• Corpus ID: 3979550

Breathing training on lower esophageal sphincter as a complementary treatment of gastroesophageal reflux disease (GERD): a systematic review.

@article{Casale2016BreathingTO,
  title={Breathing training on lower esophageal sphincter as a complementary treatment of gastroesophageal reflux disease (GERD): a systematic review.},
  author={Manuele Casale and Lorenzo Sabatino and Antonio Moffa and F Capuano and Vitaliana Luccarelli and Massimiliano Andrea Vitali and Mentore Ribolsi and Michele Cicala and Fabrizio Salvinelli},
  journal={European review for medical and pharmacological sciences},
  year={2016},
  volume={20 21},
  pages={
          4547-4552
        }
}
OBJECTIVE Gastroesophageal reflux disease (GERD) represents one of the most common gastrointestinal disorders, but is still a challenge to cure. Proton pump inhibitors (PPIs) are currently the GERD's standard treatment, although not successful in all patients; some concerns have been raised regarding their long term consumption. Recently, some studies showed the benefits of inspiratory muscle training in increasing the lower esophageal sphincter pressure in patients affected by GERD, thereby… 

Figures from this paper

Breathing Exercises in Gastroesophageal Reflux Disease: A Systematic Review
TLDR
It is hypothesized that High-resolution esophageal manometry (HRM) can help define patient phenotypes that may benefit most from DBT, and that HRM can even help in the management of respiratory physiotherapy in patients with GERD.
Relevance of Excessive Air Swallowing in GERD Patients With Concomitant Functional Dyspepsia and Poor Response to PPI Therapy.
TLDR
This study highlights the relevant role of excessive air swallowing in eliciting both dyspepsia and refractoriness of typical GERD symptoms to PPI therapy.
The effect of breathing exercises on patients with GERD: a meta- analysis.
TLDR
The results of meta-analysis indicate that breathing exercises can improve pressure generated by the lower oesophageal sphincter (LES), and a statistically significant difference was observed.
Nonerosive reflux disease: clinical concepts
TLDR
Acid suppression is the mainstay of therapy, and antireflux surgery has a definitive role in the management of persisting symptoms attributed to NERD, especially when the esophagogastric junction is compromised.
Current trends in the diagnosis and treatment of gastroesophageal reflux disease.
TLDR
Current available diagnostic and therapeutic strategies for gastroesophageal reflux disease and its typical symptoms heartburn and regurgitation are reviewed.
Systematic assessment of environmental factors for gastroesophageal reflux disease: An umbrella review of systematic reviews and meta-analyses.
The "Aachen sings" study ("Aachen choir engagement study into GERD symptoms"): moderate singing and breathing exercises in a choir reduce reflux symptoms - a cohort study in non-specialist choristers.
TLDR
Moderate singing activities and breathing exercises seem to be helpful in avoiding reflux symptoms such as heartburn and acid regurgitation.
Gastroesophageal reflux disease, temporomandibular disorders and dysfunctional breathing
  • J. Bartley
  • Medicine
    Canadian Medical Association Journal
  • 2019
TLDR
It was found that gastroesophageal reflux disease (GERD) was associated with temporomandibular disorders (TMDs), mediated to a certain extent by somatization, anxiety and poor sleep, but the authors did not describe a contributory pathophysiological mechanism.
...
...

References

SHOWING 1-10 OF 22 REFERENCES
Positive Effect of Abdominal Breathing Exercise on Gastroesophageal Reflux Disease: A Randomized, Controlled Study
TLDR
It is shown that actively training the diaphragm by breathing exercise can improve GERD as assessed by pH-metry, QoL scores and PPI usage, and this non-pharmacological lifestyle intervention could help to reduce the disease burden of GERD.
Novel treatments of GERD: focus on the lower esophageal sphincter.
  • A. Lehmann
  • Medicine
    European review for medical and pharmacological sciences
  • 2008
TLDR
Agent that target TLESR activity may offer a promising new add-on treatment for patients who suffer from GERD symptoms despite proton pump inhibitor (PPI) therapy.
Are Lifestyle Measures Effective in Patients With Gastroesophageal Reflux Disease?: An Evidence-Based Approach
TLDR
Although there was physiologic evidence that exposure to tobacco, alcohol, chocolate, and high-fat meals decreases lower esophageal sphincter pressure, there was no published evidence of the efficacy of dietary measures.
Inspiratory muscle training improves antireflux barrier in GERD patients.
TLDR
In conclusion, IMT improved EGJ pressure, reduced GER proximal progression, and reduced GERD symptoms, and IMT may prove beneficial as a GERD add-on treatment.
Increase of lower esophageal sphincter pressure after osteopathic intervention on the diaphragm in patients with gastroesophageal reflux.
TLDR
Osteopathic manipulative technique produces a positive increment in the LES region soon after its performance, and is compared to sham technique before and immediately after osteopathic intervention in the diaphragm muscle.
Effect of azithromycin on acid reflux, hiatus hernia and proximal acid pocket in the postprandial period
TLDR
Azi reduces acid reflux episodes and oesophageal acid exposure in patients with GORD and is associated with a smaller hiatal hernia size and a more distal position of the acid pocket, further indicating the importance of theacid pocket in the pathogenesis of GORD.
Fixed combination of hyaluronic acid and chondroitin-sulphate oral formulation in a randomized double blind, placebo controlled study for the treatment of symptoms in patients with non-erosive gastroesophageal reflux.
TLDR
A fixed combination of HA+CS has demonstrated to be effective in gastroesophageal reflux control, with a rapid onset of action.
Consequences of long-term proton pump blockade: insights from studies of patients with gastrinomas.
  • R. Jensen
  • Medicine
    Basic & clinical pharmacology & toxicology
  • 2006
TLDR
Results from studies of Zollinger-Ellison syndrome patients and other recent studies dealing with the safety concerns above, are briefly reviewed.
...
...