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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
PubMed
Summary
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What's new in Rome IV?

Neurogastroenterology and motility·2017

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.

Related Experiment Videos

  • 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.