Hyman Paul E, Milla Peter J, Benninga Marc A, Davidson Geoff P, Fleisher David F, Taminiau Jan
Pediatric Gastroenterology, University of Kansas Medical Center, Kansas City, Kansas 66160, USA.
Gastroenterology. 2006 Apr;130(5):1519-26. doi: 10.1053/j.gastro.2005.11.065.
Recognizing the importance of childhood functional gastrointestinal disorders in understanding adult functional gastrointestinal disorders, and encouraging clinical and research interest, the Rome Coordinating Committee added a pediatric working team to Rome II in 1999. For Rome III, there was an increase from 1 to 2 pediatric working teams. This report summarizes the current consensus concerning functional disorders in infants and toddlers. Another report covers disorders diagnosed more often in school-aged children and adolescents. The symptoms from functional gastrointestinal disorders in children younger than 5 years depend on maturational factors in anatomy, gastrointestinal physiology, and intellectual and affective functioning. There has been little or no change for infant regurgitation, infant rumination syndrome, or infant dyschezia. Cyclic vomiting syndrome may be diagnosed after 2 rather than 3 episodes. The description of infant colic has been expanded, although there was consensus that infant colic does not reflect gastrointestinal malfunction. The greatest change was in functional constipation. Functional constipation and functional fecal retention in the 1999 report were merged into a single entity: functional constipation. Data-driven changes in diagnostic criteria for functional constipation appear to be less rigid and more inclusive than previous criteria.
认识到儿童功能性胃肠病在理解成人功能性胃肠病中的重要性，并鼓励临床和研究兴趣，罗马协调委员会于1999年在罗马II中增加了一个儿科工作小组。对于罗马III，儿科工作小组从1个增加到2个。本报告总结了目前关于婴幼儿功能性疾病的共识。另一份报告涵盖了在学龄儿童和青少年中更常诊断出的疾病。5岁以下儿童功能性胃肠病的症状取决于解剖学、胃肠生理学以及智力和情感功能方面的成熟因素。婴儿反流、婴儿反刍综合征或婴儿排便困难几乎没有变化。周期性呕吐综合征可能在发作2次而非3次后被诊断。婴儿腹绞痛的描述有所扩展，尽管大家一致认为婴儿腹绞痛并不反映胃肠功能障碍。最大的变化在于功能性便秘。1999年报告中的功能性便秘和功能性粪便潴留合并为一个单一实体：功能性便秘。功能性便秘诊断标准中基于数据的变化似乎比以前的标准更宽松、更具包容性。
