Screening and Identifying Erosive Esophagitis in Children with Non-cardiac Chest Pain
Journal of Korean Medical Science
;
: 270-274, 2016.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Sono
/
Dor no Peito
/
Refluxo Gastroesofágico
/
Razão de Chances
/
Demografia
/
Inquéritos e Questionários
/
Estudos Retrospectivos
/
Fatores de Risco
/
Endoscopia do Sistema Digestório
/
Esofagite
Tipo de estudo:
Estudo diagnóstico
/
Estudo de etiologia
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
/
Estudo de rastreamento
Limite:
Adolescente
/
Criança
/
Criança, pré-escolar
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Journal of Korean Medical Science
Ano de publicação:
2016
Tipo de documento:
Artigo
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