Esophageal motility disorders on high-resolution manometry: Chicago classification version 4.0(C)

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dc.contributor.authorYadlapati, Rena
dc.contributor.authorKahrilas, Peter J.
dc.contributor.authorFox, Mark R.
dc.contributor.authorBredenoord, Albert J.
dc.contributor.authorPrakash Gyawali, C.
dc.contributor.authorRoman, Sabine
dc.contributor.authorSifrim, Daniel
dc.date.accessioned2021-05-03T20:33:30Z
dc.date.available2021-05-03T20:33:30Z
dc.date.issued2021
dc.departmentEge Üniversitesien_US
dc.description.abstractChicago 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.en_US
dc.description.sponsorshipNIDDK NIH HHSUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK) [P01 DK092217, R01 DK092217, P01 DK117824] Funding Source: Medlineen_US
dc.identifier.doi10.1111/nmo.14058
dc.identifier.issn1350-1925
dc.identifier.issn1365-2982
dc.identifier.issue1en_US
dc.identifier.pmid33373111en_US
dc.identifier.urihttps://doi.org/10.1111/nmo.14058
dc.identifier.urihttps://hdl.handle.net/11454/70052
dc.identifier.volume33en_US
dc.identifier.wosWOS:000603613800003en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofNeurogastroenterology and Motilityen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectachalasiaen_US
dc.subjectesophageal spasmen_US
dc.subjectintegrated relaxation pressureen_US
dc.subjectlower esophageal sphincteren_US
dc.subjectperoral endoscopic myotomyen_US
dc.titleEsophageal motility disorders on high-resolution manometry: Chicago classification version 4.0(C)en_US
dc.typeArticleen_US

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