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Date Published: 27/10/2023
Abstract Views: 73
Views PDF: 79
DOI: https://doi.org/10.51298/vmj.v531i1.6951
Issue
Vol. 531 No. 1 (2023)
Section
Các bài báo
How to Cite
Đào , V. H. ., & Lưu , T. M. H. (2023). CLINICAL CHARACTERISTICS AND ENDOSCOPIC FINDINGS IN PATIENTS WITH INEFFECTIVE ESOPHAGEAL MOTILTIY BY CHICAGO CLASSIFICATION VERSION 4.0 COMPARED TO VERSION 3.0. Vietnam Medical Journal, 531(1). https://doi.org/10.51298/vmj.v531i1.6951

CLINICAL CHARACTERISTICS AND ENDOSCOPIC FINDINGS IN PATIENTS WITH INEFFECTIVE ESOPHAGEAL MOTILTIY BY CHICAGO CLASSIFICATION VERSION 4.0 COMPARED TO VERSION 3.0

Việt Hằng Đào 1,2,3,, Thị Minh Huế Lưu 3
1 HMU
2 HMU hospital
3 Institute of Gastroenterology and Hepatobiliary Research and Training

Main Article Content

Abstract

Our study was conducted to evaluate clinical characteristics, endoscopic and manometric findings in patients with ineffective esophageal motility (IEM) by Chicago classification 4.0 compared to Chicago classification 3.0. Patients with upper gastrointestinal symptoms and indicated esophageal manometry were recruited between 24/09/2020 and 28/02/2023 at the institute of Gastroenterology and Hepatology. During study duration, 1209 out of 2407 (50.2%) patients were diagnosed with IEM by Chicago classification 3.0 (IEM_CC3), of which 643 patients remained their diagnosis of IEM by Chicago classification 4.0 (IEM_CC4) and 566 patients switched to normal motility (normal_CC4). There were no significant differences in clinical characteristics and endoscopic findings within groups while patients in IEM_CC4 had significantly lower esophagogastric junction pressure compared to those in normal_CC4.

Article Details

Keywords

High-resolution manometry, ineffective esophageal motility (IEM), Chicago classification

References

1. Yadlapati, R., et al., Esophageal motility disorders on high-resolution manometry: Chicago classification version 4.0((c)). Neurogastroenterol Motil, 2021. 33(1): p. e14058.
2. Dao, H.V., et al., High prevalence of esophagitis in patients with severe ineffective esophageal motility: need for a new diagnostic cutoff. Ann Gastroenterol, 2022. 35(5): p. 483-488.
3. Gyawali, C.P., et al., Ineffective esophageal motility: Concepts, future directions, and conclusions from the Stanford 2018 symposium. Neurogastroenterol Motil, 2019. 31(9): p. e13584.
4. Chugh, P., et al., Ineffective Esophageal Motility Is Associated with Impaired Bolus Clearance but Does Not Correlate with Severity of Dysphagia. Dig Dis Sci, 2019. 64(3): p. 811-814.
5. Jain, A., J.R. Baker, and J.W. Chen, In ineffective esophageal motility, failed swallows are more functionally relevant than weak swallows. Neurogastroenterol Motil, 2018. 30(6): p. e13297.
6. Zhuang, Q.J., et al., Ineffective esophageal motility in Chicago Classification version 4.0 better predicts abnormal acid exposure. Esophagus, 2022. 19(1): p. 197-203.
7. Tuan, A.W., et al., Comparing Patients Diagnosed With Ineffective Esophageal Motility by the Chicago Classification Version 3.0 and Version 4.0 Criteria. Gastroenterology Res, 2023. 16(1): p. 37-49.