Reinterpretation of Follow-Up, High-Resolution Manometry for Esophageal Motility Disorders Based on the Updated Chicago Classification
2
조회
0
다운로드
0
인용
0
참고문헌
초록
The aim of this study was to assess changes between primary classification of esophageal motility disease and follow-up classification by high resolution manometry (HRM) and to determine whether previously classified diseases could be recategorized according to the updated Chicago Classification published in 2011. We reviewed individual medical records and HRM findings twice for each of 13 subjects. We analyzed primary and follow-up HRM findings based on the original Chicago Classification. We then reclassified the same HRM findings according to the updated Chicago Classification. This case series revealed the variable course of esophageal motility disorders; some patients experienced improvement,whereas others experienced worsening symptoms. Four cases were reclassified from variant achalasia to peristaltic abnormality, one case from diffuse esophageal spasm to type II achalasia and one case from peristaltic abnormality to variant achalasia. Four unclassified findings were recategorized as variant achalasia. In conclusion, esophageal motility disorders are variable and may not be best conceptualized as an independent group. Original classifications can be recategorized according to the updated Chicago Classification system. More research is needed on this topic.
Abstract
The aim of this study was to assess changes between primary classification of esophageal motility disease and follow-up classification by high resolution manometry (HRM) and to determine whether previously classified diseases could be recategorized according to the updated Chicago Classification published in 2011. We reviewed individual medical records and HRM findings twice for each of 13 subjects. We analyzed primary and follow-up HRM findings based on the original Chicago Classification. We then reclassified the same HRM findings according to the updated Chicago Classification. This case series revealed the variable course of esophageal motility disorders; some patients experienced improvement,whereas others experienced worsening symptoms. Four cases were reclassified from variant achalasia to peristaltic abnormality, one case from diffuse esophageal spasm to type II achalasia and one case from peristaltic abnormality to variant achalasia. Four unclassified findings were recategorized as variant achalasia. In conclusion, esophageal motility disorders are variable and may not be best conceptualized as an independent group. Original classifications can be recategorized according to the updated Chicago Classification system. More research is needed on this topic.
참고문헌 (13)
- Richter JE, "Oesophageal motility disorders", Lancet, 358, pp.823~828 (2001)
- Patti MG, "Spectrum of esophageal motility disorders: implications for diagnosis and treatment", Arch Surg, 140, pp.442~448 (2005)
- Pandolfino JE, "American Gastroenterological Association. AGA technical review on the clinical use of esophageal manometry", Gastroenterology, 128, pp.209~224 (2005)
- Spechler SJ, "Classification of oesophageal motility abnormalities", Gut, 49, pp.145~151 (2001)
- Nayar DS, "Esophageal manometry: assessment of interpreter consistency", Clin Gastroenterol Hepatol, 3, pp.218~224 (2005)
- Bredenoord AJ, "Chicago classification criteria of esophageal motility disorders defined in high resolution esophageal pressure topography", Neurogastroenterol Motil, 24(Suppl 1), pp.57~65 (2012)
- Chen WH, "A comparison of micromanometric and standard manometric techniques for recording of oesophageal motility", Neurogastroenterol Motil, 10, pp.253~262 (1998)
- Clouse RE, "Development and clinical validation of a solid-state high-resolution pressure measurement system for simplified and consistent esophageal manometry", Am J Gastroenterol, 98, pp.S32~S33 (2003)
- 박무인, "Clinical Usefulness of High-Resolution Manometry", Journal of Neurogastroenterology and Motility (JNM), 15(2), pp.107~115 (2009), 대한소화기 기능성질환∙운동학회
- Sifrim D, "Failing deglutitive inhibition in primary esophageal motility disorders", Gastroenterology, 106, pp.875~882 (1994)
- Cha SW, "Factors involved in the transition from achalasia to nutcracker esophagus or diffuse esophageal spasm after intrasphincteric injection of botulinum toxin", Korean J Gastrointest Motil, 7, pp.188~196 (2001)
- Millan MS, "Transition from diffuse esophageal spasm to achalasia", J Clin Gastroenterol, 1, pp.107~117 (1979)
- Vantrappen G, "Achalasia, diffuse esophageal spasm, and related motility disorders", Gastroenterology, 76, pp.450~457 (1979)