PMID- 11458775
OWN - NLM
STAT- MEDLINE
DCOM- 20010830
LR  - 20080610
IS  - 1661-8157 (Print)
IS  - 1661-8157 (Linking)
VI  - 90
IP  - 24
DP  - 2001 Jun 14
TI  - [Thoracic pain from the viewpoint of the gastroenterologist: diagnosis and 
      therapy].
PG  - 1087-92
AB  - Non-cardiac-chest-pain is frequently associated with esophageal diseases. 
      Gastroesophageal reflux disease (GERD) is present in 60%, esophageal motility 
      disorder in 40-50%, tumours in 5-10% and achalasia in 5% of such cases. Diagnosis 
      is based on endoscopy and in patients with no endoscopy findings on 24-h 
      esophageal pH-monitoring. GERD can present with various symptoms and can best be 
      managed with proton pump inhibitors (PPI). Considering increased mortality and 
      morbidity operation should only be performed in special situations. Esophageal 
      motility disorders most frequently produce retrosternal pain. Pain in achalasia 
      may not respond to standard therapy. Motility disorders and achalasia are 
      diagnosed by perfusion manometry and videofluoroscopy. If a tumour is suspected 
      diagnosis is made by endoscopy (biopsy, endosonography) and radiology.
FAU - Gassmann, U
AU  - Gassmann U
AD  - Departement Innere Medizin, Abteilung fur Gastroenterologie, Universitatsspital 
      Zurich.
FAU - Fried, M
AU  - Fried M
LA  - ger
PT  - English Abstract
PT  - Journal Article
PT  - Review
TT  - Thoraxschmerzen aus der Sicht des Gastroenterologen: Diagnostik und Therapie.
PL  - Switzerland
TA  - Praxis (Bern 1994)
JT  - Praxis
JID - 101468093
SB  - IM
MH  - Chest Pain/*etiology
MH  - Diagnosis, Differential
MH  - Esophageal Diseases/*diagnosis/therapy
MH  - Humans
MH  - Patient Care Team
RF  - 9
EDAT- 2001/07/19 10:00
MHDA- 2001/08/31 10:01
CRDT- 2001/07/19 10:00
PHST- 2001/07/19 10:00 [pubmed]
PHST- 2001/08/31 10:01 [medline]
PHST- 2001/07/19 10:00 [entrez]
PST - ppublish
SO  - Praxis (Bern 1994). 2001 Jun 14;90(24):1087-92.