Korean J Helicobacter Up Gastrointest Res.  2016 Jun;16(2):88-91. 10.7704/kjhugr.2016.16.2.88.

Prevalence and Clinical Characteristics of Noncardiac Chest Pain with Reflux Esophagitis in Korea

• Mok JY
• Kwon S
• Shin K
• Oh S
• Han S
• Eum SH
• Kang HJ
• Kong BH
• Hwang BH
• Oh JH

• KMID: 2305530
• DOI: http://doi.org/10.7704/kjhugr.2016.16.2.88

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.

Keyword

Chest pain; Endoscopy; Esophagitis; Gastroesophageal reflux; Prevalence

MeSH Terms

Angiography
Cardiology
Chest Pain*
Endoscopy
Esophagitis
Esophagitis, Peptic*
Gastroesophageal Reflux
Humans
Korea*
Medical Records
Peptic Ulcer
Prevalence*
Stomach Neoplasms
Thorax*