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• W769227344 abstract "Achalasia is a rare esophageal motility disorder defined as impaired relaxation of the esophagogastric junction (EGJ) and the absence of esophageal peristaltic contractions. High resolution manometry (HRM) is now the gold standard for the diagnosis of achalasia. Pandolfino et al. proposed classifying achalasia into three subtypes based on esophageal contraction patterns on HRM [1]. In the most recent iteration (version 3.0) of the Chicago Classification of esophageal motility disorders on HRM, achalasia is defined as impaired EGJ relaxation and subsequently divided into three subtypes [2]. Type I is characterized by the absence of esophageal contractions and the absence of pressurization, type II by the absence of esophageal contractions and at least 20 % of swallows that are associated with pan-esophageal pressurization, and type III (also called spastic) by at least 20 % of contractions that are premature ([Fig. 1a – c]). Different studies demonstrated the clinical relevance of this classification [3] [4] [5] [6]. Thus, patients with type II achalasia had the best outcome overall after treatment, whereas patients with type III had the worst." @default.
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• W769227344 date "2015-05-07" @default.
• W769227344 modified "2023-09-26" @default.
• W769227344 title "Per oral endoscopic myotomy (POEM) for all spastic esophageal disorders?" @default.
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• W769227344 doi "https://doi.org/10.1055/s-0034-1391417" @default.
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