Chicago classification version 4.0
Journal
Neurogastroenterology and motility
ISSN: 1365-2982
Titre abrégé: Neurogastroenterol Motil
Pays: England
ID NLM: 9432572
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
revised:
16
02
2021
received:
03
02
2021
accepted:
19
02
2021
pubmed:
18
3
2021
medline:
20
11
2021
entrez:
17
3
2021
Statut:
ppublish
Résumé
The Chicago Classification v4.0 (CCv4.0) is the updated classification scheme for esophageal motility disorders using metrics from high-resolution manometry (HRM). A key feature of CCv.4.0 is the more rigorous and expansive protocol that incorporates single wet swallows acquired in different positions (supine, upright) and provocative testing, including multiple rapid swallows and rapid drink challenge. Additionally, solid bolus swallows, solid test meal, and/or pharmacologic provocation can be used to identify clinically relevant motility disorders and other conditions (eg, rumination) that occur during and after meals. The acquisition and analysis for performing these tests and the evidence supporting their inclusion in the Chicago Classification protocol is detailed in this technical review. Provocative tests are designed to increase the diagnostic sensitivity and specificity of HRM studies for disorders of esophageal motility. These changes attempt to minimize ambiguity in prior iterations of Chicago Classification, decrease the proportion of HRM studies that deliver inconclusive diagnoses and increase the number of patients with a clinically relevant diagnosis that can direct effective therapy. Another aim in establishing a standard manometry protocol for motility laboratories around the world is to facilitate procedural consistency, improve diagnostic reliability, and promote collaborative research.
Identifiants
pubmed: 33729668
doi: 10.1111/nmo.14120
pmc: PMC8268048
mid: NIHMS1694906
doi:
Types de publication
Journal Article
Review
Technical Report
Langues
eng
Sous-ensembles de citation
IM
Pagination
e14120Subventions
Organisme : NIDDK NIH HHS
ID : P01 DK117824
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001422
Pays : United States
Informations de copyright
© 2021 John Wiley & Sons Ltd.
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