Larkin, C.J.; Murphy, P.; McDougall, N.; Collins, J.; Johnston, S.; Tham, T.C.K.
April 2003
Gut;Apr2003 Supplement 1, Vol. 52, pA115
Academic Journal
Among the indications for endoscopy referral are patients with chest pain. A proportion of these are referred from cardiology when exercise stress testing or coronary angiography fail to elucidate a cause. The aim of the study was to examine consecutive patients who attended for endoscopy when chest pain was one of the indications, and to assess the usefulness of this examination in such patients. Consecutive patients with chest pain were prospectively recruited at the time of endoscopy. Other symptoms and endoscopy findings were recorded. Thirty-five patients with chest pain were recruited. 37% had concomitant reflux symptoms, 11.4% had concomitant abdominal pain and 11.4% had dysphagia; 46% of patients were found to have a hiatus hernia, 40% had oesophagitis, 3% had Barrett's oesophagus, 6% had duodenitis, 3% had duodenal ulceration, 20% had gastritis, and 26% had no abnormal findings. In conclusion, upper gastrointestinal endoscopy is a useful examination in patients presenting with chest pain. A positive finding was present in approximately three quarters of patients.


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