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Coco JEF Walstra, Hendrik Reynaert
A 61-year old patient with idiopathic hiccups since 2 weeks experienced immediate relief after upper endoscopy, now lasting for one month. To our knowledge, this is the first report of a therapeutic gastroscopy in a case of persistent idiopathic hiccups. We agree that this 'therapy' is more invasive than pharmacological intervention, but upper endoscopy is part of the work-up for persistent idiopathic hiccups. Moreover, pharmacological treatments are not based on high quality trials, do have side effects and hiccups often upon therapy cessation. Therefore, we believe that upper endoscopy could be of therapeutic use in some of these patients.