EVALUATION OF ESOPHAGEAL ACHALASIA: FROM SYMPTOMS TO THE CHICAGO CLASSIFICATION
ABSTRACT Introduction: The diagnosis of achalasia may be suggested by clinical features but a complete work-up is required not only to confirm the diagnosis but also to grade the disease by severity or clinical subtype. Objective: To review the current evaluation of esophageal achalasia and its co...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Colégio Brasileiro de Cirurgia Digestiva
2018-07-01
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| Series: | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000200507&tlng=pt |
| _version_ | 1819003554727198720 |
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| author | Rafael Melillo LAURINO-NETO Fernando HERBELLA Francisco SCHLOTTMANN Marco PATTI |
| author_facet | Rafael Melillo LAURINO-NETO Fernando HERBELLA Francisco SCHLOTTMANN Marco PATTI |
| author_sort | Rafael Melillo LAURINO-NETO |
| collection | DOAJ |
| description | ABSTRACT Introduction: The diagnosis of achalasia may be suggested by clinical features but a complete work-up is required not only to confirm the diagnosis but also to grade the disease by severity or clinical subtype. Objective: To review the current evaluation of esophageal achalasia and its correct comprehension. Method: The literature review was based on papers published on Medline/Pubmed, SciELO and Lilacs, crossing the following headings: “esophageal achalasia”; “deglutition disorders”; “diagnostic techniques”, “digestive system”; “endoscopy, digestive system”; “manometry”. Results: The diagnosis of achalasia is suggested by clinical features but is not sufficient to distinguish this from other esophageal disease. It must be confirmed by further diagnostic tests, such as esophagogastroduodenoscopy, barium swallow and manometry. Recent advances in diagnostic methods, including high resolution manometry might even help predicting outcome or selected more appropriate procedures to treat the disease. Conclusion: A detailed and systematic study of achalasia patients allows not only a correct diagnosis but also contributes to therapeutic decision making and prognosis. |
| first_indexed | 2024-12-20T23:22:51Z |
| format | Article |
| id | doaj.art-5d7f721392984f60a8668e3566b663a8 |
| institution | Directory Open Access Journal |
| issn | 0102-6720 |
| language | English |
| last_indexed | 2024-12-20T23:22:51Z |
| publishDate | 2018-07-01 |
| publisher | Colégio Brasileiro de Cirurgia Digestiva |
| record_format | Article |
| series | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| spelling | doaj.art-5d7f721392984f60a8668e3566b663a82022-12-21T19:23:29ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202018-07-0131210.1590/0102-672020180001e1376EVALUATION OF ESOPHAGEAL ACHALASIA: FROM SYMPTOMS TO THE CHICAGO CLASSIFICATIONRafael Melillo LAURINO-NETOFernando HERBELLAFrancisco SCHLOTTMANNMarco PATTIABSTRACT Introduction: The diagnosis of achalasia may be suggested by clinical features but a complete work-up is required not only to confirm the diagnosis but also to grade the disease by severity or clinical subtype. Objective: To review the current evaluation of esophageal achalasia and its correct comprehension. Method: The literature review was based on papers published on Medline/Pubmed, SciELO and Lilacs, crossing the following headings: “esophageal achalasia”; “deglutition disorders”; “diagnostic techniques”, “digestive system”; “endoscopy, digestive system”; “manometry”. Results: The diagnosis of achalasia is suggested by clinical features but is not sufficient to distinguish this from other esophageal disease. It must be confirmed by further diagnostic tests, such as esophagogastroduodenoscopy, barium swallow and manometry. Recent advances in diagnostic methods, including high resolution manometry might even help predicting outcome or selected more appropriate procedures to treat the disease. Conclusion: A detailed and systematic study of achalasia patients allows not only a correct diagnosis but also contributes to therapeutic decision making and prognosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000200507&tlng=ptEsophageal achalasiaDeglutition disordersEndoscopy, Digestive systemManometry. |
| spellingShingle | Rafael Melillo LAURINO-NETO Fernando HERBELLA Francisco SCHLOTTMANN Marco PATTI EVALUATION OF ESOPHAGEAL ACHALASIA: FROM SYMPTOMS TO THE CHICAGO CLASSIFICATION ABCD: Arquivos Brasileiros de Cirurgia Digestiva Esophageal achalasia Deglutition disorders Endoscopy, Digestive system Manometry. |
| title | EVALUATION OF ESOPHAGEAL ACHALASIA: FROM SYMPTOMS TO THE CHICAGO CLASSIFICATION |
| title_full | EVALUATION OF ESOPHAGEAL ACHALASIA: FROM SYMPTOMS TO THE CHICAGO CLASSIFICATION |
| title_fullStr | EVALUATION OF ESOPHAGEAL ACHALASIA: FROM SYMPTOMS TO THE CHICAGO CLASSIFICATION |
| title_full_unstemmed | EVALUATION OF ESOPHAGEAL ACHALASIA: FROM SYMPTOMS TO THE CHICAGO CLASSIFICATION |
| title_short | EVALUATION OF ESOPHAGEAL ACHALASIA: FROM SYMPTOMS TO THE CHICAGO CLASSIFICATION |
| title_sort | evaluation of esophageal achalasia from symptoms to the chicago classification |
| topic | Esophageal achalasia Deglutition disorders Endoscopy, Digestive system Manometry. |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000200507&tlng=pt |
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