Diagnosis of chest pain with foregut symptoms in Chinese patients

Abstract

AIM:To evaluate the diagnosis of chest pain with foregut symptoms in Chinese patients. M E T H O D S :E s o p h a g e a l m a n o m e t r i c s t u d i e s , 24-h introesophageal pH monitoring and 24-h electrocardiograms (Holter electrocardiography) were performed in 61 patients with chest pain. RESULTS:Thirty-nine patients were diagnosed with non-specific esophageal motility disorders (29 patients with abnormal gastroesophageal reflux and eight patients with myocardial ischemia). Five patients had diffuse spasm of the esophagus plus abnormal gastroesophageal reflux (two patients had concomitant myocardial ischemia), and one patient was diagnosed with nutcracker esophagus. CONCLUSION:The esophageal manometric studies, 24-h intra-esophageal pH monitoring and Holter electrocardiography are significant for the differential diagnosis of chest pain, particularly in patients with foregut symptoms. In cases of esophageal motility disorders, pathological gastroesophageal reflux may be a major cause of chest pain with non-specific esophageal motility disorders. Spasm of the esophageal smooth muscle might affect the heart-coronary smooth muscle, leading to myocardial ischemia.

Prevention of Early Delayed Gastric Emptying after High‐Level Esophagogastrostomy by “Pyloric Digital Fracture”

“…In the 48 patients of DF group, manometry was studied by standard, water perfusion, stationary manometry (Medtronic DPT‐6000, Smith Medical, Sweden) with computer‐assisted analysis (Polygram 2.0, Smith Medical, Sweden) of the tracings according to our published protocol [8]. A 0.5‐cm incision was made on the anterior gastric wall (5 cm above pyloric canal).…”