Research

What the research says

RCPD is young as a recognized diagnosis, but the evidence base is growing fast. Here are key peer-reviewed papers and clinician talks — useful reading to bring to an appointment.

Papers

Clinical research

2019 · Bastian & Smithson

Inability to Belch and Associated Symptoms Due to RCPD: Diagnosis and Treatment

In 51 patients who had long suffered without a clear diagnosis, a targeted botulinum toxin injection into the cricopharyngeus both confirmed RCPD and provided dramatic, lasting relief — the paper that put the condition on the map.

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2024 · Miller, Lina & Akst

Retrograde Cricopharyngeal Dysfunction: A Review

A clear overview of how the upper esophageal sphincter works, why RCPD is hard to diagnose, and current treatments — plus how patient communities drove awareness.

Read the review →

2024 · Malhotra et al.

Diagnosis and Management of RCPD: A Systematic Review

Pooling 17 studies and 637 patients, this review finds botulinum toxin injections (often 50 units) and, when needed, cricopharyngeal myotomy offer effective relief.

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2021 · Karagama

Abelchia: Inability to Belch/Burp — a New Disorder?

Examines the diagnostic challenges of R-CPD and shows how targeted botulinum toxin injections offer lasting relief and meaningfully improve quality of life.

Read the paper →

Watch

Videos & webinars

Laryngopedia

Can't Burp? Dr. Bastian Answers Your Questions

Dr. Robert Bastian covers the common questions about RCPD symptoms, diagnosis, and treatment.

Watch the video →

Laryngopedia

R-CPD (No-Burp) Webinar with Dr. Bastian

A comprehensive webinar on the symptoms, diagnosis, and treatment of RCPD.

Watch the webinar →

Michael Pitman, MD

RCPD — “No-Burp Syndrome”

Dr. Michael Pitman explains the symptoms, diagnosis, and treatment options for RCPD.

Watch the video →

Laryngopedia · Playlist

R-CPD | The Inability to Burp

A curated playlist of clinical videos and webinars offering a fuller overview of the condition.

View the playlist →