Schlottmann Francisco, Herbella Fernando A, Patti Marco G
Department of Surgery and Center for Esophageal Diseases, University of North Carolina, Chapel Hill, NC, USA.
Department of Surgery, Escola Paulista de Medicina, Federal University of Sao Paulo, Sao Paulo, Brazil.
J Neurogastroenterol Motil. 2017 Oct 30;23(4):487-494. doi: 10.5056/jnm17026.
Current parameters of the Chicago classification include assessment of the esophageal body (contraction vigour and peristalsis), lower esophageal sphincter relaxation pressure, and intra-bolus pressure pattern. Esophageal disorders include achalasia, esophagogastric junction outflow obstruction, major disorders of peristalsis, and minor disorders of peristalsis. Sub-classification of achalasia in types I, II, and III seems to be useful to predict outcomes and choose the optimal treatment approach. The real clinical significance of other new parameters and disorders is still under investigation.
芝加哥分类法的当前参数包括对食管体部（收缩强度和蠕动）、食管下括约肌松弛压力以及团注内压力模式的评估。食管疾病包括贲门失弛缓症、食管胃交界部流出道梗阻、主要蠕动障碍和轻微蠕动障碍。将贲门失弛缓症分为I型、II型和III型的亚分类似乎有助于预测预后并选择最佳治疗方法。其他新参数和疾病的实际临床意义仍在研究中。
