{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T03:54:02Z","timestamp":1772855642476,"version":"3.50.1"},"reference-count":22,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","theclinics.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Gastroenterology Clinics of North America"],"published-print":{"date-parts":[[2025,9]]},"DOI":"10.1016\/j.gtc.2025.02.006","type":"journal-article","created":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T09:23:15Z","timestamp":1743412995000},"page":"511-518","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Rumination Syndrome"],"prefix":"10.1016","volume":"54","author":[{"given":"Ashley M.","family":"Kroon Van Diest","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.gtc.2025.02.006_bib1","first-page":"304","article-title":"Inpatient treatment of rumination syndrome: outcomes and lessons learned","volume":"3","author":"Alioto","year":"2015","journal-title":"Clin Pract Pediatr Psychol"},{"key":"10.1016\/j.gtc.2025.02.006_bib2","doi-asserted-by":"crossref","DOI":"10.3389\/fped.2021.709326","article-title":"Rumination syndrome in children and adolescents: a mini review","volume":"9","author":"Martinez","year":"2021","journal-title":"Front Pediatr"},{"issue":"4","key":"10.1016\/j.gtc.2025.02.006_bib3","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1007\/s11938-006-0012-9","article-title":"Aerophagia and rumination: recognition and therapy","volume":"9","author":"Chitkara","year":"2006","journal-title":"Curr Treat Options Gastroenterol"},{"issue":"1","key":"10.1016\/j.gtc.2025.02.006_bib4","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1542\/peds.111.1.158","article-title":"Rumination syndrome in children and adolescents: diagnosis, treatment, and prognosis","volume":"111","author":"Chial","year":"2003","journal-title":"Pediatrics"},{"key":"10.1016\/j.gtc.2025.02.006_bib5","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/S0002-9270(02)04616-6","article-title":"Rumination syndrome: challenges with diagnosis and treatment","volume":"97","author":"Graff","year":"2002","journal-title":"Am J Gastroenterol"},{"issue":"4","key":"10.1016\/j.gtc.2025.02.006_bib6","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1002\/(SICI)1098-108X(199912)26:4<414::AID-EAT7>3.0.CO;2-8","article-title":"The relationship between rumination and eating disorders","volume":"26","author":"Eckern","year":"1999","journal-title":"Int J Eat Disord"},{"issue":"4","key":"10.1016\/j.gtc.2025.02.006_bib7","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.1016\/0016-5085(95)90199-X","article-title":"The rumination syndrome: clinical features rather than manometric diagnosis","volume":"108","author":"O'Brien","year":"1995","journal-title":"Gastroenterology"},{"issue":"11","key":"10.1016\/j.gtc.2025.02.006_bib8","doi-asserted-by":"crossref","first-page":"2449","DOI":"10.1111\/j.1572-0241.2006.00801.x","article-title":"Teaching diaphragmatic breathing for rumination syndrome","volume":"101","author":"Chitkara","year":"2006","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.gtc.2025.02.006_bib9","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.jpeds.2017.02.009","article-title":"High cost and low yield: the diagnostic evaluation of rumination syndrome in pediatrics","volume":"185","author":"Alioto","year":"2017","journal-title":"J Pediatr"},{"issue":"4","key":"10.1016\/j.gtc.2025.02.006_bib10","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1002\/jpn3.12345","article-title":"Delay in diagnosis is associated with decreased treatment effectiveness in children with rumination syndrome","volume":"79","author":"Jia","year":"2024","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"10.1016\/j.gtc.2025.02.006_bib11","series-title":"Pediatric neurogastroenterology: gastrointestinal motility disorders and disorders of gut brain interaction in children","first-page":"515","article-title":"Rumination syndrome","author":"Kroon Van Diest","year":"2023"},{"issue":"4","key":"10.1016\/j.gtc.2025.02.006_bib12","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1016\/S0022-3476(00)90018-0","article-title":"Rumination syndrome in adolescents","volume":"136","author":"Khan","year":"2000","journal-title":"J Pediatr"},{"issue":"1","key":"10.1016\/j.gtc.2025.02.006_bib13","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1038\/ajg.2013.428","article-title":"Objective manometric criteria for the rumination syndrome","volume":"109","author":"Kessing","year":"2014","journal-title":"Am J Gastroenterol"},{"issue":"4","key":"10.1016\/j.gtc.2025.02.006_bib14","first-page":"10","article-title":"Treatment of adolescent rumination syndrome: the role of the pediatric dietician","volume":"37","author":"Rachuba","year":"2015","journal-title":"PNPG Build Block Life"},{"issue":"3","key":"10.1016\/j.gtc.2025.02.006_bib15","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1007\/s40272-023-00567-w","article-title":"A retrospective review of baclofen treatment for children with rumination syndrome at a single center","volume":"25","author":"Gupta","year":"2023","journal-title":"Paediatr Drugs"},{"key":"10.1016\/j.gtc.2025.02.006_bib16","unstructured":"Khoo JS, Kroon Van Diest AM, Sanchez RE, et al. A randomized, double-blind, placebo-controlled trial of baclofen for children with rumination syndrome. Poster presented at the NASPGHAN annual meeting, November, 2024; Hollywood, FL."},{"issue":"4","key":"10.1016\/j.gtc.2025.02.006_bib17","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1097\/MPG.0b013e3181fa06f3","article-title":"Severe pediatric rumination syndrome: successful interdisciplinary inpatient management","volume":"52","author":"Green","year":"2011","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"3","key":"10.1016\/j.gtc.2025.02.006_bib18","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1097\/MPG.0000000000003637","article-title":"Multidisciplinary tiered care is effective for children and adolescents with rumination syndrome","volume":"76","author":"Sabella","year":"2023","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"5","key":"10.1016\/j.gtc.2025.02.006_bib19","first-page":"596","article-title":"Behavioral intervention for the treatment of rumination","volume":"27","author":"Wagaman","year":"1998","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"4","key":"10.1016\/j.gtc.2025.02.006_bib20","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1097\/MAJ.0000000000000229","article-title":"Rumination syndrome: a review of current concepts and treatments","volume":"348","author":"Hejazi","year":"2014","journal-title":"Am J Med Sci"},{"issue":"1","key":"10.1016\/j.gtc.2025.02.006_bib21","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1097\/MPG.0000000000001632","article-title":"Long-term follow-up of adolescents treated for rumination syndrome in an inpatient setting","volume":"66","author":"Alioto","year":"2018","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"4","key":"10.1016\/j.gtc.2025.02.006_bib22","first-page":"382","article-title":"Intensive outpatient treatment of pediatric rumination syndrome","volume":"11","author":"Kroon Van Diest","year":"2023","journal-title":"Clin Pract Pediatr Psychol"}],"container-title":["Gastroenterology Clinics of North America"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0889855325000111?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0889855325000111?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T23:03:30Z","timestamp":1754003010000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0889855325000111"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["S0889855325000111"],"URL":"https:\/\/doi.org\/10.1016\/j.gtc.2025.02.006","relation":{},"ISSN":["0889-8553"],"issn-type":[{"value":"0889-8553","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Rumination Syndrome","name":"articletitle","label":"Article Title"},{"value":"Gastroenterology Clinics of North America","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.gtc.2025.02.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}