Esophageal motility disorders on high-resolution manometry: Chicago classification version 4.0(©).
Esophageal motility disorders on high-resolution manometry: Chicago classification version 4.0(©).
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DOI：
10.1111/nmo.14058
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发表时间：
2021-01
影响因子：
3.5
通讯作者：
Pandolfino JE
中科院分区：
文献类型：
--
作者：
Yadlapati R;Kahrilas PJ;Fox MR;Bredenoord AJ;Prakash Gyawali C;Roman S;Babaei A;Mittal RK;Rommel N;Savarino E;Sifrim D;Smout A;Vaezi MF;Zerbib F;Akiyama J;Bhatia S;Bor S;Carlson DA;Chen JW;Cisternas D;Cock C;Coss-Adame E;de Bortoli N;Defilippi C;Fass R;Ghoshal UC;Gonlachanvit S;Hani A;Hebbard GS;Wook Jung K;Katz P;Katzka DA;Khan A;Kohn GP;Lazarescu A;Lengliner J;Mittal SK;Omari T;Park MI;Penagini R;Pohl D;Richter JE;Serra J;Sweis R;Tack J;Tatum RP;Tutuian R;Vela MF;Wong RK;Wu JC;Xiao Y;Pandolfino JE
芝加哥分类v4.0（CCv4.0）是使用高分辨率测压（HRM）指标的食管动力障碍的更新分类方案。52名不同的国际专家分成7个工作小组，在两年多的时间里利用经过正式验证的方法开发CCv4.0。CCv.4.0中的关键更新围绕更严格和更广泛的方案，该方案纳入了不同的体位和激发试验、食管胃交界处（EGJ）流出道梗阻（EGJOO）的精确定义、无效食管动力诊断的阈值增加以及基线EGJ指标的描述。此外，CCv4.0试图根据相关症状、激发性试验的使用以及使用带片剂和/或功能性管腔成像探头的钡剂食管造影剂的确证性支持性试验，将动力障碍诊断定义为结论性和非结论性。这些变更试图最大限度地减少先前芝加哥分类迭代中的模糊性，并为EGJ处的阻塞和阻塞疾病模式提供更标准化和更严格的标准。
Chicago Classification v4.0 (CCv4.0) is the updated classification scheme for esophageal motility disorders using metrics from high-resolution manometry (HRM). Fifty-two diverse international experts separated into seven working sub-groups utilized formal validated methodologies over two-years to develop CCv4.0. Key updates in CCv.4.0 revolve around a more rigorous and expansive protocol that incorporates different positions and provocative testing, a refined definition of esophago-gastric junction (EGJ) outflow obstruction (EGJOO), an increased threshold for the diagnosis of ineffective esophageal motility and inclusion of a description of baseline EGJ metrics. Further, the CCv4.0 sought to define motility disorder diagnoses as conclusive and inconclusive based on associated symptoms, the use of provocative testing and corroborating supportive testing with barium esophagram with tablet and/or functional lumen imaging probe. These changes attempt to minimize ambiguity in prior iterations of Chicago Classification and provide more standardized and rigorous criteria for patterns of disorders of peristalsis and obstruction at the EGJ.
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影响因子：
3.5
作者：
Bredenoord AJ;Fox M;Kahrilas PJ;Pandolfino JE;Schwizer W;Smout AJ;International High Resolution Manometry Working Group
通讯作者：
International High Resolution Manometry Working Group
影响因子：
12.6
作者：
Babaei, Arash;Shad, Sadaf;Massey, Benson T.
通讯作者：
Massey, Benson T.
影响因子：
3.5
作者：
Herregods, T. V. K.;Smout, A. J. P. M.;Bredenoord, A. J.
通讯作者：
Bredenoord, A. J.
影响因子：
35.7
作者：
Ang, Daphne;Misselwitz, Benjamin;Fox, Mark
通讯作者：
Fox, Mark
影响因子：
9.8
作者：
Carlson, Dustin A.;Kahrilas, Peter J.;Pandolfino, John E.
通讯作者：
Pandolfino, John E.