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Established and Emerging Treatment Options for Functional Heartburn and Chest Pain

Current Treatment Options in Gastroenterology, 2016
Functional heartburn and functional chest pain of presumed esophageal origin are characterized by symptoms suggesting an esophageal origin, but negative work-up on routine investigations, including ruling out gastroesophageal reflux disease. Visceral hypersensitivity is a potentially unifying pathophysiological concept, thought to underlie these ...
Jan, Tack, Tim, Vanuytsel, Ans, Pauwels
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Update on Functional Heartburn.

Gastroenterology & hepatology
The definition of functional heartburn has been refined over the years. It is currently described, based upon Rome IV criteria, as typical heartburn symptoms in the presence of normal upper endoscopy findings (including normal biopsies), normal esophageal pH testing, and a negative association between symptoms and reflux events. Functional heartburn is
Takahisa, Yamasaki   +2 more
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Light microscopy is useful to better define NERD and functional heartburn

Gut, 2013
We read with great interest the well done pathophysiological study by Woodland et al 1 showing that an impaired oesophageal mucosal integrity, expressed by low baseline impedance values, is likely due to repeated acid reflux episodes, which contribute also to slow recovery after this challenge.
Savarino E   +4 more
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Functional chest pain responds to biofeedback treatment but functional heartburn does not

European Journal of Gastroenterology & Hepatology, 2012
Patients with functional esophageal disorders represent a challenging treatment group. The purpose of this study was to evaluate the role of biofeedback in the treatment of patients with functional esophageal disorders.In this prospective study, patients with typical/atypical symptoms of gastroesophageal reflux disease underwent upper endoscopy and 24 ...
Michael, Shapiro   +5 more
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How to differentiate non‐erosive reflux disease from functional heartburn

Journal of Digestive Diseases, 2012
Heartburn is a common symptom in gastroesophageal reflux disease. Endoscopic examination can differentiate between reflux esophagitis and non‐erosive reflux disease (NERD), but not between NERD and functional heartburn. With the development of new techniques, more NERD patients could be identified among those previously diagnosed with functional ...
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Functional Heartburn: What It Is and How to Treat It

Gastrointestinal Endoscopy Clinics of North America, 2009
Functional heartburn is considered one of the most common functional esophageal disorders. The disorder is more common in young women and is associated with other functional bowel disorders and psychological co-morbidity, primarily somatization. The etiology of functional heartburn remains unknown.
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Non-Erosive Reflux Disease (NERD) and Functional Heartburn

2006
NERD is a real entity and its importance in the spectrum of GERD must be appreciated. Functional heartburn needs to be further differentiated as that subgroup of patients in which there appears to be no relationship between symptoms, albeit “typical” of GERD, and acid exposure.
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Functional Heartburn in a Non-Disease

American Journal of Gastroenterology, 2006
Jerry D. Gardner   +3 more
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[Symptom overlaps between functional heartburn, functional dyspepsia, and irritable bowel syndrome].

Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition, 2015
To determine symptom overlaps between functional heartburn (FH), functional dyspepsia (FD), and irritable bowel syndrome (IBS).One hundred and ten patients with frequent heartburn but no mucosa breakage under endoscopy were enrolled consecutively. They were required to fill out a questionnaire.
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