Universidad del Desarrollo

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Are the Chicago 3.0 manometric diagnostics consistent with Chicago 4.0?
(2023)
Angélica Tobón
;
Albis C Hani
;
Cristiam D Pulgarin
;
Andres F Ardila
;
Oscar M Muñoz
<jats:title>Summary</jats:title> <jats:p>There is little information on the degree of concordance between the results obtained using the Chicago 3.0 (CCv3.0) and Chicago 4.0 (CCv4.0) protocols to interpret high-resolution manometry (HRM) seeking to determine the value provided by the new swallowing maneuvers included in the last protocol. This is a study of diagnostic tests, evaluating concordance by consistency between the results obtained by the CCv3.0 and CCv4.0 protocols, in patients undergoing HRM. Concordance was assessed with the kappa test. Bland–Altman scatter plots, and Lin’s correlation-concordance coefficient (CCC) were used to assess the agreement between IRP measured with swallows in the supine and seated position or with solid swallows. One hundred thirty-two patients were included (65% women, age 53 ± 17 years). The most frequent HRM indication was dysphagia (46.1%). Type I was the most common type of gastroesophageal junction. The most frequent CCv4.0 diagnoses were normal esophageal motility (68.9%), achalasia (15.5%), and ineffective esophageal motility (IEM; 5.3%). The agreement between the results was substantial (Kappa 0.77 ± 0.05), with a total agreement of 87.9%. Diagnostic reclassification occurred in 12.1%, from IEM in CCv3.0 to normal esophageal motility in CCv4.0. Similarly, there was a high level of agreement between the IRP measured in the supine compared to the seated position (CCC0.92) and with solid swallows (CCC0.96). In conclusion, the CCv4.0 protocol presents a high concordance compared to CCv3.0. In the majority of manometric diagnoses there is no reclassification of patients with provocation tests. However, the more restrictive criteria of CCv4.0 achieve a better reclassification of patients with IEM.</jats:p>
10Scopus© Citations 1
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Esophagogastric junction morphology and contractile integral on high‐resolution manometry in asymptomatic healthy volunteers: An international multicenter study
(2020)
Benjamin D. Rogers
;
Arvind Rengarajan
;
Luiz Abrahao
;
Shobna Bhatia
;
Serhat Bor
Scopus© Citations 14 2
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Chicago Classification update (V4.0): Technical review on diagnostic criteria for ineffective esophageal motility and absent contractility
(2021)
C. Prakash Gyawali
;
Frank Zerbib
;
Shobna Bhatia
;
CISTERNAS, DANIEL
;
Enrique Coss‐Adame
8 1Scopus© Citations 48
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Ineffective esophageal motility and bolus clearance. A study with combined high‐resolution manometry and impedance in asymptomatic controls and patients
(2020)
Frank Zerbib
;
Ingrid Marin
;
CISTERNAS, DANIEL
;
Luiz Abrahao
;
Albis Hani
18 1Scopus© Citations 29
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High-Resolution Manometry Thresholds and Motor Patterns Among Asymptomatic Individuals
(2022)
Arvind Rengarajan
;
Benjamin D. Rogers
;
Zhiqin Wong
;
Salvatore Tolone
;
Daniel Sifrim
30 1Scopus© Citations 33
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Esophageal motility disorders on high‐resolution manometry: Chicago classification version 4.0
<sup>©</sup>
(2020)
Rena Yadlapati
;
Peter J. Kahrilas
;
Mark R. Fox
;
Albert J. Bredenoord
;
C. Prakash Gyawali
1Scopus© Citations 828 1
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Breaks in peristaltic integrity predict abnormal esophageal bolus clearance better than contraction vigor or residual pressure at the esophagogastric junction
(2021)
Benjamin D. Rogers
;
CISTERNAS, DANIEL
;
Arvind Rengarajan
;
Ingrid Marin
;
Luiz Abrahao
1Scopus© Citations 4 1
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The Brief Esophageal Dysphagia Questionnaire shows better discriminative capacity for clinical and manometric findings than the Eckardt score: Results from a multicenter study
(2021)
CISTERNAS, DANIEL
;
Tiffany Taft
;
Dustin A. Carlson
;
Esteban Glasinovic
;
Hugo Monrroy
Scopus© Citations 3 1 9
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Novedades acerca de los trastornos motores del esófago tras la reciente clasificación de chicago 4.0
(2021)
Claudia Córdoba
;
Agustina Rodil
;
CISTERNAS, DANIEL
<jats:p>The Chicago Classification includes esophageal motor disorders diagnosed by high-resolution manometry. Of the manometric patterns, some are always clinically relevant and require treatment (eg, the achalasia), while others may be incidental findings requiring no intervention in which aggressive management would be counterproductive. One of the goals of the new version of the recently published Chicago Classification (CCv4.0) was to distinguish between clinically relevant and non-clinically relevant disorders. With this in mind, the study protocol was modified to include liquid swallows in the supine and sitting positions and provocation tests were standardized. Diagnostic criteria were modified, incorporating the presence of symptoms and the support of complementary studies other than manometry. In this review, we will comment the diagnosis and treatment of esophagogastric junction outlet obstruction and hypomotility disorders based on CCv4.0.</jats:p>
Scopus© Citations 3 3

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