Assessing esophageal function in Achalasia: The old and the new

Joseph R. Triggs; Peter J. Kahrilas

doi:10.1038/ajg.2017.445

Assessing esophageal function in Achalasia: The old and the new

Joseph R. Triggs, Peter J. Kahrilas^*

^*Corresponding author for this work

Medicine, Gastroenterology Division

Research output: Contribution to journal › Review article › peer-review

2 Scopus citations

Abstract

Achalasia is currently diagnosed according to the Chicago Classification v3.0 using high-resolution manometry and treatment focuses on disruption of the esophagogastric junction. A paper in this issue examines the utility of a timed barium esophagram with a 13 mm tablet challenge in differentiating Achalasia from other diagnoses, finding 100% sensitivity. However, a large proportion of patients with non-Achalasia dysphagia are also identified. Another paper in this issue proposes utilizing intraprocedure functional luminal imaging probe measurement during pneumatic dilation as a guide for upsizing dilations. This appears promising, but prospective validation is necessary before this becomes standard of care.

Original language	English (US)
Pages (from-to)	213-215
Number of pages	3
Journal	American Journal of Gastroenterology
Volume	113
Issue number	2
DOIs	https://doi.org/10.1038/ajg.2017.445
State	Published - Feb 1 2018

Funding

Guarantor of the article: Peter J. Kahrilas, MD. Specific author contributions: Joseph R. Triggs and Peter J. Kahrilas drafted and edited the manuscript. Financial support: Joseph R. Triggs is supported by the NIH/ NIDDK grant number T32DK101363. Peter J. Kahrilas is supported by the NIH/NIDDK grant number R01DK079902. Potential competing interests: None.

ASJC Scopus subject areas

Gastroenterology
Hepatology

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10.1038/ajg.2017.445

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abstract = "Achalasia is currently diagnosed according to the Chicago Classification v3.0 using high-resolution manometry and treatment focuses on disruption of the esophagogastric junction. A paper in this issue examines the utility of a timed barium esophagram with a 13 mm tablet challenge in differentiating Achalasia from other diagnoses, finding 100% sensitivity. However, a large proportion of patients with non-Achalasia dysphagia are also identified. Another paper in this issue proposes utilizing intraprocedure functional luminal imaging probe measurement during pneumatic dilation as a guide for upsizing dilations. This appears promising, but prospective validation is necessary before this becomes standard of care.",

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Assessing esophageal function in Achalasia: The old and the new

Abstract

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