Diagnosis and Management of Functional Chest Pain in the Rome IV Era
Journal of Neurogastroenterology and Motility
;
: 487-498, 2019.
Article
Dans Anglais
| WPRIM
| ID: wpr-765976
ABSTRACT
Functional chest pain accounts for about a third of the patients with noncardiac chest pain. It is a very common functional esophageal disorder that remains even today a management challenge to the practicing physician. Based on the definition offered by the Rome IV criteria, diagnosis of functional chest pain requires a negative workup of noncardiac chest pain patients that includes, proton pump inhibitor test or empirical proton pump inhibitor trial, endoscopy with esophageal mucosal biopsies, reflux testing, and esophageal manometry. The mainstay of treatment are neuromodulators that are primarily composed of anti-depressants. Alternative medicine and psychological interventions may be provided alone or in combination with other therapeutic modalities.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Thorax
/
Biopsie
/
Douleur thoracique
/
Thérapies complémentaires
/
Pompes à protons
/
Agents neuromédiateurs
/
Diagnostic
/
Endoscopie
/
Inhibiteurs de la pompe à protons
/
Manométrie
Type d'étude:
Etude diagnostique
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Journal of Neurogastroenterology and Motility
Année:
2019
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS