[Esophagoscopy in patients with angina pectoris and normal coronary arteriography].
The clinical value of oesophago-gastro-duodenoscopy and distal oesophageal biopsies was investigated in 49 patients with angina pectoris and normal coronary angiograms. The results were compared to 24 hour oesophageal pH-monitoring of the patients and of a control group of 22 healthy sons. Macroscopic esophagitis--mainly grade I was found in 31% of the patients and microscopic oesophagitis in 25%. The only major abnormalities were the identification of three peptic ulcers (6%). Median (range) reflux index was 1.3 (0.0-13.4) in the patient group and 2.1 (0.0-9.9) in the controls (p = 0.49). There were no differences with respect to endoscopical findings or reflux index between patients with a positive and patients with a normal exercise electrocardiogram. At a median 36 months post study 38% of the patients had undergone acid secretion inhibitor treatment with an effect on symptoms in only 4%. The study provides evidence that routine oesophago-gastro-duodenoscopy is of limited value in this patient group.
Frøbert
O
O
Kardiologisk afdeling og institut for eksperimentel klinisk forskning, Skejby Sygehus, Arhus.
Funch Jensen
P M
PM
Jacobsen
N O
NO
Kruse
A
A
Bagger
J P
JP
D000328:Adult; D003937:Diagnosis, Differential; D004384:Duodenoscopy; D016099:Endoscopy, Gastrointestinal; D004945:Esophagoscopy; D004947:Esophagus / Q000473:pathology / Q000503:physiopathology; D005069:Evaluation Studies as Topic; D005260:Female; D005773:Gastroscopy; D006801:Humans; D008297:Male; D017566:Microvascular Angina / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D008875:Middle Aged
Ovre endoskopi hos patienter med angina pectoris og normal koronararteriografi.