Baaleman Desiree F, Di Lorenzo Carlo, Benninga Marc A, Saps Miguel
Division of Gastroenterology, Hepatology, and Nutrition, Nationwide Children's Hospital, Columbus, OH, USA.
Department of Pediatric Gastroenterology and Nutrition, Emma Children's Hospital, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Curr Gastroenterol Rep. 2020 Mar 19;22(5):21. doi: 10.1007/s11894-020-00760-8.
To evaluate the impact of the implementation of the Rome IV criteria on pediatric gastrointestinal practice.
In 2016, the Rome IV criteria were published, providing an update of symptom-based criteria to diagnose children with functional gastrointestinal disorders (FGIDs). For neonates and toddlers, Wessel's criteria for diagnosing infant colic were abandoned, and a differentiation was made between toilet-trained and non-toilet-trained children in the diagnosis of functional constipation. For children and adolescents, two new disorders (functional nausea and functional vomiting) are described, and in the diagnosis of functional dyspepsia, pain does not have to be the chief complaint anymore. This change has made functional dyspepsia the most common functional abdominal pain disorder, exceeding the prevalence of irritable bowel syndrome (IBS). Lastly, the diagnosis of abdominal migraine was narrowed, causing an appropriate drop in its prevalence.
评估罗马IV标准的实施对儿科胃肠病学实践的影响。
2016年发布了罗马IV标准，更新了基于症状的标准，用于诊断儿童功能性胃肠疾病（FGIDs）。对于新生儿和幼儿，放弃了用于诊断婴儿腹绞痛的韦塞尔标准，并且在功能性便秘的诊断中对已接受排便训练和未接受排便训练的儿童进行了区分。对于儿童和青少年，描述了两种新疾病（功能性恶心和功能性呕吐），并且在功能性消化不良的诊断中，疼痛不再必须是主要症状。这一变化使功能性消化不良成为最常见的功能性腹痛疾病，其患病率超过了肠易激综合征（IBS）。最后，腹型偏头痛的诊断标准更加严格，导致其患病率相应下降。
