[Non cardiac chest pain and gastroesophageal reflux disease pathophysiology, diagnosis methods and therapeutic approach]

ABSTRACT

Non cardiac chest pain is a frequent symptom in general population. Gastroesophageal reflux disease is the first cause of chest pain without cardiac etiology. This review aimed to determine the specific mechanisms for esophageal-induced chest pain, to evaluate the results of the available methods of diagnosis, and to precise the therapeutic options in these patients. Literature Review. Gastroesophageal reflux disease is the most frequent etiology of "DTPA" .The mecanism of pathogemy is complex. After eliminatring coronary disease, diagnosis is based on esophagus phmetry and markers. Therapeutic test with PPI would be an alternative option to phmcttry. Treatment is based on PPI with appropriate dose and duration. Surgical treatement is indicated only for selected patients