Yadlapati, Rena; Kahrilas, Peter J; Fox, Mark R; Bredenoord, Albert J; Prakash Gyawali, C; Roman, Sabine; Babaei, Arash; Mittal, Ravinder K; Rommel, Nathalie; Savarino, Edoardo; Sifrim, Daniel; Smout, André; Vaezi, Michael F; Zerbib, Frank; Akiyama, Junichi; Bhatia, Shobna; Bor, Serhat; Carlson, Dustin A; Chen, Joan W; Cisternas, Daniel; ... (2021). Esophageal motility disorders on high-resolution manometry: Chicago classification version 4.0©. Neurogastroenterology and motility, 33(1), e14058. Wiley 10.1111/nmo.14058
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Neurogastroenterology_Motil_-_2021_-_Yadlapati_-_Esophageal_motility_disorders_on_high_u2010resolution_manometry_Chicago.pdf - Published Version Restricted to registered users only Available under License Publisher holds Copyright. Download (4MB) |
Chicago Classification v4.0 (CCv4.0) is the updated classification scheme for esophageal motility disorders using metrics from high-resolution manometry (HRM). Fifty-two diverse international experts separated into seven working subgroups utilized formal validated methodologies over two-years to develop CCv4.0. Key updates in CCv.4.0 consist of a more rigorous and expansive HRM protocol that incorporates supine and upright test positions as well as provocative testing, a refined definition of esophagogastric junction (EGJ) outflow obstruction (EGJOO), more stringent diagnostic criteria for ineffective esophageal motility and description of baseline EGJ metrics. Further, the CCv4.0 sought to define motility disorder diagnoses as conclusive and inconclusive based on associated symptoms, and findings on provocative testing as well as supportive testing with barium esophagram with tablet and/or functional lumen imaging probe. These changes attempt to minimize ambiguity in prior iterations of Chicago Classification and provide more standardized and rigorous criteria for patterns of disorders of peristalsis and obstruction at the EGJ.
Item Type: |
Journal Article (Review Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Gastroenterology |
UniBE Contributor: |
Lenglinger, Johannes |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1365-2982 |
Publisher: |
Wiley |
Language: |
English |
Submitter: |
Rahel Fuhrer |
Date Deposited: |
03 Feb 2022 15:53 |
Last Modified: |
05 Dec 2022 16:03 |
Publisher DOI: |
10.1111/nmo.14058 |
PubMed ID: |
33373111 |
Uncontrolled Keywords: |
achalasia esophageal spasm integrated relaxation pressure lower esophageal sphincter peroral endoscopic myotomy |
BORIS DOI: |
10.48350/164360 |
URI: |
https://boris.unibe.ch/id/eprint/164360 |
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