High-resolution Manometry: Esophageal Disorders Not Addressed by the "Chicago Classification".

High-resolution Manometry: Esophageal Disorders Not Addressed by the "Chicago Classification".
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DOI:
10.5056/jnm.2012.18.4.365
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发表时间:
2012-10
影响因子:
3.4
通讯作者:
Sifrim D
Sifrim D
中科院分区:
医学2区
文献类型:
--
作者:
Wang YT;Yazaki E;Sifrim D

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高分辨率食管测压仪(HRM)和芝加哥分类法的发展改善了食管运动障碍的诊断和治疗。然而,这种分类还没有解决一些问题。根据我们中心的经验,这篇综述描述了在人力资源管理方面的发现,这些发现没有包括在目前的芝加哥分类中。这包括分析食管上括约肌、食管近端、纵向肌肉收缩、与胃食管反流病和呼吸道症状相关的疾病。还将讨论挑衅性试验的效用和人力资源管理在评估反刍综合征和术后患者中的应用。我们相信,对这些地区测压结果的描述将最终导致将新的标准纳入现有的分类。
The development of the high-resolution esophageal manometry (HRM) and the Chicago classification have improved the diagnosis and management of esophageal motility disorders. However, some conditions have yet to be addressed by this classification. This review describes findings in HRM which are not included in the current Chicago classification based on the experience in our center. This includes the analysis of the upper esophageal sphincter, proximal esophagus, longitudinal muscle contraction, disorders related to gastroesophageal reflux disease and respiratory symptoms. The utility of provocative tests and the use of HRM in the evaluation of rumination syndrome and post-surgical patients will also be discussed. We believe that characterization of the manometric findings in these areas will eventually lead to incorporation of new criteria into the existing classification.
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