Prevalence of Upper Gastrointestinal Tract Findings in Patients With Noncardiac Chest Pain Versus Those With Gastroesophageal Reflux Disease (GERD)-Related Symptoms: Results from a National Endoscopic Database

2007 ◽  
Vol 102 (6) ◽  
pp. 1173-1179 ◽  
Author(s):  
Ram Dickman ◽  
Nora Mattek ◽  
Jennifer Holub ◽  
Dawn Peters ◽  
Ronnie Fass
2012 ◽  
Vol 142 (5) ◽  
pp. S-421
Author(s):  
Somchai Leelakusolvong ◽  
Chuanpit Suttinont ◽  
Paitoon Nitipitichai ◽  
Manoch Ouwuttipong ◽  
Pitinun Puapatanakul ◽  
...  

Author(s):  
Nataliya A. Berezneva ◽  
Olga I. Stenina ◽  
Andrey K. Uglitskikh

The aim of this work is to determine the causes of chest pain in children with combined pathology and to develop an examination algorithm for chest pain. Materials and methods. Examined 20 children aged 7-18 years who consulted a pediatrician with pain complaints in the chest. To exclude the cardiac genesis of pain, all patients underwent electrocardiography and echocardiography; the rest of the examinations were prescribed, taking into account the anamnesis and clinical examination data. Results. According to the examination results, most patients were found to have gastrointestinal tract pathology: gastroesophageal reflux disease, chronic gastritis, biliary tract dysfunction. Against the background of adherence to a diet and taking medications prescribed by a gastroenterologist, their pain syndrome subsided, which confirmed the noncardial genesis of thoracalgia. A clinical analysis of cases of combined (cardiac and non-cardiac) pathology was carried out, an algorithm for examining children with chest pain was presented. Discussion. The causes of chest pain in children and the tactics of managing these patients are discussed, the clinical significance of the history and clinical examination data in drawing up a plan for the examination of such patients is determined.


2021 ◽  
Vol 23 (5) ◽  
pp. 422-427
Author(s):  
Dmitrii N. Andreev ◽  
◽  
Elena V. Ul'iankina ◽  

In 2021, the first Multidisciplinary national consensus was published in Russia. The document provides a comprehensive analysis of pathophysiological, clinical and pharmacotherapeutic aspects of the increased epithelial permeability syndrome (IEPS) as one of the main mechanisms of human diseases. A separate chapter of the consensus devoted to the role of IEPS in organic diseases of the upper gastrointestinal tract demonstrates the importance of this pathophysiological mechanism in the genesis of this group of diseases. This review aims to systematize the literature data on the role of IEPS in organic diseases of the upper gastrointestinal tract, including gastroesophageal reflux disease, chronic gastritis and gastric ulcer.


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