J Neurogastroenterol Motil.  2017 Oct;23(4):487-494. 10.5056/jnm17026.

Understanding the Chicago Classification: From Tracings to Patients

Affiliations
  • 1Department of Surgery and Center for Esophageal Diseases, University of North Carolina, Chapel Hill, NC, USA. fschlottmann@hotmail.com
  • 2Department of Surgery, Escola Paulista de Medicina, Federal University of Sao Paulo, Sao Paulo, Brazil.

Abstract

Current parameters of the Chicago classification include assessment of the esophageal body (contraction vigour and peristalsis), lower esophageal sphincter relaxation pressure, and intra-bolus pressure pattern. Esophageal disorders include achalasia, esophagogastric junction outflow obstruction, major disorders of peristalsis, and minor disorders of peristalsis. Sub-classification of achalasia in types I, II, and III seems to be useful to predict outcomes and choose the optimal treatment approach. The real clinical significance of other new parameters and disorders is still under investigation.

Keyword

Chicago classification; Esophageal achalasia; Esophageal motility disorders; High-resolution manometry

MeSH Terms

Classification*
Esophageal Achalasia
Esophageal Motility Disorders
Esophageal Sphincter, Lower
Esophagogastric Junction
Humans
Peristalsis
Relaxation
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