Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology · 2018
[A case of non-cardiac chest pain caused by esophageal motility disorder observed on esophageal high-resolution manometry].
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Muta Kazumasa, Ihara Eikichi, Kitagawa Yusuke, Hamada Shohei, Fukaura Keita, Iwasa Tsutomu, Aso Akira, Ogino Haruei, Nakamura Kazuhiko, Ogawa Yoshihiro
Аннотация
A 20-year-old man was referred to our hospital with dysphagia and chest pain. Heart disease was denied. No abnormality was observed in upper esophagogastroduodenoscopy and fluoroscopy;furthermore, no gastric acid-related symptoms were observed on combined esophageal multichannel intraluminal impedance and pH monitoring. Esophageal high-resolution manometry (HRM) performed by liquid swallow revealed normal peristalsis;however, HRM performed while the patient was taking solid meals showed abnormal contraction, and the patient simultaneously complained of chest pain. Therefore, we diagnosed this case as non-cardiac chest pain due to esophageal motility disorder.