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- Title
The view of gastroenterologists on non-cardiac chest pain in Asia.
- Authors
CHEUNG, T. K.; LIM, P. W. Y.; WONG, B. C. Y.
- Abstract
Background Non-cardiac chest pain is an important disorder in Asia. The practice and views of gastroenterologists on non-cardiac chest pain in this region are not known. Aims To determine the current understanding, diagnostic practice and treatment strategies among gastroenterologists on the management of non-cardiac chest pain in Asia. Methods A 24-item questionnaire was sent to gastroenterologists in Mainland China, Hong Kong, Malaysia, Indonesia, Philippines, Singapore, Taiwan and Thailand. Results 186 gastroenterologists participated with a response rate of 74%. 98% of gastroenterologists managed patients with non-cardiac chest pain over the last 6 months. 64% felt that the number of non-cardiac chest pain patients was increasing and 85% believed that the most common cause of non-cardiac chest pain was GERD. 94% of the gastroenterologists believed that they should manage non-cardiac chest pain patients, but only 41% were comfortable in diagnosing non-cardiac chest pain. The average number of investigations performed was four in non-cardiac chest pain patients, and oesophago-gastro-duodenoscopy was the most commonly used initial test. A proton pump inhibitor was considered the first-line treatment in non-cardiac chest pain and was reported as the most effective treatment by the gastroenterologists. Conclusion Most gastroenterologists were practicing evidence-based medicine, but frequent use of investigations and a lack of awareness of the role of visceral hypersensitivity in non-cardiac chest pain patients were noted.
- Subjects
ASIA; GASTROENTEROLOGISTS; CHEST pain; PROTON pump inhibitors; DUODENOSCOPY; MEDICAL research
- Publication
Alimentary Pharmacology & Therapeutics, 2007, Vol 26, Issue 4, p597
- ISSN
0269-2813
- Publication type
Article
- DOI
10.1111/j.1365-2036.2007.03403.x