J Neurogastroenterol Motil.  2012 Oct;18(4):365-372.

High-resolution Manometry: Esophageal Disorders Not Addressed by the "Chicago Classification"

Affiliations
  • 1Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom. wangyutien@gmail.com

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.

Keyword

Chicago classification; Esophageal motility disorders; Manometry

MeSH Terms

Chicago
Esophageal Motility Disorders
Esophageal Sphincter, Upper
Esophagus
Gastroesophageal Reflux
Humans
Manometry
Muscle Contraction
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