In this episode of Bowel Sounds, hosts Dr. Peter Lu and Dr. Jason Silverman talk to Dr. Leonel Rodriguez, Chief of Pediatric Gastroenterology and Professor of Pediatrics at Yale Medicine. We discuss the rising number of children presenting to us with the inability to belch and the relatively new diagnosis of retrograde cricopharyngeal dysfunction (R-CPD).

Learning objectives

• Recognize the presenting symptoms of retrograde cricopharyngeal dysfunction (R-CPD) and its potential overlap with disorders of gut-brain interaction.
• Understand the evaluation of a child with an inability to belch and the utility of esophageal manometry.
• Review the management of R-CPD, including the potential role of less invasive treatment options prior to cricopharyngeal Botox injection.

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