The New Rome IV Criteria for Functional Gastrointestinal Disorders in Infants and Toddlers.
The New Rome IV Criteria for Functional Gastrointestinal Disorders in Infants and Toddlers.
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DOI：
10.5223/pghn.2017.20.1.1
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发表时间：
2017-03
期刊：
影响因子：
--
通讯作者：
Benninga MA
中科院分区：
文献类型：
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作者：
Zeevenhooven J;Koppen IJ;Benninga MA
功能性胃肠道疾病（FGID）在世界范围内很常见，涵盖了一系列无法用结构或生化异常来解释的胃肠道疾病。这些疾病的诊断依赖于基于症状的罗马标准。 2016 年，罗马标准针对婴儿/幼儿以及儿童和青少年进行了修订。在这篇综述中，我们讨论了新的婴儿和幼儿罗马四号标准。婴儿绞痛的标准发生了巨大变化，而反流、周期性呕吐综合征、功能性腹泻、婴儿便便困难和功能性便秘的标准仅做了微小的改变。除此之外，新罗马IV讨论了婴幼儿疼痛的潜在机制，包括伤害性和疼痛通路的神经发育、涉及疼痛体验的各种因素，以及婴幼儿疼痛评估方法对于在这个年龄段遇到功能性疼痛的临床医生至关重要。总体而言，罗马 IV 标准对于所有疾病都变得更加独特，以改进儿科 FGID 的诊断过程。
Functional gastrointestinal disorders (FGIDs) are common worldwide and cover a wide range of disorders attributable to the gastrointestinal tract that cannot be explained by structural or biochemical abnormalities. The diagnosis of these disorders relies on the symptom-based Rome criteria. In 2016 the Rome criteria were revised for infants/toddlers and for children and adolescents. In this review, we discuss the novel Rome IV criteria for infants and toddlers. The criteria for infant colic were drastically changed, whereas only minor changes were made for regurgitation, cyclic vomiting syndrome, functional diarrhea, infant dyschezia and functional constipation. In addition to this, the new Rome IV discusses underlying mechanisms of pain in infants and toddlers, including the neuro-development of nociceptive and pain pathways, the various factors that are involved in pain experience, and methods of pain assessment in infants and toddlers is essential for the clinician who encounters functional pain in this age group. Overall, the Rome IV criteria have become more distinctive for all disorders in order to improve the process of diagnosing pediatric FGIDs.