7 Angina-like chest pain of oesophageal origin

摘要: Angina-like chest pain of non-cardiac origin is a major diagnostic and therapeutic problem. The oesophagus frequently suspected to be the cause in these patients. However, positive statement for oesophageal can only made when during manometry or pH-monitoring familiar attack appears accompanied by reflux, severe motor disorders combination both. Due intermittent nature this rarely case short-listing conventional examinations. Provocation tests have been used induce pain. Bernstein acid perfusion test edrophonium yield best results. Prolonged (24-hour) ambulatory recording intra-oesophageal pressure pH increase chances concomitantly with an episode reflux and/or most sensitive also physiological test. It that provides reliable information on underlying mechanism pain, especially patients syndrome irritable oesophagus, thus contributing establishing appropriate therapy