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. Author manuscript; available in PMC: 2022 Apr 1.
Published in final edited form as: Neurogastroenterol Motil. 2021 Mar 17;33(4):e14120. doi: 10.1111/nmo.14120

FIGURE 9.

FIGURE 9

Two alternate algorithms to guide the use of provocative tests during the CCv4.0 Protocol are provided. Left panel: Protocol commencing with wet swallows in the supine position. Right panel: Protocol commencing with wet swallows in the upright position. In both provocative tests that increase the sensitivity and specificity for detection of clinically relevant esophageal motility disorders are recommended.