Abstract
Posledná klasifikácia porúch pažerákovej motility na základe high resolution manometrie (HRM) vznikla v roku 2012.
Odvtedy používanie HRM v klinickej praxi a početné klinické štúdie priniesli množstvo poznatkov a nový pohľad na interpretáciu nameraných údajov. Tieto informácie bolo potrebné zohľadniť v novej klasifikácii. Aktualizovaná Chicagska klasifikácia, ktorá dostala označenie v3.0, je stručnejšia a prehľadnejšia a výraznejšie sa približuje klinickej praxi. Je výsledkom stretnutia členov medzinárodnej pracovnej skupiny pre HRM (International HRM working group) v roku 2014 v Chicagu. V článku čitateľov oboznamujeme s novou klasifikáciou s dôrazom na najdôležitejšie zmeny oproti jej predchádzajúcej verzii.
References
1. Pandolfino JE, Fox MR, Bredenoord AJ et al. High‑resolution manometry in clinical practice: utilizing pressure topography to classify oesophageal motility abnormalities. Neurogastroenterol Motil 2009; 21(8): 796–806. doi: 10.1111/j.1365‑2982.2009.01311.x.
2. Pandolfino JE, Kahrilas PJ. AGA technical review on the clinical use of esophageal manometry. Gastroenterology 2005; 128(1): 209–224.
3. Bredenoord AJ, Fox M, Kahrilas PJ et al. Chicago classification criteria of esophageal motility disorders defined in high resolution esophageal pressure topography. Neurogastroenterol Motil 2012; 24 (Suppl 1): 57–65. doi: 10.1111/j.1365‑2982.2011.01834.x.
4. Kahrilas PJ, Bredenoord AJ, Fox M et al. The Chicago classification of esophageal motility disorders, v3.0. Neurogastroenterol Motil 2015; 27(2): 160–174. doi: 10.1111/nmo.12477.
5. Fremundová L, Balihar K, Koželuhová Jet al. Manometrie jícnu. Gastroent Hepatol 2013; 67(4): 250–260.
6. Lin Z, Pandolfino JE, Xiao Y et al. Localizing the contractile deceleration point (CDP) in patients with abnormal esophageal pressure topography. Neurogastroenterol Motil 2012; 24(10): 972–975. doi: 10.1111/j.1365‑2982.2012.01959.x.
7. Roman S, Gyawali CP, Xiao Y et al. The Chicago classification of motility disorders: an update. Gastrointest Endosc Clin N Am 2014; 24(4): 545–561. doi: 10.1016/j.giec.2014.07.001.
8. Roman S, Pandolfino JE, Chen J et al. Phenotypes and clinical context of hypercontractility in high‑resolution esophageal pressure topography (EPT). Am J Gastroenterol 2012; 107(1): 37–45.
9. Roman S, Kahrilas PJ. Distal esophageal spasm. Dysphagia 2012; 27(1): 115–123. doi: 10.1007/s00455‑011‑9388‑3.
10. Kumar N, Porter RF, Chanin JM et al. Analysis of intersegmental trough and proximal latency of smooth muscle contraction using high‑resolution esophageal manometry. J Clin Gastroenterol 2012; 46(5): 375–381. doi: 10.1097/MCG.0b013e31823d3403.
11. Roman S, Lin Z, Kwiatek MA et al. Weak peristalsis in esophageal pressure topography: classification and association with Dysphagia. Am J Gastroenterol 2011; 106(2): 349–356. doi: 10.1038/ajg.2010.384.
12. Pandolfino JE, Roman S, Carlson D et al. Distal esophageal spasm in high‑resolution esophageal pressure topography: defining clinical phenotypes. Gastroenterology 2011; 141(2): 469–475. doi: 10.1053/j.gastro.2011.04.058.
13. Pandolfino JE, Kim H, Ghosh SK et al. High resolution manometry of the EGJ: an analysis of crural diaphragm function in GERD. Am J Gastroenterol 2007; 102(5): 1056–1063.
14. Kahrilas PJ, Peters JH. Evaluation of the esophagogastric junction using high resolution manometry and esophageal pressure topography. Neurogastroenterol Motil 2012; 24 (Suppl 1): 11–19. doi: 10.1111/j.1365‑2982.2011.01829.x.
15. Bredenoord AJ, Weusten BL, Timmer R et al. Intermittent spatial separation of diaphragm and lower esophageal sphincter favors acidic and weakly acidic reflux. Gastroenterology 2006; 130(2): 334–340.
16. Shaker A, Stoikes N, Drapekin J et al.Multiple rapid swallow responses during esophageal high‑resolution manometry reflect esophageal body peristaltic reserve. Am J Gastroenterol 2013; 108(11): 1706–1712. doi: 10.1038/ajg.2013.289.
