| Prevalence and Clinical Characteristics of Noncardiac Chest Pain with Reflux Esophagitis in Korea |
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Ji Young Mok, Sohyun Kwon, Kiwon Shin, Seonwoo Oh, Soojeong Han, Sang Hoon Eum, Hee Jun Kang, Bong Han Kong, Byung Hee Hwang, Jung Hwan Oh |
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Department of Internal Medicine, St. Paul's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. ojh@catholic.ac.kr |
| 비심인성 가슴통증 환자에서 역류성식도염의 유병률 및 임상특징 |
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목지영, 권소현, 신기원, 오선우, 한수정, 음상훈, 강희준, 공봉한, 황병희, 오정환 |
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가톨릭대학교 의과대학 성바오로병원 내과학교실 |
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| Abstract |
BACKGROUND/AIMS
Noncardiac chest pain (NCCP) is substernal, squeezing chest pain, unrelated to the cardiac problem. Our study aimed to define the prevalence and clinical characteristics of reflux esophagitis in NCCP patients in Korea. MATERIALS AND METHODS: We reviewed medical records of patients who visited Department of Cardiology, St. Paul's Hospital due to chest pain and had normal coronary arteriography and who had received endoscopy within 6 months. Patients diagnosed with peptic ulcer or gastric cancer were excluded. The patients were classified into two groups according to their endoscopic results; the reflux esophagitis group and the control group. RESULTS: Two hundred seventeen NCCP patients were enrolled and 96 patients (44.2%) were diagnosed with reflux esophagitis: 68 patients (31.3%) with minimal change esophagitis; 26 patients (12.0%) with Los Angeles (LA) grade A; 2 patients (0.9%) with LA grade B. There were no patients with severe erosive reflux disease. There were no significantly different characteristics in the reflux esophagitis group and the control group. CONCLUSIONS: The prevalence of reflux esophagitis in NCCP patients in Korea was 44.2%. Most patients had mild reflux esophagitis. |
| Key Words:
Chest pain; Endoscopy; Esophagitis; Gastroesophageal reflux; Prevalence |
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