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. 2016 Jul-Sep;14(3):439-442.
doi: 10.1590/S1679-45082016MD3444. Epub 2016 Mar 8.

A pictorial presentation of 3.0 Chicago Classification for esophageal motility disorders

[Article in English, Portuguese]
Fernando Augusto Herbella  1 , Priscila Rodrigues Armijo  1 , Marco Giuseppe Patti  2
Affiliations

A pictorial presentation of 3.0 Chicago Classification for esophageal motility disorders

[Article in English, Portuguese]
Fernando Augusto Herbella et al. Einstein (Sao Paulo). 2016 Jul-Sep.

Abstract
in English, Portuguese

High resolution manometry changed several esophageal motility paradigms. The 3.0 Chicago Classification defined manometric criteria for named esophageal motility disorders. We present a pictorial atlas of motility disorders. Achalasia types, esophagogastric junction obstruction, absent contractility, distal esophageal spasm, hypercontractile esophagus (jackhammer), ineffective esophageal motility, and fragmented peristalsis are depicted with high-resolution manometry plots. RESUMO A manometria de alta resolução mudou vários paradigmas da motilidade digestiva. A Classificação de Chicago, na versão 3.0, definiu critérios manométricos para as doenças da motilidade esofagiana. O presente artigo é um atlas das dismotilidades descritas. Tipos de acalásia, obstrução ao nível da junção esofagogástrica, contrações ausentes, espasmo esofagiano distal, esôfago hipercontrátil, motilidade esofagiana ineficaz e peristalse fragmentada são mostradas em traçados de manometria de alta resolução.

A manometria de alta resolução mudou vários paradigmas da motilidade digestiva. A Classificação de Chicago, na versão 3.0, definiu critérios manométricos para as doenças da motilidade esofagiana. O presente artigo é um atlas das dismotilidades descritas. Tipos de acalásia, obstrução ao nível da junção esofagogástrica, contrações ausentes, espasmo esofagiano distal, esôfago hipercontrátil, motilidade esofagiana ineficaz e peristalse fragmentada são mostradas em traçados de manometria de alta resolução.

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Figures

Figure 1
Figure 1. Normal high resolution manometry
Figure 2
Figure 2. Achalasia types
Figure 3
Figure 3. Esophagogastric junction obstruction in a patient after Nissen operation
Figure 4
Figure 4. Absent contractility in a patient with scleroderma
Figure 5
Figure 5. Distal esophageal spasm
Figure 6
Figure 6. Hypercontractile esophagus
Figure 7
Figure 7. Ineffective esophageal motility in a patient with gastroesophageal reflux disease
Figure 8
Figure 8. Fragmented peristalsis
See this image and copyright information in PMC

References

    1. Herbella FA, Del Grande JC. New ambulatory techniques for assessment of esophageal motility and their applicability on achalasia study. Rev Col Bras Cir. 2008;35(3):199–202. Portuguese.
    1. Kahrilas PJ, Ghosh SK, Pandolfino JE. Esophageal motility disorders in terms of pressure topography: the Chicago Classification. J Clin Gastroenterol. 2008;42(5):627–635. Review. - PMC - PubMed
    1. Kahrilas PJ, Bredenoord AJ, Fox M, Gyawali CP, Roman S, Smout AJ, Pandolfino JE, International High Resolution Manometry Working Group The Chicago Classification of esophageal motility disorders, v3.0. Neurogastroenterol Motil. 2015;27(2):160–174. - PMC - PubMed
    1. Pandolfino JE, Kwiatek MA, Nealis T, Bulsiewicz W, Post J, Kahrilas PJ. Achalasia: a new clinically relevant classification by high-resolution manometry. Gastroenterology. 2008;135(5):1526–1533. - PMC - PubMed
    1. Vicentine FR, Herbella FA, Allaix ME, Silva LC, Patti MG. High-resolution manometry classifications for idiopathic achalasia in patients with Chagas’ disease esophagopathy. J Gastrointest Surg. 2014;18(2):221–224. discussion 224-5. - PubMed

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