{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T11:03:02Z","timestamp":1768906982020,"version":"3.49.0"},"reference-count":21,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","gastrojournal.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Gastroenterology"],"published-print":{"date-parts":[[2022,3]]},"DOI":"10.1053\/j.gastro.2021.12.237","type":"journal-article","created":{"date-parts":[[2021,12,10]],"date-time":"2021-12-10T23:57:17Z","timestamp":1639180637000},"page":"696-697","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Rumination Syndrome \u201cReal Prevalence\u201d: A Need to Increase Awareness, Early Recognition, and Specific Management"],"prefix":"10.1053","volume":"162","author":[{"given":"Kornilia","family":"Nikaki","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Sifrim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1053\/j.gastro.2021.12.237_bib1","doi-asserted-by":"crossref","first-page":"1380","DOI":"10.1053\/j.gastro.2016.02.011","article-title":"Gastroduodenal disorders","volume":"150","author":"Stanghellini","year":"2016","journal-title":"Gastroenterology"},{"key":"10.1053\/j.gastro.2021.12.237_bib2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/nmo.12954","article-title":"Rumination syndrome: pathophysiology, diagnosis, and treatment","volume":"29","author":"Absah","year":"2017","journal-title":"Neurogastroenterol Motil"},{"key":"10.1053\/j.gastro.2021.12.237_bib3","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.cgh.2014.04.018","article-title":"Biofeedback-guided control of abdominothoracic muscular activity reduces regurgitation episodes in patients with rumination","volume":"13","author":"Barba","year":"2015","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1053\/j.gastro.2021.12.237_bib4","doi-asserted-by":"crossref","first-page":"513","DOI":"10.7326\/0003-4819-105-4-513","article-title":"The rumination syndrome in adults. A characteristic manometric pattern","volume":"105","author":"Amarnath","year":"1986","journal-title":"Ann Intern Med"},{"key":"10.1053\/j.gastro.2021.12.237_bib5","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"},{"key":"10.1053\/j.gastro.2021.12.237_bib6","doi-asserted-by":"crossref","DOI":"10.1111\/nmo.14068","article-title":"The gastro-sphincteric pressure gradient: a new parameter to diagnose a rumination episode","volume":"33","author":"Geysen","year":"2021","journal-title":"Neurogastroenterol Motil"},{"key":"10.1053\/j.gastro.2021.12.237_bib7","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1016\/j.dld.2011.01.005","article-title":"Rumination syndrome: when the lower oesophageal sphincter rises","volume":"43","author":"Gourcerol","year":"2011","journal-title":"Dig Liver Dis"},{"key":"10.1053\/j.gastro.2021.12.237_bib8","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1016\/S1542-3565(03)00130-7","article-title":"Gastric accommodation and emptying in evaluation of patients with upper gastrointestinal symptoms","volume":"1","author":"Bredenoord","year":"2003","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1053\/j.gastro.2021.12.237_bib9","doi-asserted-by":"crossref","DOI":"10.1111\/nmo.13873","article-title":"Rumination syndrome: assessment of vagal tone during and after meals and during diaphragmatic breathing","volume":"32","author":"Hoshikawa","year":"2020","journal-title":"Neurogastroenterol Motil"},{"key":"10.1053\/j.gastro.2021.12.237_bib10","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1007\/s10620-018-5387-7","article-title":"Duodenal pathology in patients with rumination syndrome: duodenal eosinophilia and increased intraepithelial lymphocytes","volume":"64","author":"Halland","year":"2019","journal-title":"Dig Dis Sci"},{"key":"10.1053\/j.gastro.2021.12.237_bib11","doi-asserted-by":"crossref","first-page":"e14155","DOI":"10.1111\/nmo.14155","article-title":"Mucosal eosinophils, mast cells, and intraepithelial lymphocytes in youth with rumination syndrome","volume":"33","author":"Friesen","year":"2021","journal-title":"Neurogastroenterol Motil"},{"key":"10.1053\/j.gastro.2021.12.237_bib12","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"},{"key":"10.1053\/j.gastro.2021.12.237_bib13","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1177\/2050640613518774","article-title":"Novel association of rectal evacuation disorder and rumination syndrome: diagnosis, co-morbidities and treatment","volume":"2","author":"Vijayvargiya","year":"2014","journal-title":"United European Gastroenterol J"},{"key":"10.1053\/j.gastro.2021.12.237_bib14","doi-asserted-by":"crossref","first-page":"1248","DOI":"10.14309\/ajg.0000000000000295","article-title":"Persistent postprandial regurgitation vs rumination in patients with refractory gastroesophageal reflux disease symptoms: identification of a distinct rumination pattern using ambulatory impedance-pH monitoring","volume":"114","author":"Nakagawa","year":"2019","journal-title":"Am J Gastroenterol"},{"key":"10.1053\/j.gastro.2021.12.237_bib15","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1097\/MPG.0000000000002569","article-title":"Rumination syndrome in children presenting with refractory gastro-esophageal reflux symptoms","volume":"70","author":"Nikaki","year":"2019","journal-title":"J\u00a0Pediatr Gastroenterol Nutr"},{"key":"10.1053\/j.gastro.2021.12.237_bib16","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1016\/j.cgh.2020.03.063","article-title":"Identification of different phenotypes of esophageal reflux hypersensitivity and implications for treatment","volume":"19","author":"Sawada","year":"2020","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1053\/j.gastro.2021.12.237_bib17","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1053\/j.gastro.2021.11.008","article-title":"Global prevalence and impact of rumination syndrome","volume":"162","author":"Josefsson","year":"2022","journal-title":"Gastroenterology"},{"key":"10.1053\/j.gastro.2021.12.237_bib18","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":"10.1053\/j.gastro.2021.12.237_bib19","doi-asserted-by":"crossref","first-page":"3461","DOI":"10.1007\/s10620-020-06685-6","article-title":"Comprehensive cognitive-behavioral interventions augment diaphragmatic breathing for rumination syndrome: a proof-of-concept trial","volume":"66","author":"Murray","year":"2021","journal-title":"Dig Dis Sci"},{"key":"10.1053\/j.gastro.2021.12.237_bib20","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.amjms.2020.04.003","article-title":"Outcomes of treating rumination syndrome with a tricyclic antidepressant and diaphragmatic breathing","volume":"360","author":"Robles","year":"2020","journal-title":"Am J Med Sci"},{"key":"10.1053\/j.gastro.2021.12.237_bib21","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1038\/ajg.2017.441","article-title":"A\u00a0randomized double-blind, placebo-controlled, cross-over study using baclofen in the treatment of rumination syndrome","volume":"113","author":"Pauwels","year":"2018","journal-title":"Am J Gastroenterol"}],"container-title":["Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S001650852104066X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S001650852104066X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T15:36:13Z","timestamp":1758036973000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S001650852104066X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["S001650852104066X"],"URL":"https:\/\/doi.org\/10.1053\/j.gastro.2021.12.237","relation":{},"ISSN":["0016-5085"],"issn-type":[{"value":"0016-5085","type":"print"}],"subject":[],"published":{"date-parts":[[2022,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Rumination Syndrome \u201cReal Prevalence\u201d: A Need to Increase Awareness, Early Recognition, and Specific Management","name":"articletitle","label":"Article Title"},{"value":"Gastroenterology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1053\/j.gastro.2021.12.237","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 by the AGA Institute","name":"copyright","label":"Copyright"}]}}