Update on Rome IV Criteria for Colorectal Disorders: Implications for Clinical Practice.
Update on Rome IV Criteria for Colorectal Disorders: Implications for Clinical Practice.
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DOI：
10.1007/s11894-017-0554-0
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发表时间：
2017-04
影响因子：
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通讯作者：
Whitehead WE
中科院分区：
文献类型：
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作者：
Simren M;Palsson OS;Whitehead WE
该综述的目的是提供一个更新的罗马IV标准的结直肠疾病的临床实践的影响。罗马诊断标准是诊断功能性胃肠疾病（FGID）的专家共识标准。目前的版本罗马四是在罗马三生效十年后于2016年5月发布的。它是包括100多名领先的功能GI专家的委员会的集体产品。对于功能性肠道和肛门直肠疾病，相对于罗马III的大多数变化相对较小，对临床实践的影响很小。然而，对临床实践和研究具有潜在影响的显著变化包括IBS诊断标准的变化，IBS亚型的改良方法，功能性肠病作为一系列疾病的观点，以及大便失禁的新定义。罗马IV功能性肠道和肛门直肠疾病诊断标准中的新特征可能对临床实践产生适度影响，但有少数例外。
The purpose of the review was to provide an update of the Rome IV criteria for colorectal disorders with implications for clinical practice. The Rome diagnostic criteria are expert consensus criteria for diagnosing functional gastrointestinal disorders (FGIDs). The current version, Rome IV, was released in May of 2016 after Rome III had been in effect for a decade. It is the collective product of committees that included more than 100 leading functional GI experts. For functional bowel and anorectal disorders, the majority of changes relative to Rome III are relatively minor and will have little impact on clinical practice. However, notable changes with potential impact on clinical practice and research include the changes in the diagnostic criteria for IBS, the modified approach for subtyping of IBS, the view on functional bowel disorders as a spectrum of disorders, and the new definition of fecal incontinence. New features in the Rome IV diagnostic criteria for functional bowel and anorectal disorders will likely have modest influence on clinical practice, with a few exceptions.