Ponce J, Del Val A, Garrigues V, Molés J R, Linares M, Berenguer J
Departamento de Medicina Interna, Hospital La Fe, Valencia.
Rev Esp Enferm Dig. 1990 Apr;77(4):245-9.
We have studied the prevalence of esophageal pathology, by means of esophagogram, esophagogastroscopy, manometry, 24-hours ambulatory pH measurement and acid perfusion of the esophagus, in 44 patients with thoracic pain suggestive of angina. Esophageal pathology was demonstrated in 30 (68.3%) cases; 25 patients were diagnosed of reflux and 5 of primary motor alteration. All the patients received specific treatment; the response to treatment was good in 22 of them (17 with reflux and 5 with motor alterations). In conclusion, esophageal pathology is a common cause of thoracic pain, and reflux is the most frequent finding.
我们通过食管造影、食管胃镜检查、测压、24小时动态pH值测量以及食管酸灌注，对44例有提示心绞痛的胸痛患者的食管病变患病率进行了研究。在30例（68.3%）患者中发现了食管病变；25例患者被诊断为反流，5例为原发性运动改变。所有患者均接受了特异性治疗；其中22例（17例反流患者和5例运动改变患者）治疗反应良好。总之，食管病变是胸痛的常见原因，反流是最常见的发现。
