High-resolution Manometry: Esophageal Disorders Not Addressed by the "Chicago Classification".
- Author:
Yu Tien WANG
1
;
Etsuro YAZAKI
;
Daniel SIFRIM
Author Information
1. Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom. wangyutien@gmail.com
- Publication Type:Review
- Keywords:
Chicago classification;
Esophageal motility disorders;
Manometry
- MeSH:
Chicago;
Esophageal Motility Disorders;
Esophageal Sphincter, Upper;
Esophagus;
Gastroesophageal Reflux;
Humans;
Manometry;
Muscle Contraction
- From:Journal of Neurogastroenterology and Motility
2012;18(4):365-372
- CountryRepublic of Korea
- Language:English
-
Abstract:
The development of the high-resolution esophageal manometry (HRM) and the Chicago classification have improved the diagnosis and management of esophageal motility disorders. However, some conditions have yet to be addressed by this classification. This review describes findings in HRM which are not included in the current Chicago classification based on the experience in our center. This includes the analysis of the upper esophageal sphincter, proximal esophagus, longitudinal muscle contraction, disorders related to gastroesophageal reflux disease and respiratory symptoms. The utility of provocative tests and the use of HRM in the evaluation of rumination syndrome and post-surgical patients will also be discussed. We believe that characterization of the manometric findings in these areas will eventually lead to incorporation of new criteria into the existing classification.
