Skip to content
DraconiticResearch
Search Sources API
201,683 studies31 sourcesUpdated 54 min ago
Peer-reviewedCC BY 4.0Case Reports in Anesthesiology

Perioperative Anesthesia: Botulinum Toxin Injection in a 6‐Year‐Old Female With “No Burp Disease”

  • Logan D. Applewhite1
  • Lawrence D. Garcia-Reyes1,2
  • Paul M. Weinberger3
  1. 1School of Medicine Indiana University Evansville Indiana USA indiana.edu
  2. 2Anesthesia Service Deaconess Health System Evansville Indiana USA deaconess.com
  3. 3Deaconess Health System Evansville Indiana USA deaconess.com
Read full textPDFDOICite

Abstract

Retrograde cricopharyngeus dysfunction is a chronic condition involving inability of the cricopharyngeal muscle to relax in a task‐specific manner (eructation). Symptoms commonly include bloating, significant discomfort, excessive flatulence, and often self‐imposed limitations in oral diet and activity. Here, we report a 6‐year‐old patient with several years of symptoms who underwent surgical injection of botulinum toxin under general anesthesia. Anesthesia with propofol and sevoflurane provided adequate sedation and analgesia. Nitrous oxide was avoided due to theoretical concern for impaired ability to clear esophageal and abdominal gas which can lead to postoperative nausea, vomiting, and aspiration risk.

Related

  1. Effect of the rs12249854 Polymorphism in the HECTD2 Gene and Selected Clinical Variables on the Response to Intradetrusor Injection of Botulinum Neurotoxin Type A in Female Patients with Overactive Bladder: A Single-Center Prospective Study
    Sylwester Michał Ciećwież, Klaudyna Lewandowska, Agnieszka Boroń +3
    International Journal of Molecular SciencesPeer-reviewedCC BY 4.0General medicineCrossref
  2. Bulging of the Masseter Muscle Following Botulinum Neurotoxin Type A Injection
    Lukas Naef, Epameinondas Gousopoulos, Florian Alexander Huber +1
    Plastic and reconstructive surgery. Global openPeer-reviewedCC BY-NC-NDFull textSurgery & anaesthesiaEurope PMC
  3. Comparative Botulinum Toxin Injection Strategies Beyond the Masseter for Bruxism: A Scoping Review
    Doungkamol Siri-Archawawat, Arunrat Dumkliang, Chime Eden +1
    Journal of clinical medicinePeer-reviewedCC BYFull textGeneral medicineEurope PMCCrossref
  4. Greener Surgery, Greener Hospital: Organizational Strategies for Carbon Footprint Reduction in Anesthesia and Perioperative Departments
    Maria Bourazani, Maria S Chrysi, Despoina Pappa +2
    CureusPeer-reviewedCC BYFull textGeneral medicineEurope PMC
  5. Adjunctive extracorporeal shock wave therapy after botulinum toxin type A injection for post-stroke spasticity: a systematic review and three-level meta-analysis
    Weihao Ke, Lujiang Wang, Wenli Shen +2
    Frontiers in NeurologyPeer-reviewedCC BY 4.0Full textNeurologyCrossrefEurope PMCPMC

Cite

BibTeXRIS
BibTeX
@article{applewhite2026perioperative,
  title = {{Perioperative Anesthesia: Botulinum Toxin Injection in a 6‐Year‐Old Female With “No Burp Disease”}},
  author = {Logan D. Applewhite and Lawrence D. Garcia-Reyes and Paul M. Weinberger},
  journal = {Case Reports in Anesthesiology},
  year = {2026},
  month = nov,
  doi = {10.1155/cria/1726887},
  url = {https://doi.org/10.1155/cria/1726887},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Perioperative Anesthesia: Botulinum Toxin Injection in a 6‐Year‐Old Female With “No Burp Disease”
AU  - Logan D. Applewhite
AU  - Lawrence D. Garcia-Reyes
AU  - Paul M. Weinberger
PY  - 2026
DA  - 2026/11/03
JO  - Case Reports in Anesthesiology
DO  - 10.1155/cria/1726887
UR  - https://doi.org/10.1155/cria/1726887
AB  - Retrograde cricopharyngeus dysfunction is a chronic condition involving inability of the cricopharyngeal muscle to relax in a task‐specific manner (eructation). Symptoms commonly include bloating, significant discomfort, excessive flatulence, and often self‐imposed limitations in oral diet and activity. Here, we report a 6‐year‐old patient with several years of symptoms who underwent surgical injection of botulinum toxin under general anesthesia. Anesthesia with propofol and sevoflurane provided adequate sedation and analgesia. Nitrous oxide was avoided due to theoretical concern for impaired ability to clear esophageal and abdominal gas which can lead to postoperative nausea, vomiting, and aspiration risk.
SN  - 2090-6382
SN  - 2090-6390
ER  -