Patients with chest pain and occult gastroesophageal reflux demonstrate visceral pain hypersensitivity which may be partially responsive to acid suppression

S Sarkar, DG Thompson, CJ Woolf… - Official journal of the …, 2004 - journals.lww.com
OBJECTIVES: Mechanisms of chest pain in gastroesophageal reflux disease (GERD) are
poorly understood. The recent demonstration in healthy subjects that lower esophageal acid …

Functional chest pain: nociception and visceral hyperalgesia

PS Chahal, SSC Rao - Journal of clinical gastroenterology, 2005 - journals.lww.com
Functional chest pain is a common, yet poorly understood entity. The focus of this review is
to explore the evolving research and clinical approaches with a particular emphasis on the …

Noncardiac chest pain

VA Botoman - Journal of clinical gastroenterology, 2002 - journals.lww.com
Background Several major schools of thought have emerged in the etiology of noncardiac
chest pain: acid reflux, motor disorder, altered pain threshold/hypersensitivity, and …

Prior sensitization of esophageal mucosa by acid reflux predisposes to reflux-induced chest pain

A Beedassy, PO Katz, A Gruber… - Journal of clinical …, 2000 - journals.lww.com
Esophageal acid exposure is believed to be a major source of unexplained chest pain; but,
individual episodes of reflux in pH study are not consistently associated with chest pain. Our …

Acid sensitization of esophageal mucosal afferents: implication for symptom perception in patients across the gastroesophageal reflux disease spectrum

MM Szczesniak, SE Fuentealba… - The Clinical journal of …, 2013 - journals.lww.com
Background: Sensitization of esophageal chemoreceptors, either directly by intermittent acid
exposure or indirectly through esophagitis-associated inflammatory mediators, is likely to be …

Chest pain of esophageal origin

R Fass, I Malagon, M Schmulson - Current Opinion in …, 2001 - journals.lww.com
Chest pain of esophageal origin or noncardiac chest pain is reported by at least a fifth of the
general population. Recent literature focused on further understanding mechanisms of chest …

Esophageal sensitivity and symptom perception in gastroesophageal reflux disease

G Shi, RP Tatum, RJ Joehl, PJ Kahrilas - Current gastroenterology reports, 1999 - Springer
Patients with gastroesophageal reflux disease (GERD) experience a wide spectrum of
symptoms, varying both in quality and severity. This review summarizes clinical observations …

Chest pain of esophageal origin

R Fass - Current opinion in gastroenterology, 2002 - journals.lww.com
Chest pain of esophageal origin is the most common atypical/extraesophageal
manifestation of gastroesophageal reflux disease (GERD). We are increasingly recognizing …

Development of esophageal hypersensitivity following experimental duodenal acidification

AR Hobson, RW Khan, S Sarkar… - Official journal of the …, 2004 - journals.lww.com
OBJECTIVES As visceral afferents from different regions of the gastrointestinal tract
converge at the level of the spinal cord, we hypothesized that sensitization of one gut organ …

Intraesophageal acid perfusion sensitizes the esophagus to mechanical distension: a Barostat study

WHC Hu, CJ Martin, NJ Talley - … journal of the American College of …, 2000 - journals.lww.com
OBJECTIVE: The pathogenesis of noncardiac chest pain is unclear. Increased
gastroesophageal reflux and decreased pain thresholds to intraesophageal balloon …