Chicago Classification Criteria of Esophageal Motility Disorders (EPT)

Chicago Classification Criteria of Esophageal Motility Disorders Defined in High Resolution Esophageal Pressure Topography (EPT)

High resolution esophageal pressure topography (EPT) is an evolutionary technology incorporating the combination of high resolution manometry (HRM) and pressure topography plotting in the form of Clouse plots introduced in 2000 for the clinical evaluation of esophageal motility. Prior to that, EPT had been developed and utilized as a highly innovative research modality. The HRM Working Group first met in San Diego during DDW 2007 with the objective of adapting EPT to the clinical evaluation of esophageal motility. Since then, a series of HRM Working Group meetings have ensued on a more-or-less annual basis to review, critique, and plan the iterative process of developing a practical classification for esophageal motility disorders based on EPT-specific metrics and criteria. The classification scheme was initially branded 'The Chicago Classification' in 2007 following a series of seminal publications defining key EPT metrics and interpretation criteria optimized for clinical EPT studies emanating from a group of investigators at Northwestern University in Chicago. Since then, two iterations of the Chicago Classification have been published summarizing the incremental development of the classification scheme. The most recent meeting of the HRM Working Group was in Ascona, Switzerland in conjunction an international congress focused on the clinical evaluation of esophageal disease. This paper summarizes the Chicago Classification of esophageal motility disorders emanating from the meeting at the Ascona congress.


Specialty Certificate Examination

The Exam: The BSG, in partnership with the Federation of Royal Colleges of Physicians of the UK organises and delivers the Specialty Certificate Examination in Gastroenterology. The first examination was held in 2008. The examination is currently held in April every year.

UK Trainees: The Specialty Certificate Examination (SCE) is a compulsory component of assessment for Certificate of Completion of Training (CCT) for all UK trainees. The examination compliments workplace-based assessments and ensures that trainees have sufficient knowledge to practice safely and competently as consultants.

Outside the UK: The SCE is open to all doctors who are in training or have completed their training from any part of the world. Applicants are no longer required to hold the MRCP (UK). The exam is a computer-based test and is held in several centres throughout the world.

Date of SCE Examination: The next Gastroenterology SCE Examination will take place on 20th April 2016. Registration opens in December 2015.

Dr Mounes Dakkak
Lead Specialist for Gastroenterology SCE


Duty of Candour – Advice for Gastroenterologists

Being open and honest with patients is something that all practising gastroenterologists in the UK have probably taken for granted throughout their career. However, in 2015 explicit guidance was published by the GMC along with the nursing and midwifery council highlighting the professional duty of candour for doctors (1) and furthermore there are now plans to implement a statutory duty of candour for healthcare providers in all four nations of the UK.

In essence the professional duty of candour can be summarised as: "Every healthcare professional must be open and honest with patients when something that goes wrong with their treatment or care causes, or has the potential to cause, harm or distress. This means that healthcare professionals must:

  1. Tell the patient (or, where appropriate, the patient’s advocate, carer or family) when something has gone wrong.
  2. Apologise to the patient (or, where appropriate, the patient’s advocate, carer or family).
  3. Offer an appropriate remedy or support to put matters right (if possible).
  4. Explain fully to the patient (or, where appropriate, the patient’s advocate, carer or family) the short and long term effects of what has happened."

HSJ Awards 2015: Clinical Leader of the Year - Dr Beverly Oates

Dr Beverley Oates has been awarded the prestigious HSJ Clinical Leader of the Year 2015. The BSG congratulates her on this well deserved recognition.

Dr Oates, Deputy-Chair BSG Training Committee, has been clinical leader for endoscopy at Wirral University Teaching Hospital Foundation Trust for 10 years.

The award cited her implementation of an electronic auditable reporting system in 2006 and expansion of the endoscopy service from two to four theatres in 2008. A seven-day endoscopy service began in 2012 thanks to Dr Oates securing £1.7m to expand the unit further to seven theatres and reconfigure facilities to create single sex environments.



NHSE proposed revisions to Clinical Reference Groups

The recent engagement period on the proposed revisions to Clinical Reference Groups has resulted in changes to their structure. All changes, along with a summary of the feedback received during the engagement period, are set out in the attached engagement outcome report:

Revisions have now been agreed by NHS England's Specialised Commissioning Oversight Group and they will be implementing the changes over the next few months.

The recruitment process for the new CRG chairs and request for interest in members has now started and the advert can be found at

The closing date for applications is midnight on 15th May.


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