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Variant achalasia, the hole of the original classification

Joon Young Huh1, Moo In Park, Seun Ja Park

  • 1Kosin University Graduate School, Busan, Republic of Korea. mipark@ns.kosinmed.or.kr.

The Turkish Journal of Gastroenterology : the Official Journal of Turkish Society of Gastroenterology
|April 4, 2015
PubMed

Insights

The updated Chicago Classification system effectively diagnoses esophageal motility disorders. This system reclassifies previously unclassifiable high-resolution manometry findings, aiding in patient diagnosis.

Area of Science:

  • Gastroenterology
  • Esophageal Physiology
  • Diagnostic Tools

Background:

  • High-resolution manometry (HRM) is crucial for diagnosing esophageal motility disorders.
  • Some HRM findings remain unclassifiable by existing systems.
  • A revised Chicago Classification system has been introduced.

Purpose of the Study:

  • To assess the utility of the updated Chicago Classification system.
  • To determine if previously unclassifiable HRM findings can now be categorized.

Main Methods:

  • Retrospective review of 150 HRM studies (2008-2010).
  • Identification and re-categorization of originally unclassified cases.
  • Application of the updated Chicago Classification system.

Main Results:

  • 37 out of 150 patients had initially unclassified HRM results.
  • No significant differences in age or sex between classified and unclassified groups.
  • All previously unclassified patients were diagnosed with variant achalasia under the updated system.

Conclusions:

  • The updated Chicago Classification system successfully categorizes previously unclassifiable esophageal motility disorder findings.
  • This advancement improves diagnostic accuracy for complex esophageal motility patterns.
Abstract

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