The Effects of the Rome IV Criteria on Pediatric Gastrointestinal Practice

被引：21
作者：
Baaleman D.F. [1 ,2 ]
Di Lorenzo C. [1 ]
Benninga M.A. [2 ]
Saps M. [3 ]
机构：
[1] Division of Gastroenterology, Hepatology, and Nutrition, Nationwide Children’s Hospital, Columbus, OH
[2] Department of Pediatric Gastroenterology and Nutrition, Emma Children’s Hospital, Amsterdam UMC, University of Amsterdam, Amsterdam
[3] Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Holtz Children’s Hospital, Miller School of Medicine, University of Miami, Miami, FL
来源：
Current Gastroenterology Reports | 2020年 / 22卷 / 5期
关键词：
Children; Functional abdominal pain; Functional gastrointestinal disorders; Infant colic; Infants; Rome IV;
D O I：
10.1007/s11894-020-00760-8
中图分类号：
学科分类号：
摘要：
Purpose of Review: To evaluate the impact of the implementation of the Rome IV criteria on pediatric gastrointestinal practice. Recent Findings: In 2016, the Rome IV criteria were published, providing an update of symptom-based criteria to diagnose children with functional gastrointestinal disorders (FGIDs). Summary: For neonates and toddlers, Wessel’s criteria for diagnosing infant colic were abandoned, and a differentiation was made between toilet-trained and non-toilet-trained children in the diagnosis of functional constipation. For children and adolescents, two new disorders (functional nausea and functional vomiting) are described, and in the diagnosis of functional dyspepsia, pain does not have to be the chief complaint anymore. This change has made functional dyspepsia the most common functional abdominal pain disorder, exceeding the prevalence of irritable bowel syndrome (IBS). Lastly, the diagnosis of abdominal migraine was narrowed, causing an appropriate drop in its prevalence. © 2020, The Author(s).
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共 48 条
  • [1] Robin S.G., Keller C., Zwiener R., Hyman P.E., Nurko S., Saps M., Et al., Prevalence of pediatric functional gastrointestinal disorders utilizing the Rome IV criteria, J Pediatr, 195, pp. 134-139, (2018)
  • [2] Saps M., Velasco-Benitez C.A., Langshaw A.H., Ramirez-Hernandez C.R., Prevalence of functional gastrointestinal disorders in children and adolescents: comparison between Rome III and Rome IV criteria, J Pediatr, 199, pp. 212-216, (2018)
  • [3] Benninga M.A., Nurko S., Faure C., Hyman P.E., Roberts I.S.J., Schechter N.L., Childhood functional gastrointestinal disorders: neonate/toddler, Gastroenterology, 150, 6, pp. 1443-55. e2, (2016)
  • [4] Hyams J.S., Di Lorenzo C., Saps M., Shulman R.J., Staiano A., van Tilburg M., Childhood functional gastrointestinal disorders: child/adolescent, Gastroenterology, 150, 6, pp. 1456-68. e2, (2016)
  • [5] Rasquin A., Di Lorenzo C., Forbes D., Guiraldes E., Hyams J.S., Staiano A., Et al., Childhood functional gastrointestinal disorders: child/adolescent, Gastroenterology., 130, 5, pp. 1527-1537, (2006)
  • [6] Hyman P.E., Milla P.J., Benninga M.A., Davidson G.P., Fleisher D.F., Taminiau J., Childhood functional gastrointestinal disorders: neonate/toddler, Gastroenterology., 130, 5, pp. 1519-1526, (2006)
  • [7] Rasquin-Weber A., Hyman P.E., Cucchiara S., Fleisher D.R., Hyams J.S., Milla P.J., Et al., Childhood functional gastrointestinal disorders, Gut, 45 Suppl 2, pp. Ii60-Ii68, (1999)
  • [8] Drossman D.A., The functional gastrointestinal disorders and the Rome III process, Gastroenterology, 130, 5, pp. 1377-1390, (2006)
  • [9] Wessel M.A., Cobb J.C., Jackson E.B., Harris G.S., Detwiler A.C., Paroxysmal fussing in infancy, sometimes called “colic, Pediatrics., 14, 5, pp. 421-435, (1954)
  • [10] Vandenplas Y., Benninga M., Broekaert I., Falconer J., Gottrand F., Guarino A., Lifschitz C., Lionetti P., Orel R., Papadopoulou A., Ribes-Koninckx C., Ruemmele F.M., Salvatore S., Shamir R., Schappi M., Staiano A., Szajewska H., Thapar N., Wilschanski M., Functional gastro-intestinal disorder algorithms focus on early recognition, parental reassurance and nutritional strategies, Acta Paediatr, 105, 3, pp. 244-252, (2016)
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