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

Rena Yadlapati; Peter J Kahrilas; Mark R Fox; Albert J Bredenoord; C Prakash Gyawali; Sabine Roman; Arash Babaei; Ravinder K Mittal; Nathalie Rommel; Edoardo Savarino; Daniel Sifrim; André Smout; Michael F Vaezi; Frank Zerbib; Junichi Akiyama; Shobna Bhatia; Serhat Bor; Dustin A Carlson; Joan W Chen; Daniel Cisternas; Charles Cock; Enrique Coss-Adame; Nicola de Bortoli; Claudia Defilippi; Ronnie Fass; Uday C Ghoshal; Sutep Gonlachanvit; Albis Hani; Geoffrey S Hebbard; Kee Wook Jung; Philip Katz; David A Katzka; Abraham Khan; Geoffrey Paul Kohn; Adriana Lazarescu; Johannes Lengliner; Sumeet K Mittal; Taher Omari; Moo In Park; Roberto Penagini; Daniel Pohl; Joel E Richter; Jordi Serra; Rami Sweis; Jan Tack; Roger P Tatum; Radu Tutuian; Marcelo F Vela; Reuben K Wong; Justin C Wu; Yinglian Xiao; John E Pandolfino

doi:10.1111/nmo.14058

Back

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

Journal article

Peer reviewed

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

Rena Yadlapati, Peter J Kahrilas, Mark R Fox, Albert J Bredenoord, C Prakash Gyawali, Sabine Roman, Arash Babaei, Ravinder K Mittal, Nathalie Rommel, Edoardo Savarino, …

Neurogastroenterology and motility, Vol.33(1), pp.e14058-n/a

01/2021

DOI: https://doi.org/10.1111/nmo.14058

PMID: 33373111

Abstract

Esophageal Achalasia - classification

Esophageal Achalasia - diagnosis

Esophageal Achalasia - physiopathology

Esophageal Achalasia - therapy

Esophageal Motility Disorders - classification

Esophageal Motility Disorders - diagnosis

Esophageal Motility Disorders - physiopathology

Esophageal Motility Disorders - therapy

Esophageal Spasm, Diffuse - classification

Esophageal Spasm, Diffuse - diagnosis

Esophageal Spasm, Diffuse - physiopathology

Esophageal Spasm, Diffuse - therapy

Esophagogastric Junction - physiopathology

Humans

Manometry - methods

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.

Metrics

1 Record Views

See more details

Details

Title: Esophageal motility disorders on high-resolution manometry: Chicago classification version 4.0
Creators: Rena Yadlapati - University of California, San Diego
Peter J Kahrilas - Northwestern University
Mark R Fox - University Hospital of Zurich
Albert J Bredenoord - Amsterdam University Medical Centers
C Prakash Gyawali - Division of Gastroenterology & Hepatology, Washington University School of Medicine, St. Louis, MO, USA
Sabine Roman - Hospices Civils de Lyon
Arash Babaei - University of Colorado Denver
Ravinder K Mittal - University of California, San Diego
Nathalie Rommel - KU Leuven
Edoardo Savarino - University of Padua
Daniel Sifrim - Queen Mary University of London
André Smout - Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, Amsterdam, the Netherlands
Michael F Vaezi - Vanderbilt University Medical Center
Frank Zerbib - Inserm
Junichi Akiyama - National Center for Global Health and Medicine
Shobna Bhatia - Sir H.N. Reliance Foundation Hospital and Research Centre
Serhat Bor - Ege University
Dustin A Carlson - Northwestern University
Joan W Chen - University of Michigan
Daniel Cisternas - Clínica Alemana
Charles Cock - Flinders University
Enrique Coss-Adame - Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
Nicola de Bortoli - University of Pisa
Claudia Defilippi - University of Chile
Ronnie Fass - MetroHealth Medical Center
Uday C Ghoshal - Sanjay Gandhi Post Graduate Institute of Medical Sciences
Sutep Gonlachanvit - Chulalongkorn University
Albis Hani - Pontificia Universidad Javeriana
Geoffrey S Hebbard - The Royal Melbourne Hospital
Kee Wook Jung - University of Ulsan
Philip Katz - Weill Cornell Medicine
David A Katzka - Mayo Clinic in Arizona
Abraham Khan - Langone Health, New York University, New York, NY, USA
Geoffrey Paul Kohn - Monash University
Adriana Lazarescu - University of Alberta
Johannes Lengliner - University of Bern
Sumeet K Mittal - Tucson Orthopaedic Institute
Taher Omari - Flinders University
Moo In Park - Kosin University
Roberto Penagini - University of Milan
Daniel Pohl - University Hospital of Zurich
Joel E Richter - University of South Florida
Jordi Serra - Hospital Universitari Germans Trias i Pujol
Rami Sweis - University College London
Jan Tack - KU Leuven
Roger P Tatum - VA Puget Sound Health Care System
Radu Tutuian - Solothurner Spitäler
Marcelo F Vela - Mayo Clinic in Arizona
Reuben K Wong - National University of Singapore
Justin C Wu - Chinese University of Hong Kong
Yinglian Xiao - The First Affiliated Hospital, Sun Yat-sen University
John E Pandolfino - Northwestern University
Publication Details: Neurogastroenterology and motility, Vol.33(1), pp.e14058-n/a
Grant note: P01 DK117824 / NIDDK NIH HHS P01 DK092217 / NIDDK NIH HHS
Identifiers: 991006227506002656
Academic Unit: Surgery
Language: English
Resource Type: Journal article

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

Abstract

Related links

Metrics

Details