{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T01:18:42Z","timestamp":1784769522595,"version":"3.55.0"},"reference-count":29,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["cghjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Gastroenterology and Hepatology"],"published-print":{"date-parts":[[2018,3]]},"DOI":"10.1016\/j.cgh.2017.10.038","type":"journal-article","created":{"date-parts":[[2017,12,21]],"date-time":"2017-12-21T20:45:48Z","timestamp":1513889148000},"page":"407-416.e2","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":76,"title":["Diaphragmatic Breathing Reduces Belching and Proton Pump Inhibitor Refractory Gastroesophageal Reflux Symptoms"],"prefix":"10.1016","volume":"16","author":[{"given":"Andrew Ming-Liang","family":"Ong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura Teng-Teng","family":"Chua","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher Jen-Lock","family":"Khor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravishankar","family":"Asokkumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikneswaran","family":"s\/o Namasivayam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Tien","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.cgh.2017.10.038_bib1","doi-asserted-by":"crossref","first-page":"1340","DOI":"10.1136\/gutjnl-2011-301897","article-title":"Diagnosis and management of patients with reflux symptoms refractory to proton pump inhibitors","volume":"61","author":"Sifrim","year":"2012","journal-title":"Gut"},{"key":"10.1016\/j.cgh.2017.10.038_bib2","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/0140-6736(90)90287-F","article-title":"Symptoms in gastro-oesophageal reflux disease","volume":"335","author":"Klauser","year":"1990","journal-title":"Lancet"},{"key":"10.1016\/j.cgh.2017.10.038_bib3","doi-asserted-by":"crossref","first-page":"1992","DOI":"10.1038\/ajg.2009.203","article-title":"Supragastric belching in patients with reflux symptoms","volume":"104","author":"Hemmink","year":"2009","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.cgh.2017.10.038_bib4","doi-asserted-by":"crossref","first-page":"1466","DOI":"10.1053\/j.gastro.2005.11.059","article-title":"Functional gastroduodenal disorders","volume":"130","author":"Tack","year":"2006","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2017.10.038_bib5","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1111\/j.1365-2036.2012.05070.x","article-title":"Supragastric belches are the main determinants of troublesome belching symptoms in patients with gastro-oesophageal reflux disease","volume":"35","author":"Kessing","year":"2012","journal-title":"Aliment Pharmacol Ther"},{"key":"10.1016\/j.cgh.2017.10.038_bib6","doi-asserted-by":"crossref","first-page":"398","DOI":"10.5056\/jnm15002","article-title":"Supragastric belching: prevalence and association with gastroesophageal reflux disease and esophageal hypomotility","volume":"21","author":"Koukias","year":"2015","journal-title":"J\u00a0Neurogastroenterol Motil"},{"key":"10.1016\/j.cgh.2017.10.038_bib7","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1038\/ajg.2014.165","article-title":"The pathophysiology, diagnosis and treatment of excessive belching symptoms","volume":"109","author":"Kessing","year":"2014","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.cgh.2017.10.038_bib8","doi-asserted-by":"crossref","first-page":"2009","DOI":"10.1007\/s10620-005-3000-3","article-title":"Efficacy of rabeprazole in the treatment of symptomatic gastroesophageal reflux disease","volume":"5","author":"Kahrilas","year":"2005","journal-title":"Dig Dis Sci"},{"key":"10.1016\/j.cgh.2017.10.038_bib9","doi-asserted-by":"crossref","first-page":"1332","DOI":"10.1111\/j.1572-0241.2002.05769.x","article-title":"Rabeprazole in nonerosive gastroesophageal reflux disease: a randomized placebo-controlled trial","volume":"97","author":"Miner","year":"2002","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.cgh.2017.10.038_bib10","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1016\/j.cgh.2011.05.015","article-title":"Insights into gastroesophageal reflux disease\u2013associated dyspeptic symptoms","volume":"9","author":"Gerson","year":"2011","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1016\/j.cgh.2017.10.038_bib11","doi-asserted-by":"crossref","first-page":"174","DOI":"10.5056\/jnm.2012.18.2.174","article-title":"The therapeutic and diagnostic value of 2-week high dose proton pump inhibitor treatment in overlapping non-erosive gastroesophageal reflux disease and functional dyspepsia patients","volume":"18","author":"Kriengkirakul","year":"2012","journal-title":"J\u00a0Neurogastroenterol Motil"},{"key":"10.1016\/j.cgh.2017.10.038_bib12","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1111\/j.1365-2982.2009.01371.x","article-title":"Speech therapy in patients with excessive supragastric belching: a pilot study","volume":"22","author":"Hemmink","year":"2010","journal-title":"Neurogastroenterol Motil"},{"key":"10.1016\/j.cgh.2017.10.038_bib13","doi-asserted-by":"crossref","first-page":"1900","DOI":"10.1111\/j.1572-0241.2006.00630.x","article-title":"The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus","volume":"101","author":"Vakil","year":"2006","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.cgh.2017.10.038_bib14","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1186\/1477-7525-6-31","article-title":"The Reflux Disease Questionnaire: a measure for assessment of treatment response in clinical trials","volume":"6","author":"Shaw","year":"2008","journal-title":"Health Qual Life Outcomes"},{"key":"10.1016\/j.cgh.2017.10.038_bib15","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1111\/j.1572-0241.2001.03451.x","article-title":"Initial validation of a diagnostic questionnaire for gastroesophageal reflux disease","volume":"96","author":"Shaw","year":"2001","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.cgh.2017.10.038_bib16","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1016\/S0399-8320(05)86350-X","article-title":"Validation of the short-form REFLUX-QUAL (RQS), a gastro-esophageal reflux disease (GERD) specific quality of life questionnaire","volume":"29","author":"Amouretti","year":"2005","journal-title":"Gastroenterol Clin Biol"},{"key":"10.1016\/j.cgh.2017.10.038_bib17","doi-asserted-by":"crossref","first-page":"337","DOI":"10.3109\/07853890109002087","article-title":"EQ-5D: a measure of health status from the EuroQol Group","volume":"33","author":"Rabin","year":"2001","journal-title":"Ann Med"},{"key":"10.1016\/j.cgh.2017.10.038_bib18","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The hospital anxiety and depression scale","volume":"67","author":"Zigmond","year":"1983","journal-title":"Acta Psychiatr Scand"},{"key":"10.1016\/j.cgh.2017.10.038_bib19","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1097\/00006842-200203000-00008","article-title":"The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms","volume":"64","author":"Kroenke","year":"2002","journal-title":"Psychosom Med"},{"key":"10.1016\/j.cgh.2017.10.038_bib20","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.1136\/gut.2004.042945","article-title":"Aerophagia, gastric, and supragastric belching: a study using intraluminal electrical impedance monitoring","volume":"53","author":"Bredenoord","year":"2004","journal-title":"Gut"},{"key":"10.1016\/j.cgh.2017.10.038_bib21","first-page":"24","article-title":"The use of suggestion and behavioral methods in the treatment of aerophagia: two case reports","volume":"16","author":"Flaisher","year":"1994","journal-title":"Child Fam Behav Ther"},{"key":"10.1016\/j.cgh.2017.10.038_bib22","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1177\/0145445504264746","article-title":"Behavioral treatment of chronic belching due to aerophagia in a normal adult","volume":"30","author":"Cigrang","year":"2006","journal-title":"Behav Modif"},{"key":"10.1016\/j.cgh.2017.10.038_bib23","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1111\/dote.12006","article-title":"Simple office-based behavioral approach to patients with chronic belching","volume":"26","author":"Katzka","year":"2013","journal-title":"Dis Esophagus"},{"key":"10.1016\/j.cgh.2017.10.038_bib24","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1111\/nmo.12024","article-title":"Mechanisms of gastric and supragastric belching: a study using concurrent high-resolution manometry and impedance monitoring","volume":"24","author":"Kessing","year":"2012","journal-title":"Neurogastroenterol Motil"},{"key":"10.1016\/j.cgh.2017.10.038_bib25","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1038\/ajg.2011.420","article-title":"Positive effect of abdominal breathing exercise on gastroesophageal reflux disease: a randomized, controlled study","volume":"107","author":"Eherer","year":"2012","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.cgh.2017.10.038_bib26","doi-asserted-by":"crossref","first-page":"2777","DOI":"10.1111\/j.1572-0241.2006.00917.x","article-title":"Psychological factors affect the frequency of belching in patients with aerophagia","volume":"101","author":"Bredenoord","year":"2006","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.cgh.2017.10.038_bib27","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1111\/ppc.12184","article-title":"The effectiveness of diaphragmatic breathing relaxation training for reducing anxiety","volume":"53","author":"Chen","year":"2017","journal-title":"Perspect Psychiatr Care"},{"key":"10.1016\/j.cgh.2017.10.038_bib28","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1053\/j.gastro.2017.01.031","article-title":"The risks and benefits of long-term use of proton pump inhibitors: expert review and best practice advice from the American Gastroenterological Association","volume":"152","author":"Freedberg","year":"2017","journal-title":"Gastroenterology"},{"key":"10.1016\/j.cgh.2017.10.038_bib29","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1186\/1471-2288-13-150","article-title":"Exploratory randomized controlled trial evaluating the impact of a waiting list control design","volume":"13","author":"Cunningham","year":"2013","journal-title":"BMC Med Res Methodol"}],"container-title":["Clinical Gastroenterology and Hepatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1542356517313071?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1542356517313071?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T05:25:18Z","timestamp":1761542718000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1542356517313071"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["S1542356517313071"],"URL":"https:\/\/doi.org\/10.1016\/j.cgh.2017.10.038","relation":{"has-review":[{"id-type":"doi","id":"10.3410\/f.732079799.793544172","asserted-by":"object"},{"id-type":"doi","id":"10.3410\/f.732079799.793547837","asserted-by":"object"}]},"ISSN":["1542-3565"],"issn-type":[{"value":"1542-3565","type":"print"}],"subject":[],"published":{"date-parts":[[2018,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Diaphragmatic Breathing Reduces Belching and Proton Pump Inhibitor Refractory Gastroesophageal Reflux Symptoms","name":"articletitle","label":"Article Title"},{"value":"Clinical Gastroenterology and Hepatology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.cgh.2017.10.038","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 by the AGA Institute","name":"copyright","label":"Copyright"}]}}