Abstract
Esophageal motility disorders are often suspected in patients with dysphagia and noncardiac chest pain. Even though structural evaluation is important, the primary diagnostic tool is esophageal manometry. With the advent of high-resolution esophageal manometry, the Chicago classification has emerged as the primary scheme to categorize identified manometric abnormalities. However, although some manometric abnormalities associated with achalasia and distal esophageal spasm are well defined, the clinical significance of many identified manometric findings is less clear. Consequently, an understanding of the manometric findings defined by the Chicago classification is important. Furthermore, given the ambiguity associated with many of these findings, medical therapy is often challenging. This review attempts to provide a concise update on interpretation of high-resolution esophageal manometry specifically using the Chicago classification scheme. In addition, we highlight the current evidence for pharmacologic treatment for identified manometric abnormalities.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 62-69 |
| Number of pages | 8 |
| Journal | Techniques in Gastrointestinal Endoscopy |
| Volume | 17 |
| Issue number | 2 |
| DOIs | |
| State | Published - Apr 1 2015 |
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Keywords
- Achalasia
- Distal esophageal spasm
- Esophageal manometry
- Ineffective esophageal motility
- Medical therapy
ASJC Scopus subject areas
- Gastroenterology
- Radiology Nuclear Medicine and imaging
Cite this
Diagnosis and medical management of esophageal dysmotility. / Ravi, Karthik; Katzka, David A.
In: Techniques in Gastrointestinal Endoscopy, Vol. 17, No. 2, 01.04.2015, p. 62-69.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Diagnosis and medical management of esophageal dysmotility
AU - Ravi, Karthik
AU - Katzka, David A
PY - 2015/4/1
Y1 - 2015/4/1
N2 - Esophageal motility disorders are often suspected in patients with dysphagia and noncardiac chest pain. Even though structural evaluation is important, the primary diagnostic tool is esophageal manometry. With the advent of high-resolution esophageal manometry, the Chicago classification has emerged as the primary scheme to categorize identified manometric abnormalities. However, although some manometric abnormalities associated with achalasia and distal esophageal spasm are well defined, the clinical significance of many identified manometric findings is less clear. Consequently, an understanding of the manometric findings defined by the Chicago classification is important. Furthermore, given the ambiguity associated with many of these findings, medical therapy is often challenging. This review attempts to provide a concise update on interpretation of high-resolution esophageal manometry specifically using the Chicago classification scheme. In addition, we highlight the current evidence for pharmacologic treatment for identified manometric abnormalities.
AB - Esophageal motility disorders are often suspected in patients with dysphagia and noncardiac chest pain. Even though structural evaluation is important, the primary diagnostic tool is esophageal manometry. With the advent of high-resolution esophageal manometry, the Chicago classification has emerged as the primary scheme to categorize identified manometric abnormalities. However, although some manometric abnormalities associated with achalasia and distal esophageal spasm are well defined, the clinical significance of many identified manometric findings is less clear. Consequently, an understanding of the manometric findings defined by the Chicago classification is important. Furthermore, given the ambiguity associated with many of these findings, medical therapy is often challenging. This review attempts to provide a concise update on interpretation of high-resolution esophageal manometry specifically using the Chicago classification scheme. In addition, we highlight the current evidence for pharmacologic treatment for identified manometric abnormalities.
KW - Achalasia
KW - Distal esophageal spasm
KW - Esophageal manometry
KW - Ineffective esophageal motility
KW - Medical therapy
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U2 - 10.1016/j.tgie.2015.03.002
DO - 10.1016/j.tgie.2015.03.002
M3 - Article
VL - 17
SP - 62
EP - 69
JO - Techniques in Gastrointestinal Endoscopy
JF - Techniques in Gastrointestinal Endoscopy
SN - 1096-2883
IS - 2
ER -