Screening and Identifying Erosive Esophagitis in Children with Non-cardiac Chest Pain
Journal of Korean Medical Science
;
: 270-274, 2016.
Article
in English
| WPRIM
| ID: wpr-225581
ABSTRACT
Non-cardiac chest pain is a common disorder that leads to costly evaluations to distinguish it from cardiac pain. The present study aimed to clarify the clinical characteristics of erosive esophagitis in children with non-cardiac chest pain. Ninety nine patients (mean age, 9.55 ± 2.95 years, 49 girls) with non-cardiac chest pain were enrolled. Patients were classified into two groups erosive esophagitis and non-erosive esophagitis-related non-cardiac chest pain by esophagogastroduodenoscopy. Children in the erosive esophagitis-related non-cardiac chest pain group were significantly older (10.95 ± 2.54 years vs. 8.52 ± 2.83 years). Multivariate logistic regression analysis identified the following predictors of gastroesophageal reflux chest pain related to sleep (odds ratio = 18.05, 95% confidence interval 3.18-102.49); unfavorable dietary habits (odds ratio = 7.11, 95% confidence interval 1.53-32.87); chest pain related to food (odds ratio = 5.09, 95% confidence interval 1.37-18.86); epigastric pain (odds ratio = 3.73, 95% confidence interval 1.12-12.33); and nausea, vomiting, and/or regurgitation (odds ratio = 4.35, 95% confidence interval 1.22-15.54). Gastroesophageal reflux disease should be considered first in children with non-cardiac chest pain. Children with gastroesophageal reflux disease should receive medical treatment and lifestyle modifications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Sleep
/
Chest Pain
/
Gastroesophageal Reflux
/
Odds Ratio
/
Demography
/
Surveys and Questionnaires
/
Retrospective Studies
/
Risk Factors
/
Endoscopy, Digestive System
/
Esophagitis
Type of study:
Diagnostic study
/
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
/
Screening study
Limits:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2016
Type:
Article
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