Nightingale Scott, Sharma Ajay
Department of Gastroenterology, John Hunter Children's Hospital, Newcastle, New South Wales, Australia.
Priority Research Centre GrowUpWell, Hunter Medical Research Institute, University of Newcastle, Newcastle, New South Wales, Australia.
J Paediatr Child Health. 2020 Nov;56(11):1724-1730. doi: 10.1111/jpc.14857. Epub 2020 May 29.
Abdominal pain-predominant functional gastrointestinal disorders encompass a group of chronic conditions featuring abdominal pain where no serious gastrointestinal or intra-abdominal pathology is present. The Rome IV classification system defines and categorises this group based on symptomatology as: functional dyspepsia, irritable bowel syndrome, functional abdominal pain - not otherwise specified and abdominal migraine. These conditions can impact the functioning of the child and family significantly and are challenging to manage. Although the causes of these conditions are not clear, recent years have seen an improved understanding of underlying pathophysiology and identification of effective management options for these conditions.
以腹痛为主的功能性胃肠疾病包括一组以腹痛为特征的慢性疾病，不存在严重的胃肠道或腹腔内病变。罗马IV分类系统根据症状学将该组疾病定义和分类为：功能性消化不良、肠易激综合征、未另行指定的功能性腹痛和腹型偏头痛。这些疾病会对儿童及其家庭的功能产生重大影响，且管理起来具有挑战性。尽管这些疾病的病因尚不清楚，但近年来对其潜在病理生理学的认识有所提高，并且确定了针对这些疾病的有效管理方案。
