Eckardt developed a system score for evaluating a patient with achalasia. The author is from the University of Mainz and Deutsche Klinik fur Diagnostik in Westbaden, Germany.
Parameters:
(1) dysphagia
(2) regurgitation
(3) chest pain
(4) weight loss in kilograms
Parameter
Finding
Points
dysphagia
none
0
occasional
1
daily
2
with every meal
3
regurgitation
none
0
occasional
1
daily
2
with every meal
3
chest pain
none
0
occasional
1
daily
2
with every meal
3
weight loss
0
0
0.1 to 4.9 kg
1
5.0 to 10 kg
2
> 10kg
3
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 12
• The higher the score the more severe the achalasia clinically.
Score
Stage
0 or 1
0
2 or 3
I
4 to 6
II
7 to 12
III
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