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Department of Medicine
Dallas VA Medical Center
and University of Texas Southwestern Medical Center at
Dallas
Dallas, Texas, USA
D O CASTELL
Department of Medicine
Graduate Hospital, Philadelphia, Pennsylvania, USA
Correspondence to: Dr S J Spechler, Division of Gastroenterology (111B1), Dallas VA Medical Center, 4500 South Lancaster Road, Dallas, Texas 75216, USA. sjspechler{at}aol.com
Manometric examination of the oesophagus frequently reveals
abnormalities whose cause is unknown and whose physiological importance is not clear. A large body of literature dealing with oesophageal motility abnormalities has evolved over the past few decades but comparisons among studies have been compromised by the lack of a widely
accepted system for classifying the abnormal motility patterns, and by
the lack of uniform diagnostic criteria for the putative disorders.
Based on an extensive review and analysis of the literature, this
report suggests an operational scheme to be used for the general
classification of oesophageal motility abnormalities, and proposes
standardised manometric criteria for the putative oesophageal motility
disorders. By applying the guidelines proposed in this report,
clinicians and researchers can determine if their patients fulfil the
manometric criteria for a putative motility disorder. This should
facilitate and improve comparisons among patients and studies. However,
it is important to emphasise that fulfilment of the proposed criteria
does not establish the clinical importance of the motility abnormalities.
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