ArticleAlimentary pharmacology & therapeutics2012
Diagnostic utility of the oesophageal balloon distension test in the evaluation of oesophageal chest pain.
Article in Alimentary pharmacology & therapeutics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- [Therapeutic Response to 20 mg of Esomeprazole Twice Daily in Patients with Gastroesophageal Reflux Disease-related Non-cardiac Chest Pain: An Open-Label Randomized Pilot Study].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2020Trial
- Diagnosis and Management of Noncardiac Chest Pain.Gastroenterology & hepatology · 2024Article
- Therapeutic efficacy of laparoscopic Heller-Dor surgery for chest pain in patients with achalasia: a single institutional experience.Esophagus : official journal of the Japan Esophageal Society · 2020Article
- Diagnosis and Management of Functional Chest Pain in the Rome IV Era.Journal of neurogastroenterology and motility · 2019Review
- Observational
- The role of oesophageal physiological testing in the assessment of noncardiac chest pain.Therapeutic advances in chronic disease · 2018Review
- How to Diagnose and Treat Functional Chest Pain.Current treatment options in gastroenterology · 2016Review
- A Review of Esophageal Chest Pain.Gastroenterology & hepatology · 2015Article
- Treatment of esophageal (noncardiac) chest pain: an expert review.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2014Review
- [Approach to the Patient with Non-cardiogenic Chest Pain of Esophageal Origin].Acta gastroenterologica LatinoamericanaReview
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4 authors.
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Abstract
backgroundOesophageal balloon distension test (EBDT) has been advocated for the evaluation of functional oesophageal noncardiac chest pain (NCCP), but its diagnostic utility remains unclear.
aimTo prospectively assess the diagnostic yield of EBDT in clinical practice and compare its yield with standard oesophageal tests.
methodsOver a period of 6 years, patients with chest pain and negative cardiac work-up underwent sequential testing with endoscopy/biopsy, oesophageal manometry, 24 h pH study and EBDT to elucidate an oesophageal source for their symptoms. Patients with a definite abnormality, for example, erosive oesophagitis on oesophagogastroduodenoscopy (EGD) were designated as having positive test and excluded from further work up.
resultsOf 348 (m/f = 105/243) suspected NCCP patients, 16 (5%) were excluded; 332 (95%) underwent oesophageal testing. Among these, 48 (14%) had macro/microscopic oesophagitis on endoscopy, 7 (2%) had achalasia and 96 (28%) had excessive acid reflux (pH study). The remaining 181 (52%) patients underwent EBDT; 128 (37%) had oesophageal hypersensitivity. Chest pain was reproduced in 97/128 (75%) subjects. There were no adverse effects.
conclusionsOesophageal testing can reveal an oesophageal source for chest pain in 86% of NCCP subjects. The majority (42%) of patients had gastro-oesophageal reflux disease (GERD). Oesophageal balloon distension test identified hypersensitivity in over one-third of subjects. The oesophageal balloon distension test provides useful diagnostic information and should be performed routinely in patients with NCCP after excluding GERD.
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