title: [Non-cardiac chest pain].
abstract: Non-cardiac chest pain is caused in 50% by esophageal disorders. About 30% of such esophageal chest pain is induced by gastroesophageal reflux. 2/3 of esophageal chest pain is related to various esophageal motility disorders, which can be differentiated by manometry. Diagnostic procedures for esophageal dysfunction (endoscopy, radiology, long-term pH-metry) have been evaluated. Therapy of gastroesophageal reflux disease has been proven effective; maintenance therapy should be evaluated in further controlled randomized trials. Treatment of esophageal motility disorders, unsatisfactory so far, needs to be improved and standardized.
authors.affiliation: Medizinische Klinik I, Städtische Kliniken Kassel.
authors.forename: J
authors.initials: J
authors.lastname: Pausch
authors.forename: O
authors.initials: O
authors.lastname: Mann
mesh_terms: D000787:Angina Pectoris / Q000175:diagnosis*; D002637:Chest Pain / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005764:Gastroesophageal Reflux / Q000175:diagnosis; D006801:Humans