Ankara Üniversitesi Tıp Fakültesi Mecmuası

0365-8104 1307-5608

Ankara University

Gastroenterology Surgery

Gastroenteroloji Cerrahisi

Non.Cerdiac Göğüs Ağrısı Ve Yemek Borusu

Non.Cerdiac Chest Pain And Esophagus

Kesim

Erol

Ankara Üniversitesi Gastroenterloji Ana Bilim Dalı

12 31 1989

42 4 613 626 10 01 1989 12 31 1989

1947

Ankara Üniversitesi Tıp Fakültesi Mecmuası

Kalb dışı nedenlere bağlı tekrarlayan göğüs ağrısı çeken hastalafda özofajial motor bozukluklar sıklıkla bulunur. Bu makalede göğüs. ağrısına neden olan özofajial motor bozukluklar ve onların manometrik teşhis kriterleri, yeni sınıflandırmaya göre gözden geçirildi. Nönkardiak göğüs. ağhlarında, özofajial motor bozukluklarm düşünülmesi ve hastalara prevokatif testlerle özofajial manometri yapılmaşının önemi belirtilerek bu yolla hastaya daha faydalı olunacağı vurgulandı.

Esophageal motor disörders are freguently detected in the patients with intermittent non-cardiac chest pain. İn this stüdyy esopha- geal motor disordetsmhich causa chest pain and their manometric diagnostie criteria Nvere reviewed, in accordance with the new classic.

kardiyak göğüs ağrı özofagus

cardiac chest pain esophagus

1. Benjamin SB., Gerhardt DC, Castee DO. : High amplitude, peristaltic *esopha-, geal contraktions associated with chest pain and/or dysphagia. Gastroenterology 1979 : 77. 478-483.

2. Brand DL. Martin D, Pope CE. : Esophageal manometrics in patients with angina-like chest pain. Diges Dis. Sc. 1977. 22 : 300-304.

3. Castell DO. : Diagnosing and Treating noncardiac chest Pain. Practical' Gastroenterology May/June. 1984, 22-26.

4. Clouse RE. : Motor disorder (Esophagus) , in Gastrointestinal Disease. Sleisenger/ Fordtran. WB Saunders Company Fourth edition. 1989, Sayfa : 559-593.

5. Cohen S. : Disease of the esophagus (in Gastrointestinal Pathophysiology) Edited by. Brooks F.B. Oxford Univ. press 1974. London, Sayfa : 53-82.

6. Cohen S. : Motor disorders of the esophagus N. Engl. J. Med. 301 : 184-192, 1979.

7. De-Meester TR. et al. : Esophageal function in patients with angina-type chest pain and normal coronary angiograms. Ann. Surg. 196 : 488-498, 1982.

8. Ferguson SC., Hodges K, Hersh T. et al. : Esophageal manometry in patients with chest pain and normal coronary arteriogram. Am. J. Gastroenterol. 1981 75 ; 124-127.

9. Katz PO., Castell DO. : Esophageal motility disorders. Am. J. Med : 290 : 61-69,1985.

10. Kempt HG., Vokonas PS., Cohn PF., Garbin R. : The anginal syndrome associated with normal coronary arteriogram - report of 6 year experiance. Am. J. Med. 54 : 735-742, 1973. Il. Neill WA, Judkins MP., Dhindsa DS. et al. : Clinically suspect ischemic heart disease not correborated by demonstrable coronary artery disease. Am. J. Cordiol 1972 29 : 271-9.

12. Ockene JS., Shay MJ., Alpert JS. et al. : Unexplained chest pain in patients with normal coronary arteriogram in a follo-up study of functional status. N. Engl. J. Med. 303 : 1249-1252, 1980.

13. Pope Il CE. : Hearthurn, Dysphagia and other esophageal symptoms in Gastrointestinal Disease Vol : I, Sleisenger/Fordtran. W.B. Saunders Company Fourth edition. 1989, sayfa : 200-203.

14. Richter JE., Hackshaw BT., et al. ; Edrophonium : A useful provocative test for esophageal chest pain. Ann. Intem Med. 1985, 103 : 14-21 626 Regim

15. Richter JE., Obrecht WF., Bradley LA., Young ID, Andersan KO. : Psychological comparison of patients with Nutcraker esophagus .and irritable Bowel Syndrome. Dig. Dis. and Science 31 : 131-138, 1986.

16. Ruwitch JF. Jr., Ludbrook PA., Burton ES. et al. : Angina with •normal coronary arteries•. A misnomer. Adv. Cardial 1977, 20 : 27-40.

17. Traube M., Albibi R, Mc Callum RW. : High amplitude peristaltic esophageal contractions associated with chest pain. JAMA, 1983, 250 : 2655-2659.

18. Ward BW., vu, W.C., Richter JE., Hack-shaw BT. and Castell DO. : Long-tern follow-up of Symptomatic status of patient with noncardiac chest pain : Is diagnosis of esophageal etiology helpful? Am. J. Gastroenterol 82 : 215-218, 1987.

19. Wei-Igosz ET., Fletcher RH., Mc Conts CB. et al. : Inimproved chest pain in patients with minimal qr no coronary disease . A behavioral phenomenon. Am. Heart J. 108 : 67-72, 1984.