Bastian Voice Institute

Initially described by Dr. Bastian (and his first R-CPD patient, on Reddit: no-burp, inability to belch can cause the severe symptoms of socially-awkward gurgling noises, bloating, and excessive flatulence, etc.  BVI clinicians Bastian and Smithson (Wingo) published a report of the first 51 such patients, all treated successfully with Botox injection into the upper esophageal sphincter.  (See  Drs. Bastian and Hoesli have now published the first known report of a surgical solution to this problem:  cricopharyngeus myotomy.  For more information, see