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Summary of Criteria for Diagnosis of Motility Disorders

  • Rajesh SainaniEmail author
Chapter
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Abstract

High-resolution manometry, a novel technology, has revolutionized the ease of performing, interpreting, and applying gastrointestinal motility tests in clinical practice. Moreover, the recent introduction of Chicago classification has paved a new way by which motility disorders like achalasia are diagnosed and classified, and has introduced a new clinical dimension to select patients with different sub-types of achalasia to different therapeutic modalities. Moreover, high-resolution manometry also helped us to understand which sub-type of achalasia respond best to the first-line treatment like endoscopic pneumatic dilation. Introduction of newer parameters such as integrated relaxation pressures, distal contractile integral, contractile deceleration point, and distal latency, potentially helped in diagnosis of various clinical entities more objectively.

Keywords

Motility Achalasia Distal esophageal spasm Jackhammer esophagus Chicago classification Esophageal manometry Anorectal manometry Cricopharyngeal bar Dyssynergic defecation Fragmented peristalsis 

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Copyright information

© Springer India 2016

Authors and Affiliations

  1. 1.Department of GastroenterologyJaslok HospitalMumbaiIndia

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