[Esophageal motility disorders with thoracic pain of unknown origin].
35 patients with angina-like chest pain underwent esophageal manometry after a coronary artery disease had been ruled out by angiography. Furthermore, patients after gastric or esophageal surgery, with pathologic upper gastrointestinal endoscopy or with pathologic gastroesophageal reflux as seen on 24-hour-pH-metry were excluded from this study. 29 out of 35 patients (83%) had a normal manometric study, six patients (17%) had a motility disorder; five of these showed an unspecific dismotility pattern and were asymptomatic while the study was done; only one patient presented with esophageal spasm. Since only this latter patient was symptomatic while the study was done, a correlation between symptoms and this motility disorder seems likely. --If pathologic gastroesophageal reflux has been ruled out, esophageal manometry can establish a diagnosis in only 3% of patients with angina-like chest pain without esophageal symptoms (dysphagia, odynophagia, heartburn or regurgitation). We conclude that this complicated examination should not be done in these patients.
Benz
C
C
Medizinische Klinik C, Stadt Ludwigshafen am Rhein.
Weber
J
J
Schlauch
D
D
Riemann
J F
JF
D000328:Adult; D000368:Aged; D002637:Chest Pain / Q000209:etiology*; D015154:Esophageal Motility Disorders / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005745:Gastric Acidity Determination; D005764:Gastroesophageal Reflux / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged
Osophagusmotilitätsstörungen bei unklarem Thoraxschmerz.