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KMID : 0812020010070020227
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Korean Journal of Neurogastroenterology and Motility
2001 Volume.7 No. 2 p.227 ~ p.232
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A Case of Nutcracker Esophagus Associated with Chest Pain and Antidepressant Treatment
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최석채/Suck Chei Choi
이상열/최지훈/심미령/염주진/박정현/김태현/나용호/Sang Yeol Lee/Ji Hun Choi/Mi Ryeong Sim/Joo Jin Yeom/Jung Hyeon Park/Tae Hyeon Kim/Yong Ho Nah
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Abstract
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Nutcracker esophagus is thought to be a common cause of noncardiac chest pain although has not been clearly established, and the effective treatment is lacking. The usual forms of therapy for noncardiac chest pain by nutcracker esophagus have
been
directed traditionally toward reducing esophageal hypermotility and muscle tone such as nitrate and calcium channel blocker. However, the results of this treatment in the long term care of patient with esophageal symptoms have been generally
disappointing and often unsatisfactory. Recently, psychosomatic aspect of esophageal motility disorder including antidepressant treatment has been accepted in the treatment of noncardiac chest pain. We report a 48 year old female with nutcracker
esophagus associated chest pain by ambulatory 24 hour esophageal manometry who failed diagnosis by conventional manometry. The symptoms of chest pain, quality of life, and depression of the patient were improved after antidepressant medication.
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KEYWORD
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