The DOI matches its Crossref record; 22 of the 22 references it cites were found in a registry or an index.
Esophageal motility disorders on high‐resolution manometry: Chicago classification version 4.0©
Open accessAbstract
Chicago Classification v4.0 (CCv4.0) is the updated classification scheme for esophageal motility disorders using metrics from high‐resolution manometry (HRM). Fifty‐two diverse international experts separated into seven working subgroups utilized formal validated methodologies over two‐years to develop CCv4.0. Key updates in CCv.4.0 consist of a more rigorous and expansive HRM protocol that incorporates supine and upright test positions as well as provocative testing, a refined definition of esophagogastric junction (EGJ) outflow obstruction (EGJOO), more stringent diagnostic criteria for ineffective esophageal motility and description of baseline EGJ metrics. Further, the CCv4.0 sought to define motility disorder diagnoses as conclusive and inconclusive based on associated symptoms, and findings on provocative testing as well as supportive testing with barium esophagram with tablet and/or functional lumen imaging probe. These changes attempt to minimize ambiguity in prior iterations of Chicago Classification and provide more standardized and rigorous criteria for patterns of disorders of peristalsis and obstruction at the EGJ.
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GRADE guidelines: 3. Rating the quality of evidence
Balshem, H., Helfand, M., Schünemann, H. J., Oxman, A. D., Kunz, R., Brozek, J., Vist, G. E., Falck-Ytter, Y., Meerpohl, J., & Norris, S. (2011) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2010.07.015 · Cited by 8,285
The Chicago Classification of esophageal motility disorders, v3.0
Kahrilas, P. J., Bredenoord, A. J., Fox, M., Gyawali, C. P., Roman, S., Smout, A. J. P. M., Pandolfino, J. E., & International High Resolution Manometry Working Group (2015) · Neurogastroenterology & Motility · doi:10.1111/nmo.12477 · Cited by 1,964
Self-citationBredenoord, A. J., Fox, M., Kahrilas, P. J., Pandolfino, J. E., Schwizer, W., Smout, A. J. P. M., & The International High Resolution Manometry Working Group (2012) · Neurogastroenterology & Motility · doi:10.1111/j.1365-2982.2011.01834.x · Cited by 775
Self-citationPandolfino, J. E., Fox, M. R., Bredenoord, A. J., & Kahrilas, P. J. (2009) · Neurogastroenterology & Motility · doi:10.1111/j.1365-2982.2009.01311.x · Cited by 327
Self-citationHigh-Resolution Manometry of the EGJ: An Analysis of Crural Diaphragm Function in GERD
Pandolfino, J. E., Kim, H., Ghosh, S. K., Clarke, J. O., Zhang, Q., & Kahrilas, P. J. (2007) · The American Journal of Gastroenterology · doi:10.1111/j.1572-0241.2007.01138.x · Cited by 287
Self-citationShaker, A., Stoikes, N., Drapekin, J., Kushnir, V., Brunt, M. L., & Gyawali, P. C. (2013) · American Journal of Gastroenterology · doi:10.1038/ajg.2013.289 · Cited by 259
Opioid-Induced Esophageal Dysfunction (OIED) in Patients on Chronic Opioids
Ratuapli, S. K., Crowell, M. D., DiBaise, J. K., Vela, M. F., Ramirez, F. C., Burdick, G. E., Lacy, B. E., & Murray, J. A. (2015) · American Journal of Gastroenterology · doi:10.1038/ajg.2015.154 · Cited by 201
Self-citationWeak Peristalsis in Esophageal Pressure Topography: Classification and Association With Dysphagia
Roman, S., Lin, Z., Kwiatek, M. A., Pandolfino, J. E., & Kahrilas, P. J. (2011) · American Journal of Gastroenterology · doi:10.1038/ajg.2010.384 · Cited by 194
Self-citationNicodème, F., Pipa‐Muniz, M., Khanna, K., Kahrilas, P. J., & Pandolfino, J. E. (2013) · Neurogastroenterology & Motility · doi:10.1111/nmo.12267 · Cited by 162
Self-citationPandolfino, J. E., Roman, S., Carlson, D., Luger, D., Bidari, K., Boris, L., Kwiatek, M. A., & Kahrilas, P. J. (2011) · Gastroenterology · doi:10.1053/j.gastro.2011.04.058 · Cited by 160
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Propagation patterns of jejunal motor activity measured by high‐resolution water‐perfused manometry
Alcala‐Gonzalez, L. G., Malagelada, C., Galan, C., Nieto, A., Accarino, A., & Azpiroz, F. (2021) · Neurogastroenterology & Motility · doi:10.1111/nmo.14240 · Cited by 13
European Guideline on Chronic Nausea and Vomiting—A UEG and ESNM Consensus for Clinical Management
Malagelada, C., Keller, J., Sifrim, D., Serra, J., Tack, J., Mulak, A., Stengel, A., Aguilar, A., Drewes, A. M., Josefsson, A., et al. (2025) · United European Gastroenterology Journal · doi:10.1002/ueg2.12711 · Cited by 8
Self-citationEnteric neuromuscular manifestations in neurofibromatosis type I
Damianos, J. A., Matkowskyj, K. A., & Camilleri, M. (2025) · Neurogastroenterology & Motility · doi:10.1111/nmo.70101 · Cited by 2
Metadata
- Authors
- Yadlapati, R., Kahrilas, P. J., Fox, M. R., Bredenoord, A. J., Prakash Gyawali, C., Roman, S., Babaei, A., Mittal, R. K., Rommel, N., Savarino, E., Sifrim, D., Smout, A., Vaezi, M. F., Zerbib, F., Akiyama, J., Bhatia, S., Bor, S., Carlson, D. A., Chen, J. W., Cisternas, D., Cock, C., Coss‐Adame, E., de Bortoli, N., Defilippi, C., Fass, R., Ghoshal, U. C., Gonlachanvit, S., Hani, A., Hebbard, G. S., Wook Jung, K., Katz, P., Katzka, D. A., Khan, A., Kohn, G. P., Lazarescu, A., Lengliner, J., Mittal, S. K., Omari, T., Park, M. I., Penagini, R., Pohl, D., Richter, J. E., Serra, J., Sweis, R., Tack, J., Tatum, R. P., Tutuian, R., Vela, M. F., Wong, R. K., Wu, J. C., Xiao, Y., & Pandolfino, J. E.
- Venue
- Neurogastroenterology & Motility
- Publisher
- Wiley
- Published
- 2020-12-29
- Volume
- 33
- Issue
- 1
- Pages
- e14058-e14058
- ISSN
- 1350-1925 (ISSN-L)
- 1365-2982
- OpenAlex
- W3117727838
- Cited by
- 1,080
- References
- 22
- FWCI
- 79.86
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Yadlapati, R., Kahrilas, P. J., Fox, M. R., Bredenoord, A. J., Prakash Gyawali, C., Roman, S., Babaei, A., Mittal, R. K., Rommel, N., Savarino, E., Sifrim, D., Smout, A., Vaezi, M. F., Zerbib, F., Akiyama, J., Bhatia, S., Bor, S., Carlson, D. A., Chen, J. W., . . . Pandolfino, J. E. (2021). Esophageal motility disorders on high‐resolution manometry: Chicago classification version 4.0©. Neurogastroenterology & Motility. https://doi.org/10.1111/nmo.14058
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