Novedades acerca de los trastornos motores del esófago tras la reciente clasificación de chicago 4.0
Journal
Acta gastroenterológica latinoamericana
ISSN
2469-1119
Date Issued
2021
Author(s)
Claudia Córdoba
Agustina Rodil
Type
Resource Types::text::journal::journal article
Abstract
<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>
Subjects
absent contractility
;
chicago classification
;
dysphagia
;
esophagogastric outflow obstruction
;
high resolution esophageal manometry
;
ineffective esophageal motility
;
article
;
dysphagia
;
esophagus function disorder
;
esophagus motility
;
gastroesophageal junction
;
human
;
illinois
;
incidental finding
;
manometry
;
muscle contractility
;
obstruction
;
provocation test
;
sitting
;
supine position