P-ISSN: 2708-1494, E-ISSN: 2708-1508
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International Journal of Case Reports in Surgery
Printed Journal   |   Refereed Journal   |   Peer Reviewed Journal


2023, Vol. 5, Issue 2, Part A

A rare case of neurogenic belching caused by surgical tacks


Author(s): C Corbin Frye, Erika Schneider Smith and Michael M Awad

Abstract: Gastric belching is a normal physiologic process whereby air travels in a retrograde fashion from the stomach out the mouth, whereas supragastric belching is considered to be behavioral and occurs when swallowed air originating in the esophagus exits the mouth. After hiatal hernia repair, patients commonly report an inability to belch. However, a drastic increase in belching after hiatal hernia repair is highly unusual. We present a rare case of surgically induced, pseudo-supragastric belching caused by phrenic nerve irritation from surgical tacks placed during hiatal hernia repair. The patient’s symptoms resolved completely after the tacks were removed during the repeat operation. Surgeons should pay careful attention to the diaphragmatic and phrenic nerve anatomy and must take extreme care during mesh fixation to the hiatus during foregut surgery.

DOI: 10.22271/27081494.2023.v5.i2a.86

Pages: 10-12 | Views: 237 | Downloads: 96

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International Journal of Case Reports in Surgery
How to cite this article:
C Corbin Frye, Erika Schneider Smith, Michael M Awad. A rare case of neurogenic belching caused by surgical tacks. Int J Case Rep Surg 2023;5(2):10-12. DOI: 10.22271/27081494.2023.v5.i2a.86


International Journal of Case Reports in Surgery
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