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Epigastric pain

MedGen UID:
452270
Concept ID:
C0232493
Sign or Symptom
Synonyms: Epigastric Pain; Epigastrium pain; Pain in Epigastrium
SNOMED CT: Epigastric pain (79922009)
 
HPO: HP:0410019

Definition

Pain that is localized to the region of the upper abdomen immediately below the ribs. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVEpigastric pain

Conditions with this feature

Esophagitis, eosinophilic, 2
MedGen UID:
462029
Concept ID:
C3150679
Disease or Syndrome
Esophagitis, eosinophilic, 1
MedGen UID:
1634032
Concept ID:
C4551589
Disease or Syndrome
Eosinophilic esophagitis (EOE) has an incidence of approximately 1 per 10,000 people. Symptoms include difficulty feeding, failure to thrive, vomiting, epigastric or chest pain, dysphagia, and food impaction. Individuals with EOE are predominantly young males with a high rate of atopic disease, and the diagnosis is made by endoscopy and biopsy findings of isolated eosinophils in the esophagus (summary by Rothenberg et al., 2010). Genetic Heterogeneity of Eosinophilic Esophagitis Eosinophilic esophagitis-1 (EOE1) is associated with variation at chromosome 7q11.2. Another locus (EOE2; 613412) has been been associated with variation in the TSLP gene (607003) on chromosome 5q22.

Professional guidelines

PubMed

Mounsey A, Barzin A, Rietz A
Am Fam Physician 2020 Jan 15;101(2):84-88. PMID: 31939638
Kavitt RT, Lipowska AM, Anyane-Yeboa A, Gralnek IM
Am J Med 2019 Apr;132(4):447-456. Epub 2019 Jan 3 doi: 10.1016/j.amjmed.2018.12.009. PMID: 30611829
Navas CM, Patel NK, Lacy BE
Gastrointest Endosc Clin N Am 2019 Jan;29(1):55-70. Epub 2018 Sep 11 doi: 10.1016/j.giec.2018.08.005. PMID: 30396528

Recent clinical studies

Etiology

Corazziari ES, Gasbarrini A, D'Alba L, D'Ovidio V, Riggio O, Passaretti S, Annibale B, Cicala M, Repici A, Bassotti G, Ciacci C, Di Sabatino A, Neri M, Bragazzi MC, Ribichini E, Radocchia G, Iovino P, Marazzato M, Schippa S, Badiali D
Am J Gastroenterol 2023 Nov 1;118(11):2014-2024. Epub 2023 Jun 13 doi: 10.14309/ajg.0000000000002360. PMID: 37307528Free PMC Article
Suciu A, Popa SL, Dumitrascu DL
J Med Life 2019 Oct-Dec;12(4):316-321. doi: 10.25122/jml-2019-0111. PMID: 32025247Free PMC Article
Van Den Houte K, Carbone F, Tack J
Expert Rev Gastroenterol Hepatol 2019 Jan;13(1):37-46. Epub 2018 Nov 8 doi: 10.1080/17474124.2019.1543586. PMID: 30791841
Najm WI
Prim Care 2011 Sep;38(3):383-94, vii. doi: 10.1016/j.pop.2011.05.001. PMID: 21872087
Meher S, Neilson J
Practitioner 2004 Oct;248(1663):720, 722, 724 passim. PMID: 15491015

Diagnosis

Tuerk E, Doss S, Polsley K
Prim Care 2023 Sep;50(3):351-362. Epub 2023 May 24 doi: 10.1016/j.pop.2023.03.003. PMID: 37516507
Lukic S, Mijac D, Filipovic B, Sokic-Milutinovic A, Tomasevic R, Krstic M, Milosavljevic T
Dig Dis 2022;40(2):181-186. Epub 2021 May 4 doi: 10.1159/000516977. PMID: 33946069
Chisty A
Med Clin North Am 2021 Jan;105(1):19-30. Epub 2020 Nov 7 doi: 10.1016/j.mcna.2020.08.012. PMID: 33246519
Sayuk GS, Gyawali CP
Drugs 2020 Sep;80(13):1319-1336. doi: 10.1007/s40265-020-01362-4. PMID: 32691294
Seetlani NK, Imran K, Hafeez QUA, Ali A, Fazil PA, Sultan BS, Khan S
J Coll Physicians Surg Pak 2019 Jun;29(6):S20-S22. doi: 10.29271/jcpsp.2019.06.S20. PMID: 31142410

Therapy

Kamath S, Parveen RS, Hegde S, Mathias EG, Nayak V, Boloor A
Naunyn Schmiedebergs Arch Pharmacol 2024 May;397(5):2701-2714. Epub 2023 Nov 18 doi: 10.1007/s00210-023-02817-7. PMID: 37979057
Tuerk E, Doss S, Polsley K
Prim Care 2023 Sep;50(3):351-362. Epub 2023 May 24 doi: 10.1016/j.pop.2023.03.003. PMID: 37516507
Corazziari ES, Gasbarrini A, D'Alba L, D'Ovidio V, Riggio O, Passaretti S, Annibale B, Cicala M, Repici A, Bassotti G, Ciacci C, Di Sabatino A, Neri M, Bragazzi MC, Ribichini E, Radocchia G, Iovino P, Marazzato M, Schippa S, Badiali D
Am J Gastroenterol 2023 Nov 1;118(11):2014-2024. Epub 2023 Jun 13 doi: 10.14309/ajg.0000000000002360. PMID: 37307528Free PMC Article
Chisty A
Med Clin North Am 2021 Jan;105(1):19-30. Epub 2020 Nov 7 doi: 10.1016/j.mcna.2020.08.012. PMID: 33246519
Sayuk GS, Gyawali CP
Drugs 2020 Sep;80(13):1319-1336. doi: 10.1007/s40265-020-01362-4. PMID: 32691294

Prognosis

Ballou S, Singh P, Nee J, Rangan V, Iturrino J, Geeganage G, Löwe B, Bangdiwala SI, Palsson OS, Sperber AD, Lembo A, Lehmann M
Gastroenterology 2023 Sep;165(3):647-655.e4. Epub 2023 Jun 13 doi: 10.1053/j.gastro.2023.05.049. PMID: 37315866Free PMC Article
Wauters L, Dickman R, Drug V, Mulak A, Serra J, Enck P, Tack J; ESNM FD Consensus Group, Accarino A, Barbara G, Bor S, Coffin B, Corsetti M, De Schepper H, Dumitrascu D, Farmer A, Gourcerol G, Hauser G, Hausken T, Karamanolis G, Keszthelyi D, Malagelada C, Milosavljevic T, Muris J, O'Morain C, Papathanasopoulos A, Pohl D, Rumyantseva D, Sarnelli G, Savarino E, Schol J, Sheptulin A, Smet A, Stengel A, Storonova O, Storr M, Törnblom H, Vanuytsel T, Velosa M, Waluga M, Zarate N, Zerbib F
Neurogastroenterol Motil 2021 Sep;33(9):e14238. doi: 10.1111/nmo.14238. PMID: 34586707
Chhabra S, Tyagi S, Bhavani M, Gosawi M
J Obstet Gynaecol 2012 Apr;32(3):264-6. doi: 10.3109/01443615.2011.639467. PMID: 22369401
Rath W, Faridi A, Dudenhausen JW
J Perinat Med 2000;28(4):249-60. doi: 10.1515/JPM.2000.033. PMID: 11031696
van Heerden JA, Phillips SF, Adson MA, McIlrath DC
Am J Surg 1975 Jan;129(1):82-8. doi: 10.1016/0002-9610(75)90172-5. PMID: 1082249

Clinical prediction guides

Oshima T
Digestion 2024;105(1):26-33. Epub 2023 Aug 18 doi: 10.1159/000532082. PMID: 37598673
Corazziari ES, Gasbarrini A, D'Alba L, D'Ovidio V, Riggio O, Passaretti S, Annibale B, Cicala M, Repici A, Bassotti G, Ciacci C, Di Sabatino A, Neri M, Bragazzi MC, Ribichini E, Radocchia G, Iovino P, Marazzato M, Schippa S, Badiali D
Am J Gastroenterol 2023 Nov 1;118(11):2014-2024. Epub 2023 Jun 13 doi: 10.14309/ajg.0000000000002360. PMID: 37307528Free PMC Article
Abdo-Francis JM, Cabrera-Álvarez G, Martínez-Torres H, Remes-Troche JM
Gac Med Mex 2022;158(6):423-429. doi: 10.24875/GMM.M22000722. PMID: 36657136
Moayyedi P
Curr Opin Gastroenterol 2012 Nov;28(6):602-7. doi: 10.1097/MOG.0b013e328358ad9b. PMID: 22918384
Tack J, Talley NJ, Camilleri M, Holtmann G, Hu P, Malagelada JR, Stanghellini V
Gastroenterology 2006 Apr;130(5):1466-79. doi: 10.1053/j.gastro.2005.11.059. PMID: 16678560

Recent systematic reviews

Kamath S, Parveen RS, Hegde S, Mathias EG, Nayak V, Boloor A
Naunyn Schmiedebergs Arch Pharmacol 2024 May;397(5):2701-2714. Epub 2023 Nov 18 doi: 10.1007/s00210-023-02817-7. PMID: 37979057
Tandon N, Yadav SS
J Ethnopharmacol 2020 Jun 12;255:112768. Epub 2020 Mar 19 doi: 10.1016/j.jep.2020.112768. PMID: 32201301
Rompianesi G, Hann A, Komolafe O, Pereira SP, Davidson BR, Gurusamy KS
Cochrane Database Syst Rev 2017 Apr 21;4(4):CD012010. doi: 10.1002/14651858.CD012010.pub2. PMID: 28431198Free PMC Article
Ford AC, Marwaha A, Sood R, Moayyedi P
Gut 2015 Jul;64(7):1049-57. Epub 2014 Aug 21 doi: 10.1136/gutjnl-2014-307843. PMID: 25147201
Bunting DM, Szczebiot L, Peyser PM
Ann R Coll Surg Engl 2014 Mar;96(2):95-100. doi: 10.1308/003588414X13824511649256. PMID: 24780664Free PMC Article

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