The Chicago Classification 3.0 Results in More Normal Findings and Fewer Hypotensive Findings With No Difference in Other Diagnoses

Monrroy, Hugo; Cisternas, Daniel; Bilder, Claudio R.; Ditaranto, Andres; Remes-Troche, José María; Meixueiro, Arturo; Zavala, Miguel; Serra, Jordi; Marín, Íngrid; León, Antonio Ruiz de; Serna, Julio; Hani, Albis; Leguízamo, Ana María; Abrahão, Luiz; Coello, Roberto Carlos Alvarez; Valdovinos, Miguel A.

doi:10.1038/ajg.2017.10

Cited by 25 publications

(24 citation statements)

References 23 publications

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“…A recent publication claims that the Chicago classification has a higher threshold for abnormality, resulting in fewer patients classified as abnormal motility. 7 On the other hand, a recent study that randomized patients with dysphagia to undergo either HRM or conventional manometry, found a higher proportion of manometric diagnosis in the HRM arm. 8 …”

Section: Impact Of High-resolution Manometry On the Management Of Esomentioning

confidence: 99%

Understanding the Chicago Classification: From Tracings to Patients

Schlottmann

Herbella

Patti

2017

J Neurogastroenterol Motil

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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. (J Neurogastroenterol Motil 2017;23:487-494)

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Section: Impact Of High-resolution Manometry On the Management Of Esomentioning

confidence: 99%

Understanding the Chicago Classification: From Tracings to Patients

Schlottmann

Herbella

Patti

2017

J Neurogastroenterol Motil

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“…Como se ha mencionado ya, los trastornos menores de tipo hipomotilidad se han descrito en controles sanos 12 . El grupo de los autores mostró en una serie grande de controles sanos que el 25.2% y 15% cumplían criterios manométricos de trastornos menores mediante CC v. 2.0 y v. 3.0, respectivamente 5 . Muchos estudios no han logrado determinar una adecuada correlación entre hipomotilidad y síntomas de disfagia 26,37 .…”

Section: Mei Y Disfagiaunclassified

“…Estos cambios en los criterios han llevado a diagnosticar menos trastornos menores con la CC v. 3.0, lo que ha incrementado el número de estudios catalogados como normales. El grupo de los autores demostró que se diagnostican menos trastornos motores menores con la CC v. 3.0 tanto en individuos sanos (15% vs. 25.2%) como en pacientes sintomáticos (24.5% vs. 33.3%) 5 .…”

Section: Introductionunclassified

Alteraciones motoras menores del esófago según manometría de alta resolución: ¿qué significan?

Rey¹,

Glasinovic²,

Cisternas³

2020

NGL

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“…In a recent study by Monrroy et al, the latest version of the Chicago classification was directly compared to the previous version. In asymptomatic controls, minor disorders were diagnosed significantly less often using the latest version (15 vs 25%), and esophageal manometries were significantly more often classified as normal (77 vs 64%) [28]. Likewise, the use of the latest classification in symptomatic patients resulted in less diagnosis of minor disorders (33 vs 25%), and increased the rate of normal findings (50 vs 42%).…”

Section: Minor Disorders Of Peristalsis: Ineffective Motility and Framentioning

confidence: 99%

Chicago Classification of Esophageal Motility Disorders: Lessons Learned

Rohof

Bredenoord

2017

Curr Gastroenterol Rep

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Purpose of ReviewHigh-resolution manometry (HRM) is increasingly performed worldwide, to study esophageal motility. The Chicago classification is subsequently applied to interpret the manometric findings and facilitate a diagnosis of esophageal motility disorders. This review will discuss new insights regarding the diagnosis and management using the Chicago classification.Recent FindingsRecent studies have demonstrated that high-resolution manometry is superior to conventional manometry, and has a higher sensitivity to diagnose achalasia. Furthermore, the subclassification of achalasia as used in the Chicago classification has prognostic value and can be used to direct treatment. Diagnosis of esophageal spasm has been improved by using the distal latency as diagnostic criterion. Recently, criteria for minor disorders of peristalsis have been sharpened, leading to a lower rate of patients with abnormal results, thereby increasing the relevance of a diagnosis.SummaryHigh-resolution manometry is now considered the gold standard for diagnosis of esophageal motility disorders. The Chicago classification provides a standardized approach for analysis and categorization of abnormalities that has led to a significant increase in our knowledge regarding the diagnosis and management of motility disorders. Further refinement of the classification will be required.

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The Chicago Classification 3.0 Results in More Normal Findings and Fewer Hypotensive Findings With No Difference in Other Diagnoses

Cited by 25 publications

References 23 publications

Understanding the Chicago Classification: From Tracings to Patients

Understanding the Chicago Classification: From Tracings to Patients

Alteraciones motoras menores del esófago según manometría de alta resolución: ¿qué significan?

Chicago Classification of Esophageal Motility Disorders: Lessons Learned

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