Diagnosis and Management of Functional Chest Pain in the Rome IV Era
Journal of Neurogastroenterology and Motility
; : 487-498, 2019.
Article
em En
| WPRIM
| ID: wpr-765976
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Tórax
/
Biópsia
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Dor no Peito
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Terapias Complementares
/
Bombas de Próton
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Neurotransmissores
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Diagnóstico
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Endoscopia
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Inibidores da Bomba de Prótons
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Manometria
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
En
Revista:
Journal of Neurogastroenterology and Motility
Ano de publicação:
2019
Tipo de documento:
Article