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. Author manuscript; available in PMC: 2025 Apr 1.
Published in final edited form as: Neurogastroenterol Motil. 2024 Jan 23;36(4):e14746. doi: 10.1111/nmo.14746

TABLE 4.

Relationship of secondary peristalsis (FLIP contractile response) and primary peristalsis (HRM) on follow-up testing after fundoplication.

HRM CCv4.0 peristalsis patterns
Normal Ineffective esophageal motility Absent contractility Hypercontractile Premature Total
FLIP contractile Response Normal 10 (16) 0 (0)* 0 (0) 0 (0) 1 (2) 11 (17)
Borderline 14 (22) 5 (8) 1 (2) 2 (3) 0 (0) 22 (35)
Impaired/disordered 12 (19) 6 (10) 1 (2) 0 (0) 1 (2) 20 (32)
Absent 1 (2) 3 (5) 5 (8)* 0 (0) 0 (0) 9 (14)
Spastic reactive 0 (0) 0 (0) 0 (0) 1 (2) 0 (0) 1 (2)
Total 37 (59) 14 (22) 7 (11) 3 (5) 2 (3) 63 (100)

Note: Values in each cell are n (% of the total cohort that completed both high-resolution manometry (HRM) and functional lumen imaging probe (FLIP)).

*

p <0.05 in comparison to normal primary peristalsis.

Abbreviation: CCv4.0 – Chicago Classification version 4.0.