Update Conditions/Achalasia/chunks.json

Conditions/Achalasia/chunks.json

@@ -1,50 +1,85 @@
 [
   {
-    "id": "Achalasia_1_Description",
-    "section_id": "1",
-    "section_title": "Description",
-    "category": "description",
+    "chunk_id": "achalasia.description",
+    "condition": "Achalasia",
+    "system": "Gastrointestinal",
+    "section": "Description",
     "text": "Achalasia is a rare disorder of the food pipe (oesophagus) that makes it difficult to swallow food and drink. Normally, the muscles of the oesophagus contract to push food toward the stomach, and a ring of muscle at the lower end relaxes to allow food to enter. In achalasia, the oesophageal muscles do not contract properly and the ring of muscle fails to open fully or at all, preventing food and drink from passing into the stomach. As a result, food becomes stuck in the oesophagus and is often brought back up.",
-    "source_ref": "Jenifer K. Lehrer, MD, Department of Gastroenterology, Aria - Jefferson Health Torresdale, Jefferson Digestive Diseases Network, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team."
+    "tags": [
+      "dysphagia",
+      "oesophagus",
+      "LES failure",
+      "motility disorder"
+    ],
+    "source_id": "medlineplus_achalasia"
   },
   {
-    "id": "Achalasia_2_Causes",
-    "section_id": "2",
-    "section_title": "Causes",
-    "category": "causes",
-    "text": "At the point where the oesophagus meets the stomach is a muscular ring called the lower oesophageal sphincter (LES), which normally relaxes during swallowing to allow food to pass into the stomach. In people with achalasia, this muscle does not relax properly, and the normal wave-like muscle activity of the oesophagus (peristalsis) is reduced or absent, making swallowing difficult. This condition is caused by damage to the nerves of the oesophagus. Other conditions can cause similar symptoms, including cancer of the oesophagus or upper stomach and Chagas disease, a parasitic infection more common in Mexico and Central and South America. Achalasia is rare, can occur at any age, is most common between ages 25 and 60, and in some cases may be inherited.",
-    "source_ref": "Jenifer K. Lehrer, MD, Department of Gastroenterology, Aria - Jefferson Health Torresdale, Jefferson Digestive Diseases Network, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team."
+    "chunk_id": "achalasia.causes",
+    "condition": "Achalasia",
+    "system": "Gastrointestinal",
+    "section": "Causes",
+    "text": "At the point where the oesophagus meets the stomach is a muscular ring called the lower oesophageal sphincter (LES), which normally relaxes during swallowing to allow food to pass into the stomach. In people with achalasia, this muscle does not relax properly, and the normal wave-like muscle activity of the oesophagus (peristalsis) is reduced or absent. This condition is caused by damage to the nerves of the oesophagus. Other conditions can cause similar symptoms, including cancer of the oesophagus or upper stomach and Chagas disease. Achalasia is rare, can occur at any age, is most common between ages 25 and 60, and in some cases may be inherited.",
+    "tags": [
+      "lower oesophageal sphincter",
+      "peristalsis",
+      "nerve damage",
+      "Chagas disease"
+    ],
+    "source_id": "medlineplus_achalasia"
   },
   {
-    "id": "Achalasia_3_Symptoms",
-    "section_id": "3",
-    "section_title": "Symptoms",
-    "category": "symptoms",
+    "chunk_id": "achalasia.symptoms",
+    "condition": "Achalasia",
+    "system": "Gastrointestinal",
+    "section": "Symptoms",
     "text": "Symptoms of achalasia include backflow (regurgitation) of food, chest pain that may worsen after eating or be felt in the back, neck, or arms, coughing, difficulty swallowing both liquids and solids, heartburn, and unintentional weight loss.",
-    "source_ref": "Jenifer K. Lehrer, MD, Department of Gastroenterology, Aria - Jefferson Health Torresdale, Jefferson Digestive Diseases Network, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team."
+    "tags": [
+      "regurgitation",
+      "chest pain",
+      "progressive dysphagia",
+      "weight loss"
+    ],
+    "source_id": "medlineplus_achalasia"
   },
   {
-    "id": "Achalasia_4_Treatment",
-    "section_id": "4",
-    "section_title": "Treatment",
-    "category": "treatment",
-    "text": "The aim of treatment for achalasia is to reduce pressure at the lower oesophageal sphincter so food and liquids can pass more easily into the stomach. Treatment options include injections of botulinum toxin (Botox) to help relax the sphincter muscle, although the effect usually lasts only weeks to months, and medicines such as long-acting nitrates or calcium channel blockers, which can relax the sphincter but rarely provide a long-term solution. Surgical treatment, known as a myotomy, involves cutting the lower sphincter muscle and is usually performed using keyhole (laparoscopic) surgery, though it can sometimes be done during an endoscopy (EGD). Another option is oesophageal dilation, which is carried out during EGD by stretching the sphincter with a balloon. Your healthcare provider can help determine the most suitable treatment for you.",
-    "source_ref": "Jenifer K. Lehrer, MD, Department of Gastroenterology, Aria - Jefferson Health Torresdale, Jefferson Digestive Diseases Network, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team."
+    "chunk_id": "achalasia.tests",
+    "condition": "Achalasia",
+    "system": "Gastrointestinal",
+    "section": "Tests",
+    "text": "A physical examination may reveal signs of anaemia or malnutrition. Diagnostic tests include oesophageal manometry to assess oesophageal function, a functional luminal imaging probe (FLIP) to create a high-resolution image of oesophageal movement, upper endoscopy (EGD) to examine the oesophagus and stomach, and an upper gastrointestinal (GI) X-ray.",
+    "tags": [
+      "oesophageal manometry",
+      "FLIP",
+      "EGD",
+      "barium swallow"
+    ],
+    "source_id": "medlineplus_achalasia"
   },
   {
-    "id": "Achalasia_5_Complications",
-    "section_id": "5",
-    "section_title": "Complications",
-    "category": "complications",
-    "text": "The outcomes of surgical and non-surgical treatments for achalasia are generally similar, although your healthcare provider may recommend a specific procedure depending on the type of achalasia you have. In some cases, more than one treatment may be needed. Possible complications include backflow of acid or food from the stomach into the oesophagus (reflux), inhaling food contents into the lungs (aspiration), which can lead to pneumonia, and tearing (perforation) of the oesophagus.",
-    "source_ref": "Jenifer K. Lehrer, MD, Department of Gastroenterology, Aria - Jefferson Health Torresdale, Jefferson Digestive Diseases Network, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team."
+    "chunk_id": "achalasia.treatment",
+    "condition": "Achalasia",
+    "system": "Gastrointestinal",
+    "section": "Treatment",
+    "text": "The aim of treatment for achalasia is to reduce pressure at the lower oesophageal sphincter to allow food and liquids to pass into the stomach. Options include botulinum toxin injections, medications such as nitrates or calcium channel blockers, surgical myotomy (often laparoscopic), and oesophageal balloon dilation performed during endoscopy.",
+    "tags": [
+      "myotomy",
+      "botulinum toxin",
+      "balloon dilation",
+      "LES pressure reduction"
+    ],
+    "source_id": "medlineplus_achalasia"
   },
   {
-    "id": "Achalasia_6_Tests",
-    "section_id": "6",
-    "section_title": "Tests",
-    "category": "testing",
-    "text": "A physical examination may reveal signs of anaemia or malnutrition. Diagnostic tests can include oesophageal manometry to assess how well the oesophagus is working, a functional luminal imaging probe (FLIP) to create a high-resolution 3D image of the oesophagus and its movement, an upper endoscopy (EGD) to examine the lining of the oesophagus and stomach using a flexible tube with a camera, and an upper gastrointestinal (GI) X-ray.",
-    "source_ref": "Jenifer K. Lehrer, MD, Department of Gastroenterology, Aria - Jefferson Health Torresdale, Jefferson Digestive Diseases Network, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team."
+    "chunk_id": "achalasia.complications",
+    "condition": "Achalasia",
+    "system": "Gastrointestinal",
+    "section": "Complications",
+    "text": "Complications of achalasia or its treatment may include reflux of acid or food into the oesophagus, aspiration of food contents leading to pneumonia, and perforation of the oesophagus.",
+    "tags": [
+      "aspiration pneumonia",
+      "reflux",
+      "oesophageal perforation"
+    ],
+    "source_id": "medlineplus_achalasia"
   }
-]
+]