Diagnosis and Treatment of DGBI of the Esophagus, Introduction
摘要
According to the Rome IV criteria, FGIDs in the esophageal region include Functional Chest Pain, Functional Heartburn, Reflux Hypersensitivity, Globus, and Functional Dysphagia. Esophageal motility testing is performed using high-resolution manometry (HRM) to systematically evaluate esophageal motility disorders. The Chicago Classification, now in its fourth version, provides a diagnostic flow diagram of esophageal motility disorders. The practical section of this chapter addresses functional heartburn, non-cardiac chest pain, globus, functional dysphagia/dysphagia, followed by NERD/reflux hypersensitivity, GIMD including achalasia, diffuse esophageal spasm (DES), and esophageal motility abnormalities associated with scleroderma and collagen diseases.