The Chicago Classification of Motility Disorders: An Update

Sabine Roman, C. Prakash Gyawali, Yinglian Xiao, John Erik Pandolfino, Peter J Kahrilas*

*Corresponding author for this work

Research output: Contribution to journalReview article

30 Scopus citations

Abstract

The Chicago Classification defines esophageal motility disorders in high resolution manometry. This is based on individual scoring of 10 swallows performed in supine position. Disorders of esophago-gastric junction (EGJ) outflow obstruction are defined by a median integrated relaxation pressure above the limit of normal and divided into 3 achalasia subtypes and EGJ outflow obstruction. Major motility disorders (aperistalsis, distal esophageal spasm, and hypercontractile esophagus) are patterns not encountered in controls in the context of normal EGJ relaxation. Finally with the latest version of the Chicago Classification, only two minor motor disorders are considered: ineffective esophageal motility and fragmented peristalsis.

Original languageEnglish (US)
Pages (from-to)545-561
Number of pages17
JournalGastrointestinal Endoscopy Clinics of North America
Volume24
Issue number4
DOIs
StatePublished - Oct 1 2014

Keywords

  • Achalasia
  • Aperistalsis
  • Distal esophageal spasm
  • Esophageal high-resolution manometry
  • Esophagogastric junction outflow obstruction
  • Hypercontractile esophagus
  • Ineffective esophageal motility

ASJC Scopus subject areas

  • Gastroenterology

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