Current management of noncardiac chest pain

doi:10.3969/j.issn.1004-583X.2017.01.012

Abstract

Abstract: Noncardiac chest pain(NCCP) is one of the most common functional gastrointestinal disorders. Gastroesophageal reflux disease(GERD)， esophageal dysmotility and esophageal hypersensitivity are the main underlying mechanisms of NCCP. Doubledose proton pump inhibitor（PPI） treatment is the first choice in patients with NCCP because GERD is the most common etiology. Muscle which relaxants act like calcium channel blockers， nitrates and sildenafil and pain modulators appears efficacious in both patients with NCCP due to esophageal dysmotility and those with functional chest pain. Cognitive behavioral therapy and other psychological techniques such as hypnotherapy， group therapy might be effective in NCCP patients. Endoscopic and surgical therapeutic options are available.

Key words: gastroesophageal reflux, drug therapy, endoscopes, surgery

Han Ying. Current management of noncardiac chest pain[J]. Clinical Focus, doi: 10.3969/j.issn.1004-583X.2017.01.012.

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URL: https://huicui.hebmu.edu.cn/EN/10.3969/j.issn.1004-583X.2017.01.012

https://huicui.hebmu.edu.cn/EN/Y2017/V32/I1/50

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Current management of noncardiac chest pain

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