title: Chicago Classification of Esophageal Motility Disorders: Applications and Limits in Adults and Pediatric Patients with Esophageal Symptoms.
abstract: The Chicago classification (CC) is most valued for its systematic approach to esophageal disorders and great impact in unifying practice for esophageal manometric studies. In view of the ever-growing wealth of knowledge and experience gained by the expanding use of high-resolution manometry (HRM) in various clinical scenarios, the CC is regularly updated. Its clinical impact and ability to predict clinical outcome, both in adults and pediatrics, will be further promoted by recognizing its current limitations, incorporating new metrics in its diagnostic algorithms and adjusting the HRM protocols based on the clinical question posed. Herein, we discuss the current limitations of the CC and highlight some areas of improvement for the future.
authors.affiliation: Barts and The London School of Medicine and Dentistry, Queen Mary University of London, 26 Ashfield Street, E1 2AJ, London, UK.
authors.forename: Kornilia
authors.initials: K
authors.lastname: Nikaki
authors.affiliation: Barts and The London School of Medicine and Dentistry, Queen Mary University of London, 26 Ashfield Street, E1 2AJ, London, UK.
authors.forename: Joanne Li Shen
authors.initials: JL
authors.lastname: Ooi
authors.affiliation: Barts and The London School of Medicine and Dentistry, Queen Mary University of London, 26 Ashfield Street, E1 2AJ, London, UK. d.sifrim@qmul.ac.uk.
authors.forename: Daniel
authors.initials: D
authors.lastname: Sifrim
mesh_terms: D000367:Age Factors; D015154:Esophageal Motility Disorders / Q000145:classification / Q000175:diagnosis* / Q000503:physiopathology; D049631:Esophageal Sphincter, Upper / Q000503:physiopathology; D004943:Esophagogastric Junction / Q000503:physiopathology; D005764:Gastroesophageal Reflux / Q000601:surgery; D006801:Humans; D008365:Manometry / Q000379:methods; D010614:Pharynx / Q000503:physiopathology; D011182:Postoperative Care / Q000379:methods
keywords: Adults; Chicago classification; Esophagus; Manometry; Pediatrics