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A patient presents with excessive supragastric belching that impedes dental procedures. Supragastric belching is a phenomenon when air is sucked in the esophagus and then rapidly expelled via the oral cavity. Furthermore, this patient historically had the rare entity of superior mesenteric artery syndrome (SMAS, also known as Wilkie's syndrome or cast syndrome), which is an acquired disorder where the acute angle of the superior mesenteric artery (SMA) causes compression of the third portion of the duodenum between the aorta and the SMA. The

Addiction, 178 Adhesive patch, 73 Adrenaline, 165 Airway, 168 Airway management, 153 Ala of nose, 104 Allergic disease, 173 Alpha amylase, 22 Analgesic, 178 Adrenergic, 253 Anesthesia, 33 Anesthetic management, 244 Antidepressants, 253 Antidiabetic medication, 39 Arrhythmia, 165 Articaine, 80, 203 Atrioventricular node, 165 Belching, 244 Benzocaine, 73 Blood loss, 3

, see Oda A, 173 Urman RD, see Saxen MA, 212 Watanabe T, see Sanuki T, 175 Wong M, Anesthesia for a Patient With Excessive Supragastric Belching (case report), 244 Yamamoto S, see Yamamoto T, 235 Yamamoto T, Anesthetic Management in Mitochondrial Encephalomyopathy: A Case Report (case report), 235 Yepes JF, see Saxen MA, 212 Yepes JF, see Spera AL, 144 Yokoyama T, see Tsukamoto M, 104 Yokoyama T, see Tsukamoto M, 162 Yokoyama T, see Tsukamoto M, 226 Yoshida K, see

. 1976 ; 48 : 1171 – 1174 . 12. Newton DJ , McLeod GA , Khan F , Belch JJF . Mechanisms influencing the vasoactive effects of lidocaine in human skin . Anaesthesia . 2007 ; 62 : 146 – 150 . 13. Rosenberg PH

F, Belch JJF. The effect of adjuvant epinephrine concentration on the vasoactivity of the local anesthetics bupivacaine and levobupivacaine in human skin . Reg Anesth Pain Med . 2004 ; 29 : 307 – 311 . 20 Yasuda A, Yamashiro M, Hashimoto S