Division of Gastroenterology and Hepatology, Department of Medicine, Northwestern University, Feinberg School of Medicine, 676 St Clair Street, Suite 1400, Chicago, IL 60611-2951, USA; Division of Gastroenterology and Hepatology, Department of Medicine, University of California, San Diego, 9500 Gillman Drive, MC 0956, La Jolla, CA 92093-0956, USA.
Division of Gastroenterology and Hepatology, Department of Medicine, Northwestern University, Feinberg School of Medicine, 676 St Clair Street, Suite 1400, Chicago, IL 60611-2951, USA.
Gastroenterol Clin North Am. 2021 Dec;50(4):769-790. doi: 10.1016/j.gtc.2021.07.003. Epub 2021 Oct 6.
Among recent advances in diagnostics for dysphagia and esophageal motility disorders is the update to the Chicago Classification (version 4.0) for interpretation of high-resolution manometry (HRM) and diagnosis of esophageal motility disorders. The update incorporates application of complementary testing strategies during HRM, such as provocative HRM maneuvers, and recommendation for barium esophagram or functional luminal imaging probe (FLIP) panometry to help clarify inconclusive HRM findings. FLIP panometry also represents an emerging technology for evaluation of esophageal distensibility and motility at the time of endoscopy.
在吞咽困难和食管动力障碍的诊断方面的最新进展中，对高分辨率测压（HRM）的解读和食管动力障碍的诊断的芝加哥分类（第 4.0 版）进行了更新。该更新纳入了在 HRM 期间应用补充性测试策略，如激发性 HRM 操作，并建议进行钡餐食管造影或功能腔内成像探头（FLIP）测压以帮助阐明 HRM 结果不明确的情况。FLIP 测压也代表了在内镜检查时评估食管可扩张性和动力的一项新兴技术。
