Chicago Classification (Achalasia Subtype)

Assigns the manometric subtype of achalasia (Chicago Classification v4.0).

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Abnormal median IRP
Yes
100% absent peristalsis
Yes
Pressurization >= 20%
Yes

Result: Achalasia type II - panesophageal pressurization in 20% or more of swallows, with no spasm.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Required
Both an abnormal median integrated relaxation pressure AND 100% absent peristalsis. Neither is optional, and the body findings mean nothing without them.
Type III
20% or more premature or spastic swallows: distal latency under 4.5 s with a distal contractile integral above 450.
Type II
Panesophageal pressurization in 20% or more of swallows, without spasm.
Type I
Failed peristalsis with neither pressurization nor spasm.
Why it matters
The subtype separates who tends to do well with pneumatic dilation from who is usually offered a myotomy; type II generally has the best outcomes.

What you enter

  • Abnormal median IRP
  • 100% absent peristalsis
  • Premature swallows >= 20%
  • Pressurization >= 20%
How this is calculated

Yadlapati R, Kahrilas PJ, Fox MR, et al. Esophageal motility disorders on high-resolution manometry: Chicago classification version 4.0. Neurogastroenterol Motil. 2021;33(1):e14058. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.