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Retching

MedGen UID:
452272
•Concept ID:
C0232602
•
Sign or Symptom
Synonyms: Dry heaves; Heaving; Retch
SNOMED CT: Heaving (84480002); Retching (84480002); Dry heaves (84480002)

Definition

Involuntary spasms of the stomach and esophagus resulting in vomiting or dry heaving. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVRetching

Professional guidelines

PubMed

Management strategies for the treatment and prevention of postoperative/postdischarge nausea and vomiting: an updated review.
Elvir-Lazo OL, White PF, Yumul R, Cruz Eng H
F1000Res 2020;9 Epub 2020 Aug 13 doi: 10.12688/f1000research.21832.1. PMID: 32913634Free PMC Article
Postfundoplication retching: Strategies for management.
Richards CA
J Pediatr Surg 2020 Sep;55(9):1779-1795. Epub 2020 Apr 14 doi: 10.1016/j.jpedsurg.2020.03.032. PMID: 32409173
Criteria for assessment of nausea, vomiting, and retching.
Rhodes VA
Oncol Nurs Forum 1997 Aug;24(7 Suppl):13-9. PMID: 9282377

Recent clinical studies

Etiology

Antiemetic prophylaxis with droperidol in morphine-based intravenous patient-controlled analgesia: a propensity score matched cohort study.
Tan JQ, Wu HL, Wang YC, Cata JP, Chen JT, Cherng YG, Tai YH
BMC Anesthesiol 2023 Oct 28;23(1):351. doi: 10.1186/s12871-023-02319-2. PMID: 37898746Free PMC Article
Fosaprepitant for postoperative nausea and vomiting in patients undergoing laparoscopic gastrointestinal surgery: a randomised trial.
Huang Q, Wang F, Liang C, Huang Y, Zhao Y, Liu C, Lin C, Zhang L, Zhou S, Wang Q, Li S, Gong R, Wu Q, Gu Y, Zhang J, Luo T, Wang W, Zhang S, Bizo Mailoga N, Wang K, Jin S, Zhao Y
Br J Anaesth 2023 Oct;131(4):673-681. Epub 2023 Jul 7 doi: 10.1016/j.bja.2023.06.029. PMID: 37423834
Interventions for nausea and vomiting in early pregnancy.
Matthews A, Haas DM, O'Mathúna DP, Dowswell T
Cochrane Database Syst Rev 2015 Sep 8;2015(9):CD007575. doi: 10.1002/14651858.CD007575.pub4. PMID: 26348534Free PMC Article
Effect of gastric lavage on feeding in neonates born through meconium-stained liquor: a systematic review.
Deshmukh M, Balasubramanian H, Rao S, Patole S
Arch Dis Child Fetal Neonatal Ed 2015 Sep;100(5):F394-9. Epub 2015 Jun 3 doi: 10.1136/archdischild-2015-308292. PMID: 26040920
Respiratory muscle control during vomiting.
Miller AD
Can J Physiol Pharmacol 1990 Feb;68(2):237-41. doi: 10.1139/y90-037. PMID: 2178748

Diagnosis

Questionnaire for diagnosis and response to therapy in rumination syndrome.
Pomenti SF, Tsang AJ, Khan AR, Katz PO, Katzka DA
Dis Esophagus 2024 Jun 1;37(6) doi: 10.1093/dote/doae009. PMID: 38369565
How to recognize and treat rumination syndrome.
Sawada A, Sifrim D
Curr Opin Gastroenterol 2023 Jul 1;39(4):340-346. Epub 2023 Apr 25 doi: 10.1097/MOG.0000000000000937. PMID: 37097822
Efficacy and Safety of Ginger on the Side Effects of Chemotherapy in Breast Cancer Patients: Systematic Review and Meta-Analysis.
Kim SD, Kwag EB, Yang MX, Yoo HS
Int J Mol Sci 2022 Sep 24;23(19) doi: 10.3390/ijms231911267. PMID: 36232567Free PMC Article
Rare case of dual gastrointestinal perforations.
Hudson D, Foo J, Robertson J
BMJ Case Rep 2020 Mar 19;13(3) doi: 10.1136/bcr-2019-233658. PMID: 32198227Free PMC Article
Paraesophageal hernia: clinical presentation, evaluation, and management controversies.
Schieman C, Grondin SC
Thorac Surg Clin 2009 Nov;19(4):473-84. doi: 10.1016/j.thorsurg.2009.08.006. PMID: 20112630

Therapy

How to recognize and treat rumination syndrome.
Sawada A, Sifrim D
Curr Opin Gastroenterol 2023 Jul 1;39(4):340-346. Epub 2023 Apr 25 doi: 10.1097/MOG.0000000000000937. PMID: 37097822
Anesthesia for Pituitary Surgery.
Kim J, Scott-Miller R
Otolaryngol Clin North Am 2022 Apr;55(2):421-430. doi: 10.1016/j.otc.2022.01.003. PMID: 35365315
Opioid induced nausea and vomiting.
Smith HS, Laufer A
Eur J Pharmacol 2014 Jan 5;722:67-78. Epub 2013 Oct 21 doi: 10.1016/j.ejphar.2013.09.074. PMID: 24157979
Transdermal granisetron.
Duggan ST, Curran MP
Drugs 2009;69(18):2597-605. doi: 10.2165/11202780-000000000-00000. PMID: 19943709
BOTOX: a review.
Mendez-Eastman SK
Plast Surg Nurs 2000 Summer;20(2):60-5; quiz 66-7. doi: 10.1097/00006527-200006000-00003. PMID: 12024621

Prognosis

Predictors and Outcomes of Fully Covered Stent Treatment for Anastomotic Esophageal Strictures in Esophageal Atresia.
Baghdadi O, Yasuda J, Staffa S, Ngo P, Zendejas B, Hamilton T, Jennings R, Manfredi M
J Pediatr Gastroenterol Nutr 2022 Feb 1;74(2):221-226. doi: 10.1097/MPG.0000000000003330. PMID: 34694266
Esophageal, Gastric, and Duodenal Histologic Findings in Patients with Feeding Difficulties.
Edwards J, Friesen C, Issa A, Edwards S
Nutrients 2020 Sep 15;12(9) doi: 10.3390/nu12092822. PMID: 32942680Free PMC Article
Adult cyclical vomiting syndrome: a disorder of allostatic regulation?
Levinthal DJ, Bielefeldt K
Exp Brain Res 2014 Aug;232(8):2541-7. Epub 2014 Apr 16 doi: 10.1007/s00221-014-3939-4. PMID: 24736863
Mallory-Weiss syndrome: analysis of fifty-nine cases.
Bubrick MP, Lundeen JW, Onstad GR, Hitchcock CR
Surgery 1980 Sep;88(3):400-5. PMID: 7414517
Mallory-Weiss syndrome--revisted.
Ansari A
Am J Gastroenterol 1975 Dec;64(6):460-6. PMID: 1221830

Clinical prediction guides

Antiemetic prophylaxis with droperidol in morphine-based intravenous patient-controlled analgesia: a propensity score matched cohort study.
Tan JQ, Wu HL, Wang YC, Cata JP, Chen JT, Cherng YG, Tai YH
BMC Anesthesiol 2023 Oct 28;23(1):351. doi: 10.1186/s12871-023-02319-2. PMID: 37898746Free PMC Article
Efficacy and Safety of Ginger on the Side Effects of Chemotherapy in Breast Cancer Patients: Systematic Review and Meta-Analysis.
Kim SD, Kwag EB, Yang MX, Yoo HS
Int J Mol Sci 2022 Sep 24;23(19) doi: 10.3390/ijms231911267. PMID: 36232567Free PMC Article
Exploration of Aromatherapy in a Pediatric Outpatient Surgical Setting: A Pilot Study.
Norton A, Gustafson D, White-Traut R, Gralton KS
J Perianesth Nurs 2022 Oct;37(5):678-682. Epub 2022 Mar 5 doi: 10.1016/j.jopan.2021.11.015. PMID: 35260302
Predictors and Outcomes of Fully Covered Stent Treatment for Anastomotic Esophageal Strictures in Esophageal Atresia.
Baghdadi O, Yasuda J, Staffa S, Ngo P, Zendejas B, Hamilton T, Jennings R, Manfredi M
J Pediatr Gastroenterol Nutr 2022 Feb 1;74(2):221-226. doi: 10.1097/MPG.0000000000003330. PMID: 34694266
Management strategies for the treatment and prevention of postoperative/postdischarge nausea and vomiting: an updated review.
Elvir-Lazo OL, White PF, Yumul R, Cruz Eng H
F1000Res 2020;9 Epub 2020 Aug 13 doi: 10.12688/f1000research.21832.1. PMID: 32913634Free PMC Article

Recent systematic reviews

The effect of Benson relaxation technique on cancer patients: a systematic review.
Nazari AM, Zare-Kaseb A, Arbabi Z, Gholampour MH, Emami Zeydi A, Ghazanfari MJ
Support Care Cancer 2023 Nov 8;31(12):681. doi: 10.1007/s00520-023-08142-2. PMID: 37938356
Efficacy and Safety of Ginger on the Side Effects of Chemotherapy in Breast Cancer Patients: Systematic Review and Meta-Analysis.
Kim SD, Kwag EB, Yang MX, Yoo HS
Int J Mol Sci 2022 Sep 24;23(19) doi: 10.3390/ijms231911267. PMID: 36232567Free PMC Article
Interventions for nausea and vomiting in early pregnancy.
Matthews A, Haas DM, O'Mathúna DP, Dowswell T
Cochrane Database Syst Rev 2015 Sep 8;2015(9):CD007575. doi: 10.1002/14651858.CD007575.pub4. PMID: 26348534Free PMC Article
Effect of gastric lavage on feeding in neonates born through meconium-stained liquor: a systematic review.
Deshmukh M, Balasubramanian H, Rao S, Patole S
Arch Dis Child Fetal Neonatal Ed 2015 Sep;100(5):F394-9. Epub 2015 Jun 3 doi: 10.1136/archdischild-2015-308292. PMID: 26040920
Interventions for nausea and vomiting in early pregnancy.
Matthews A, Haas DM, O'Mathúna DP, Dowswell T, Doyle M
Cochrane Database Syst Rev 2014 Mar 21;(3):CD007575. doi: 10.1002/14651858.CD007575.pub3. PMID: 24659261

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