{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T19:41:18Z","timestamp":1790624478668,"version":"4.1.0"},"reference-count":75,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Gastroenterol"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>\n                    Rumination syndrome (RS) is characterized by the repeated regurgitation of material during or soon after eating with the subsequent rechewing, reswallowing, or spitting out of the regurgitated material. Rumination syndrome is classified as both a \u201cFunctional Gastroduodenal Disorder\u201d (by the\n                    <jats:italic toggle=\"yes\">Rome Foundation's Functional Gastrointestinal Disorders: Disorders of Gut-Brain Interaction,<\/jats:italic>\n                    4th edition) and a \u201cFeeding and Eating Disorder\u201d (by the\n                    <jats:italic toggle=\"yes\">Diagnostic and Statistical Manual of Mental Disorders<\/jats:italic>\n                    , 5th edition). Rumination syndrome is a disorder that is often inaccurately diagnosed or missed, resulting in patients experiencing protracted symptoms and not receiving treatment for long periods. There is a lack of clear consensus for RS diagnosis, mechanisms that maintain RS, and treatment. Guided by existing research and our clinical expertise, we synthesize available evidence and provide recommendations for clinical use. We present a case example and critically summarize the literature to date to (i) increase clinicians' understanding of heterogeneous clinical presentations, (ii) suggest assessment strategies to facilitate accurate diagnosis, and (iii) provide a schematic for intervention options. Overall, we recommend clinicians recognize the heterogeneous features of RS when considering diagnosis, assess for RS symptoms by clinical history, and treat RS with targeted diaphragmatic breathing while using other methods as augmented intervention or alternative treatment.\n                  <\/jats:p>","DOI":"10.14309\/ajg.0000000000000060","type":"journal-article","created":{"date-parts":[[2019,2,21]],"date-time":"2019-02-21T07:51:30Z","timestamp":1550735490000},"page":"562-578","source":"Crossref","is-referenced-by-count":89,"title":["Diagnosis and Treatment of Rumination Syndrome: A Critical Review"],"prefix":"10.14309","volume":"114","author":[{"given":"Helen B.","family":"Murray","sequence":"first","affiliation":[{"name":"Department of Psychology, Drexel University, Philadelphia, Pennsylvania, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrienne S.","family":"Juarascio","sequence":"additional","affiliation":[{"name":"Department of Psychology, Drexel University, Philadelphia, Pennsylvania, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Di Lorenzo","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Nationwide Children\u2019s Hospital, Columbus, Ohio, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas A.","family":"Drossman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer J.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA;"},{"name":"Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,2,13]]},"reference":[{"key":"R3-20231011","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.1053\/j.gastro.2016.03.035","article-title":"Rome IV\u2014functional GI disorders: Disorders of gut-brain interaction","volume":"150","author":"Drossman","year":"2016","journal-title":"Gastroenterology"},{"key":"R4-20231011","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":"R6-20231011","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1136\/bmj.1.2408.421","article-title":"Merycism or rumination in man","volume":"1","author":"Brockbank","year":"1907","journal-title":"Br Med J"},{"key":"R7-20231011","first-page":"315","article-title":"Rumination: A 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