and 775 (37.2%) controls had a personality score above the international cutoff value of 105, indicating psychological maladjustment (odds ratio 1.77, 95% confidence interval 1.42-2.21, P < .0001). Those with AP had higher somatization (16.4 vs. 8.9) and lower overall HRQoL scores (77.0 vs. 85.1, P < .0001). HRQoL scores of adolescents with AP were lower in all domains, namely, physical (80.6 vs. 86.9), emotional (69.1 vs. 80.3), social (83.8 vs. 90.5), and school (72.6 vs. 82.5) functioning (P < .0001). CONCLUSIONS AND INFERENCES: Aerophagia was associated with exposure to ALEs and psychological maladjustment. Affected teenagers suffer from more somatic symptoms and has a poor HRQoL.


Assuntos
Experiências Adversas da Infância/estatística & dados numéricos , Aerofagia/psicologia , Adolescente , Aerofagia/complicações , Aerofagia/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Personalidade , Inventário de Personalidade , Qualidade de Vida , Transtornos Somatoformes/complicações , Transtornos Somatoformes/epidemiologia
16.
Arq. bras. med. vet. zootec. (Online) ; 70(6): 1685-1690, nov.-dez. 2018.
Artigo em Português | LILACS, VETINDEX | ID: biblio-969624

RESUMO

São relatados quatro casos de encarceramento de forame epiploico (EFE), entre os casos: três machos e uma fêmea; dois da raça Quarto de Milha, um SRD e um Brasileiro de Hipismo; idade média de 11 anos; altura média de cernelha de 160,5cm; massa corporal média de 465kg. Todos os animais possuíam o hábito de aerofagia. A presença de refluxo enterogástrico e intestino delgado distendido à palpação transretal foi variável na dependência do segmento intestinal aprisionado. À laparotomia exploratória constataram-se: dois casos de aprisionamento jejunoileal; um de jejuno; e o outro de íleo. Todos os animais apresentaram EFE da esquerda para a direita, representando o sentido horário. Apenas o animal que apresentava o íleo aprisionado sobreviveu; os demais foram submetidos à eutanásia no período transoperatório devido à extensa isquemia intestinal e às lesões vasculares decorrentes da manobra de redução. A aerofagia é o fator de risco que apresenta maior correlação positiva com o EFE, fato corroborado pelos casos apresentados. Apesar de ser descrito um bom prognóstico para o EFE na literatura, foi obtido um desfecho ruim entre os casos atendidos, e salienta-se que a extensão da lesão e o sangramento da veia porta no transoperatório contribuíram para esse resultado.(AU)


Four cases of epiploic foramen entrapment (EFE) are reported. Among the cases, three males and one female, two Quarter Horses, one mixed breed and one Brazilian Equestrian, aged between 3 to 20 years, mean 11 years. The average height was 160.5cm and 465kg. All horses had a previous record of crib-biting habit. The presence of enterogastric reflux and small intestine distended loops in transrectal palpation was variable in dependence of the trapped segment. In surgical exploration were identified two cases of jejunum and ileum entrapped, one of the ileum and one of jejunum. All animals showed EFE from left to right. The horse that had trapped the ileum has survived. The others were euthanized due to the extent of injury or rupture of large vessels during surgical reduction. Although there are many notes of possible risk factors for EFE occurrence, cribbing is the risk factor that has the highest positive correlation with EFE. This appointment was confirmed by the cases presented. Despite being described a good prognosis for the EFE, a bad outcome was achieved among the cases, and stresses that the extent of the injury and bleeding from the portal vein contributed to this outcome.(AU)


Assuntos
Animais , Colo/anormalidades , Aerofagia/veterinária , Cavalos/anormalidades , Laparotomia/veterinária
18.
Artigo em Inglês | MEDLINE | ID: mdl-28631878

RESUMO

BACKGROUND: Swallowed gas is an important source of abdominal gas, and aerophagia is often believed as a putative cause of gas-related abdominal symptoms. However, altered gas-swallow during meals has not been demonstrated. Our aim was to characterize the number of gas swallows during meals in patients complaining of excessive belching and gaseousness and a control group without abdominal symptoms during a 24-h period. METHODS: A 24-h pH-impedance monitoring was performed in 10 patients with excessive belching, and 11 patients without digestive symptoms or reflux in the pH-impedance study. During the study, patients followed their daily routine and customary meals, without any specific limitation. In each patient the number and content of swallows and belches were analyzed. KEY RESULTS: Total meal periods were similar in controls (75±26 min) and patients (79±21 min; P=.339), but the number of gaseous swallows was greater in patients (114±13 swallows) than controls (71±8 swallows; P=.007), due to a greater frequency of gaseous swallows during meals (15±2 swallows/10 min vs 10±1 swallows/10 min, respectively; P=.008). During the 24-h study period, 66±13 belches were recorded in patients, but only 13±3 belches in controls (P<.001), mainly gastric belches (80±4% and 92±2% of belches, patients, and controls, respectively) which showed a good correlation with the number of gaseous swallows performed during meals (r=.756; P=.011). CONCLUSION AND INFERENCES: Gas is frequently swallowed during meals. Patients complaining of excessive belching have a different swallow pattern during meals, with an increased ingestion of gas that correlates with increased gastric belching events.


Assuntos
Aerofagia/complicações , Eructação/etiologia , Eructação/fisiopatologia , Adulto , Idoso , Feminino , Humanos , Masculino , Manometria/métodos , Pessoa de Meia-Idade , Adulto Jovem
20.
J Clin Sleep Med ; 13(7): 881-888, 2017 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-28558864

RESUMO

STUDY OBJECTIVES: To assess the benefit and tolerance of autotitrating positive airway pressure (APAP) versus continuous positive airway pressure (CPAP) in subjects who experience aerophagia. METHODS: This is the report of a prospective, two-week, double-blinded, randomized crossover trial set in an Australian clinical sleep laboratory in a tertiary hospital. Fifty-six subjects who reported symptoms of aerophagia that they attributed to CPAP were recruited. Full face masks were used by 39 of the 56 subjects recruited. Subjects were randomly and blindly allocated to either CPAP at their treatment recommended pressure or APAP 6-20 cm H2O, in random order. Subjects spent two weeks on each therapy mode. Therapy usage hours, 95th centile pressure, maximum pressure, 95th centile leak, and residual apnea-hypopnea index (AHI) were reported at the end of each two-week treatment period. Functional Outcome of Sleepiness Questionnaire, Epworth Sleepiness Scale, and visual analog scale to measure symptoms of aerophagia were also completed at the end of each 2-week treatment arm. RESULTS: The median pressure (P < .001) and 95th centile pressure (P < .001) were reduced with APAP but no differences in compliance (P = .120) and residual AHI were observed. APAP reduced the symptoms of bloating (P = .011), worst episode of bloating (P = .040), flatulence (P = .010), and belching (P = .001) compared to CPAP. There were no differences in Epworth Sleepiness Scale or Functional Outcome of Sleepiness Questionnaire outcomes between CPAP and APAP. CONCLUSIONS: APAP therapy reduces the symptoms of aerophagia while not affecting compliance when compared with CPAP therapy. CLINICAL TRIAL REGISTRATION: Australian and New Zealand Clinical Trials Registry at https://www.anzctr.org.au, trial number ACTRN12611001250921. COMMENTARY: A commentary on this article appears in this issue on page 859.


Assuntos
Aerofagia/terapia , Pressão Positiva Contínua nas Vias Aéreas/métodos , Pressão Positiva Contínua nas Vias Aéreas/estatística & dados numéricos , Cooperação do Paciente/estatística & dados numéricos , Idoso , Austrália , Estudos Cross-Over , Método Duplo-Cego , Feminino , Humanos , Masculino , Polissonografia , Estudos Prospectivos , Inquéritos e Questionários , Resultado do Tratamento
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