📘 Chicago Classification v4.0 updates HRM interpretation with stricter criteria & mandatory clinical correlation.

🔄 Supine + upright swallows required.

🚫 EGJOO now needs ↑IRP in both positions + abnormal confirmatory test.

⚡ Achalasia (Types I–III) must include symptoms & supportive tests (TBE/EndoFLIP).

🔥 DES & Jackhammer diagnosed only when manometry + symptoms align.

#GastroAGI #AGA #ChicagoClassification #Esophagus #Motility #HRM