Utility of ambulatory 24-hour esophageal pH and motility monitoring in noncardiac chest pain: Report of 90 patients and review of the literature

Digestive Diseases and Sciences

Volumn 48, Issue 5, 2003, Pages 952-961

  Lacima, Gloria ^a,b   Grande, Luis ^a   Pera, Manuel ^a   Francino, Antonio ^a   Ros, Emilio ^a  

^a UNIVERSITY OF BARCELONA   (Spain)

^b HOSPITAL CLÍNIC   (Spain)

Author keywords

Edrophonium test; Esophageal motility; Esophageal pH; Esophageal tests; Gastroesophageal reflux; Noncardiac chest pain

Indexed keywords

EDROPHONIUM;

ADULT; AMBULATORY MONITORING; ARTICLE; CONTROLLED STUDY; CORRELATION ANALYSIS; DIAGNOSTIC VALUE; ESOPHAGUS DISEASE; ESOPHAGUS MANOMETRY; ESOPHAGUS MOTILITY; ESOPHAGUS PH; FEMALE; GASTROESOPHAGEAL REFLUX; HUMAN; MAJOR CLINICAL STUDY; MALE; PH MEASUREMENT; PRIORITY JOURNAL; RECURRENT DISEASE; SCORING SYSTEM; THORAX PAIN;

ADULT; AGED; AGED, 80 AND OVER; AMBULATORY CARE; CASE-CONTROL STUDIES; CHEST PAIN; COHORT STUDIES; CORONARY ANGIOGRAPHY; DIAGNOSIS, DIFFERENTIAL; ESOPHAGEAL MOTILITY DISORDERS; FEMALE; GASTROESOPHAGEAL REFLUX; HUMANS; HYDROGEN-ION CONCENTRATION; MALE; MANOMETRY; MIDDLE AGED; MONITORING, PHYSIOLOGIC; REFERENCE VALUES; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY; TIME FACTORS;

EID: 0037405078     PISSN: 01632116     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1023011931955     Document Type: Article

References (54)

1. Richter JE, Bradley LA, Castell DO: Esophageal chest pain: current controversies in pathogenesis, diagnosis, and therapy. Ann Intern Med 110:66-78, 1989
2. Richter JE: Overview of diagnostic testing for chest pain of unknown origin. Am J Med 92(suppl. 5A):41S-45S, 1992
3. Fang J, Bjorkman D: A critical approach to noncardiac chest pain: pathophysiology, diagnosis, and treatment. Am J Gastroenterol 96:958-968, 2001
4. Benjamin S, Gerhart DC, Castell DO: High amplitude peristaltic esophageal contractions associated with chest pain and/or dysphagia. Gastroenterology 77:478-483, 1979
5. Ferguson SC, Hodges K, Hersh T, Finich H: Esophageal manometry in patients with chest pain and normal coronary arteriogram. Am J Gastroenterol 75:124-127, 1981
6. Alban-Davies H, Jones DB, Rhodes J: Esophageal angina as the cause of chest pain. J Am Med Assoc 248:2274-2278, 1982
7. Janssens J, Vantrappen G, Ghillebert G: 24-hour recording of esophageal pressure and pH in patients with non-cardiac chest pain. Gastroenterology 90:1978-1984, 1986
8. Peters L, Petty D, Dalton CB, Penner D, Wu WC, Castell DO, Richter J: Spontaneous noncardiac chest pain: evaluation by 24-hour ambulatory esophageal motility and pH monitoring. Gastroenterology 94:878-886, 1988
9. Ghillebert G, Janssens JP, Vantrappen G, Nevens F, Piessens J: Ambulatory 24 hour intraoesophageal pH and pressure recordings vs provocation tests in the diagnosis of chest pain of oesophageal origin. Gut 31:738-744, 1990
10. Frobert OF, Funch-Jensen P, Bagger JP: Diagnostic value of esophageal studies in patients with angina-like chest pain and normal coronary angiograms. Ann Intern Med 124:959-969, 1996
11. Richter JE: Oesophageal motility disorders. Lancet 358:823-828, 2001
12. Grande L, Lacima G, Ros E, Pera M, Visa J, Pera C: Deterioration of esophageal motility with age. Manometric study of 79 healthy subjects. Am J Gastroenterol 94:1795-1801, 1999
13. Grande L, Culell P, Ros E, Lacima G, Pujol A, Garcia-Valdecasas JC, Fuster J, Visa J, Pera C: Comparison of stationary vs ambulatory 24-hour pH monitoring systems in diagnosis of gastroesophageal reflux disease. Dig Dis Sci 38:213-219, 1993
14. Lam HG, Breumelhof R, Roelofs JM, van Berge H, Smout AJ: What is the optimal time window in symptom analysis of 24-hour esophageal pressure and pH data? Dig Dis Sci 39:402-409, 1994
15. Wiener GJ, Richter JE, Cooper JB, Wu WC, Castell DO: The symptom index: a clinically important parameter of ambulatory 24-hour esophageal pH monitoring. Am J Gastroenterol 83:358-361, 1988
16. Richter JE, Castell DO: 24 hour ambulatory esophageal motility monitoring. How should motility data he analyzed? Gastroenterology 30:1040-1047, 1989
17. Soffer EE, Scalabrini P, Wingate DL: Spontaneous noncardiac chest pain: value of esophageal pH and motility monitoring. Dig Dis Sci 34:1651-1655, 1989
18. Hewson EG, Dalton CB, Richter JE: Comparison of esophageal manometry, provocative testing, and ambulatory monitoring in patients with unexplained chest pain. Dig Dis Sci 35:302-309, 1990
19. Breumelhof R, Nadorp J, Akkermans L, Smout AJ: Analysis of 24-hour esophageal pressure and pH data in unselected patients with noncardiac chest pain. Gastroenterology 99:1257-1264, 1990
20. Nevens F, Janssens JP, Piessens J, Ghillebert G, De Geest H, Vantrappen G: Prospective study on prevalence of esophageal chest pain in patients referred on an elective basis to a cardiac unit for suspected myocardial ischemia. Dig Dis Sci 36:229-235, 1991
21. Stein HJ, DeMeester TR, Eyspasch EP, Klingman RR: Ambulatory 24-hour esophageal manometry in the evaluation of esophageal motor disorders and noncardiac chest pain. Surgery 110:753-763, 1991
22. Lam HG, Dekker W, Kan G, Breedijk M, Smout AJ: Acute noncardiac chest pain in a coronary care unit. Evaluation by 24-hour pressure and pH recording of the esophagus. Gastroenterology 102:453-460, 1992
23. Hick DG, Morrison JF, Casey JF, al-Ashhab W, Williams GJ, Davies GA: Oesophageal motility, luminal pH, and electrocardiographic-ST segment analysis during spontaneous episodes of angina like chest pain. Gut 33:79-86, 1992
24. Paterson WG, Abdollah H, Beck IT, Da Costa LR: Ambulatory esophageal manometry, pH-metry, and Holter ECG monitoring in patients with atypical chest pain. Dig Dis Sci 38:795-802, 1993
25. Lam HG, Breumelhof R, van Berge H, Smout AJ: Temporal relationships between episodes of non-cardiac chest pain and abnormal oesophageal function. Gut 35:733-736, 1994
26. Adamek RJ, Wegener M, Wienheck M, Pulte T: Esophageal motility disorders and their coexistence with pathologic acdi reflux in patients with noncardiac chest pain. Scand J Gastroenterol 30:833-838, 1995
27. Paterson WG, Beck IT, Wang H: Ambulatory esophageal manometry/pH-metry discriminates between patients with different esophageal symptoms. Dig Dis Sci 41:357-364, 1996
28. Ho KY, Ng WL, Kang JY, Yeoh KG: Gastroesophageal reflux disease is a common cause of noncardiac chest pain in a country with a low prevalence of reflux esophagitis. Dig Dis Sci 43:1991-1997, 1998
29. Valori RM: Nutcracker, neurosis, or sampling bias? Gut 31:736-737, 1990
30. Achem SR, Kolts BE, Wears R, Burton L, Richter JE: Chest pain associated with nutcracker esophagus: a preliminary study of the role of gastroesophageal reflux. Am J Gastroenterol 88:187-192, 1993
31. Börjesson M, Pilhall M, Rolny P, Mannheimer C: Gastroesophagel acid reflux in patients with nutcracker esophagus. Scand J Gastroenterol 36:916-920, 2001
32. Emde C, Armstrong D, Castiglione F, Cilluffo T, Riecken EO, Blum AL: Reproducibility of long-term ambulatory esophageal combined pH/manometry. Gastroenterology 100:1630-1637, 1991
33. Wang H, Beck IT, Paterson WG: Reproducibility and physiological characteristics of 24-hour ambulatory esophageal manometry/pH-metry. Am J Gastroenterol 91:492-497, 1996
34. Nagler R, Spiro HM: Serial esophageal motility studies in asymptomatic young subjects. Gastroenterology 41:371-379, 1961
35. Howard PJ, Maher L, Pryde A, Heading RC: Symptomatic gastrooesophageal reflux, abnormal oesophageal acid exposure, and mucosal acid sensitivity are three separate, though related, aspects of gastro-oesophageal reflux disease. Gut 32:128-132, 1991
36. Weusten B, Akkermans L, van Berge-Henegouwen GP, Smout AJ: Symptom perception in gastroesophageal reflux disease is dependent on spatiotemporal reflux characteristics. Gastroenterology 108:1739-1744, 1995
37. Paterson WG, Murat BW: Combined ambulatory esophageal manometry and dual-probe pH-metry in evaluation of patients with chronic unexplained cough. Dig Dis Sci 39:1117-1125, 1994
38. Caestecker JS, Blackwell JN, Brown J, Heading RC: The oesophagus as a cause of recurrent chest pain: which patient should be investigated and which test should be used? Lancet 2:1143-1146, 1985
39. DeMeester TR, O'Sullivan GC, Bermudez G, Midelt AI, Cimochowiski GE, O'Drobinak JO: Esophageal function in patients with angina-type chest pain and normal coronary angiograms. Ann Surg 196:488-498, 1982
40. Schofield PM, Bennet DH, Whorwell PJ: Exertional gastroesophageal reflux: a mechanism for symptoms in patients with angina pectoris and normal coronary angiograms. Br Med J 294:1459-1461, 1987
41. Hewson EG, Sinclair JW, Dalton CD, Richter JE: Twenty-four-hour esophageal pH monitoring: the most useful test for evaluation of noncardiac chest pain. Am J Med 90:576-583, 1991
42. Kahrilas PJ, Quigley EMM: American Gastroenterological Association Position Statement: guidelines on the use of esophageal pH recording. Gastroenterology 110:1981-1996, 1996
43. Richter JE, Barish C, Castell DO: Abnormal sensory perception in patients with esophageal chest pain. Gastroenterology 91:845-852, 1986
44. Mehta AJ, Caestecker JS, Camm AJ, Northfield TC: Sensitization to painful distension and abnormal sensory perception in the esophagus. Gastroenterology 108:311-319, 1995
45. Rao SSC, Gregersen H, Hayek B, Summers RW, Christensen J: Un-explained chest pain: the hypersensitive, hyperreactive, and poorly compliant esophagus. Ann Intern Med 124:950-958, 1996
46. Balaban DH, Yamamoto Y, Liu J, Pehlivanov N, Wisnieski R, DeSilvey D, Mittal RK: Sustained esophageal contraction: a marker of esophageal chest pain identified by intraluminal ultrasonography. Gastroenterology 116:29-37, 1999
47. Mujica VR, Muadipalli SR, Rao SC: Pathophysiology of chest pain in patients with nutcracker esophagus. Am J Gastroenterol 96:1371-1377, 2001
48. Richter JE, Obrecht WF, Bradley LA, Young LA, Anderson KO: Psychological similarities between patients with the nutcracker esophagus and the irritable bowel syndrome. Dig Dis Sci 31:131-138, 1986
49. Ho KY, Kang JY, Yeo B, Ng WL: Non-cardiac, non-oesophageal chest pain: the relevance of psychological factors. Gut 43:105-110, 1998
50. Ros E, Armengol X, Grande L, Toledo-Pimentel V, Lacima G, Sanz G: Chest pain at rest in patients with coronary artery disease. Myocardial ischemia, esophageal dysfunction, or panic disorder? Dig Dis Sci 42:1344-1353, 1997
51. Clouse RE, Lustman PJ: Psychiatric illness and contraction abnormalities of the esophagus. N Engl J Med 309:1337-1342, 1983
52. Fass R, Fennerty MB, Ofman JJ, Gralnek IM, Johnson C, Camargo E, Sampliner RE: The clinical and economic value of a short course of omeprazote in patients with noncardiac chest pain. Gastroenterology 115:42-49, 1998
53. Borzecki AM, Pedrosa MC, Prashker MJ: Should noncardiac chest pain be treated empirically? A cost-effectiveness analysis. Arch Intern Med 160:844-852, 2000
54. Botoman VA: Noncardiac chest pain. J Clin Gastroenterol 34:6-14, 2002