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The Eckardt Score

The Eckardt Score is used to assess the severity of achalasia based on symptoms and signs, with higher scores indicating greater severity. It assigns points from 0-3 for recent weight loss, frequency of dysphagia, chest pain, and regurgitation, with the total score being the sum of the individual ratings. Careful interviews and modern diagnostic methods allow for early diagnosis and treatment initiation of achalasia.

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1K views1 page

The Eckardt Score

The Eckardt Score is used to assess the severity of achalasia based on symptoms and signs, with higher scores indicating greater severity. It assigns points from 0-3 for recent weight loss, frequency of dysphagia, chest pain, and regurgitation, with the total score being the sum of the individual ratings. Careful interviews and modern diagnostic methods allow for early diagnosis and treatment initiation of achalasia.

Uploaded by

fidodido2000
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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The Eckardt Score for Achalasia Severity

• A careful interview and the use of modern methods that concentrate on


pathophysiologic aspects always allow an early diagnosis and the initiation of therapy of
achalasia
• The final score is the sum of the individual ratings for each symptom/sign

Score for each symptom / sign


Signs / Symptoms
0 1 2 3
Recent weight loss (kg) None <5 5-10 > 10
Dysphagia None Occasional Daily Each meal
Chest pain None Occasional Daily Several times per day
regurgitation None Occasional Daily Each meal

Reference:
Eckardt VF, Aignherr C, Bernhard G. Predictors of outcome in patients with achalasia treated by
pneumatic dilation. Gastroenterology. 1992;103:1732-38.

Eckardt VF. Clinical presentation and complications of achalasia. Gastrointest Endos Clin N Am.
2001;11:281-292.

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