High-resolution Manometry Findings Between Chicago Classification Versions 3.0 and 4.0 in Patients With Achalasia
| HRM findings | CC v3.0 (n = 27) | Diagnosis changed |
CC v4.0 (n = 34) | |
|---|---|---|---|---|
| Supine IRP (mmHg) | 39.0 (31.0-47.5) |
18.3 (14.3-21.1)e,f | 37.0 (21.3-44.8) |
0.002 |
| Supine DCI (mmHg·s·cm) | 919.0 (224.0-1868.0) |
198.5 (16.7-334.6)e,f | 615.5 (192.3-1811.8) |
0.031 |
| Supine DL (sec) | 3.5 (2.2-5.6) | 7.0 (4.9-9.0) | 3.8 (2.4-5.9) | 0.158 |
| Upright IRP (mmHg) | 34.0 (29.0-44.0) |
15.5 (6.0-19.5)e,f | 32.0 (24.5-40.5) |
0.002 |
| Upright DCI (mmHg·s·cm) | 240.0 (66.0-1944.0) | 69.0 (6.8-233.8) | 220.0 (52.5-608.0) | 0.248 |
| Upright DL (sec) | 3.5 (2.0-5.5) |
7.5 (6.4-8.5)e,f | 4.4 (2.4-6.7) |
0.027 |
| MRS-IRP (mmHg) |
37.0 (29.0-45.5) |
18.0 (13.3-19.5)e,f | 33.0 (22.0-42.0) |
0.001 |
| MRS-DCI (mmHg·s·cm) |
1039.0 (230.0-2730.0) | 193.5 (24.8-521.5) | 686.0 (221.0-2372.0) | 0.063 |
| RDC-IRP (mmHg) |
32.0 (26.0-40.0)e,g | 14.0 (7.0-22.0)e,f | 27.5 (22.3-38.5)f,h | 0.001 |
aDiagnosis changed from others (2 absent contractility, 5 ineffective esophageal motility) to achalasia.
bIntegrated relaxation pressure (IRP) during multiple rapid swallows (MRS).
cDistal contractile integral (DCI) during MRS.
dIRP during rapid drink challenge (RDC).
e
f
gn = 25.
hn = 32.
HRM, high-resolution manometry; DL, distal latency.
Data are presented as median (interquartile range).