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Functional Heartburn: the Stimulus, the Pain, and the Brain

Overview
Journal Gut
Specialty Gastroenterology
Date 2002 Nov 13
PMID 12427796
Citations 60
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Abstract

Functional heartburn is a common disorder and appears to be composed of several distinct subgroups. Identifying the different subgroups based on clinical history only is not achievable at present. The mechanisms responsible for pain, clinical characteristics, and the optimal therapeutic approach remain poorly understood. Response to potent antireflux treatment is relatively limited. Current and future treatment strategies for functional heartburn patients who have failed standard dose proton pump inhibitors (PPIs) include increased PPI dose in some, as well as addition of pain modulators in others.

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References
1.
Schenk B, Kuipers E, Klinkenberg-Knol E, Festen H, Jansen E, Tuynman H . Omeprazole as a diagnostic tool in gastroesophageal reflux disease. Am J Gastroenterol. 1997; 92(11):1997-2000. View

2.
Richter J, Bradley L . Psychophysiological interactions in esophageal diseases. Semin Gastrointest Dis. 1996; 7(4):169-84. View

3.
Trimble K, PRYDE A, Heading R . Lowered oesophageal sensory thresholds in patients with symptomatic but not excess gastro-oesophageal reflux: evidence for a spectrum of visceral sensitivity in GORD. Gut. 1995; 37(1):7-12. PMC: 1382759. DOI: 10.1136/gut.37.1.7. View

4.
Watson R, Tham T, Johnston B, McDougall N . Double blind cross-over placebo controlled study of omeprazole in the treatment of patients with reflux symptoms and physiological levels of acid reflux--the "sensitive oesophagus". Gut. 1997; 40(5):587-90. PMC: 1027158. DOI: 10.1136/gut.40.5.587. View

5.
Bradley L, Richter J, Pulliam T, Haile J, Scarinci I, Schan C . The relationship between stress and symptoms of gastroesophageal reflux: the influence of psychological factors. Am J Gastroenterol. 1993; 88(1):11-9. View