title: Characterization of Esophageal Motility Disorders in Children Presenting With Dysphagia Using High-Resolution Manometry.
abstract: OBJECTIVE
  The Chicago classification was based on metrics derived from studies in asymptomatic adult subjects. Our objectives were to characterize esophageal motility disorders in children and to determine whether the spectrum of manometric findings is similar between the pediatric and adult populations.
  
  
  RESULTS
  Studies have suggested that the metrics utilized in manometric diagnosis depend on age, size, and manometric assembly. This would imply that a different set of metrics should be used for the pediatric population. There are no standardized and generally accepted metrics for use in the pediatric population, though there have been attempts to establish metrics specific to this population. Overall, we found that the distribution of esophageal motility disorders in children was like that described in adults using the Chicago classification. This analysis will serve as a prequel to follow-up studies exploring the individual metrics for variability among patients, with the objective of establishing novel metrics for the pediatric population.
authors.affiliation: Department of Internal Medicine, Good Samaritan Hospital, Cincinnati, OH, 45220, USA.
authors.forename: Francis
authors.initials: F
authors.lastname: Edeani
authors.affiliation: Neurogastroenterology and Motility Disorders Program, Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA.
authors.forename: Adeel
authors.initials: A
authors.lastname: Malik
authors.affiliation: Neurogastroenterology and Motility Disorders Program, Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA. Ajay.Kaul@CCHMC.org.
authors.forename: Ajay
authors.initials: A
authors.lastname: Kaul
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D003680:Deglutition Disorders / Q000209:etiology*; D015154:Esophageal Motility Disorders / Q000150:complications* / Q000175:diagnosis*; D004947:Esophagus / Q000503:physiopathology; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008365:Manometry / Q000379:methods; D012815:Signal Processing, Computer-Assisted; D055815:Young Adult
keywords: Chicago classification; Dysphagia; Esophageal motility disorders; Manometry; Pediatric gastroenterology