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Functional bowel disorders and functional abdominal pain.
W G Thompson1, G F Longstreth, D A Drossman
1Committee on Functional Bowel Disorders and Functional Abdominal Pain, Multinational Working Teams to Develop Diagnostic Criteria for Functional Gastrointestinal Disorders (Rome II), University of Ottawa, Canada.
Gut
|August 24, 1999
Summary
Revised Rome criteria offer updated guidance for diagnosing functional bowel disorders (FBDs) and functional abdominal pain (FAP). These evidence-based revisions clarify terminology and management for better patient care.
Area of Science:
- Gastroenterology
- Functional Gastrointestinal Disorders
Background:
- The Rome criteria are widely used for diagnosing functional bowel disorders (FBDs) and functional abdominal pain (FAP).
- Previous criteria required updates based on recent research findings and expert consensus.
Purpose of the Study:
- To revise the Rome diagnostic criteria for FBDs and FAP.
- To update diagnosis and treatment recommendations based on current evidence.
Main Methods:
- A committee consensus approach was employed.
- Multinational expert reviewers provided criticism and input.
Main Results:
- Terminology was clarified, and diagnostic criteria were revised.
- Management recommendations were updated based on research results.
- Criteria for irritable bowel syndrome, functional bloating, constipation, diarrhea, and unspecified FBD were refined.
- Functional abdominal pain (FAP) definitions were updated, distinguishing FAP syndrome from unspecified FAP.
- Individualized diagnostic testing is recommended.
- Treatment focuses on confident diagnosis, explanation, reassurance, and may include diet, medication, or psychotherapy.
Conclusions:
- Revised Rome criteria provide a clearer framework for diagnosing FBDs and FAP.
- Updated recommendations support evidence-based management strategies.
- The revisions aim to improve clinical practice and patient outcomes in functional gastrointestinal disorders.