Department of Pediatric Gastroenterology, Yüksek İhtisas Teaching Hospital, University of Health Sciences, Bursa, Turkey.
Department of Pediatrics, Yüksek İhtisas Teaching Hospital, University of Health Sciences, Bursa, Turkey.
Turk J Gastroenterol. 2022 Nov;33(11):979-984. doi: 10.5152/tjg.2022.21893.
The Rome IV includes a redefinition of functional gastrointestinal disorders and diagnostic criteria. The present study aimed to compare the Rome III and Rome IV classification results and to reveal their differences in children with chronic abdominal pain.
The present study is a prospective observational cohort study. Three hundred forty-four children, who were admitted to the pediatric gastroenterology clinic, had abdominal pain for more than 2 months, and were not diagnosed with an organic disease, were included in our study.
In children with chronic abdominal pain, Rome IV criteria did not cause a change in the number of patients diagnosed with functional abdominal pain disorders according to Rome III (89.8% vs 89.2%, P >.05). Functional abdominal pain and functional abdominal pain syndrome were the most common diagnoses in Rome III and functional abdominal pain, not otherwise specified in Rome IV. When compared to Rome III, while the diagnosis of functional dyspepsia increased in Rome IV, irritable bowel syndrome decreased.
In children with chronic abdominal pain, Rome IV criteria did not cause a change in the number of patients diagnosed with functional abdominal pain disorders according to Rome III, but it caused a diagnostic shift. It was seen that some of the children diagnosed with irritable bowel syndrome in Rome III shifted to functional dyspepsia diagnosis in Rome IV.
罗马 IV 包括对功能性胃肠疾病和诊断标准的重新定义。本研究旨在比较罗马 III 和罗马 IV 分类结果，并揭示它们在慢性腹痛儿童中的差异。
本研究是一项前瞻性观察队列研究。344 名儿童因腹痛超过 2 个月且未诊断出器质性疾病而被收入儿科胃肠病学诊所，纳入本研究。
在慢性腹痛儿童中，根据罗马 III 标准，罗马 IV 标准并未导致功能性腹痛障碍患者的诊断数量发生变化（89.8%比 89.2%，P>.05）。功能性腹痛和功能性腹痛综合征是罗马 III 中最常见的诊断，而罗马 IV 中则是非特异性功能性腹痛。与罗马 III 相比，罗马 IV 中功能性消化不良的诊断增加，而肠易激综合征则减少。
在慢性腹痛儿童中，根据罗马 III 标准，罗马 IV 标准并未导致功能性腹痛障碍患者的诊断数量发生变化，但引起了诊断转移。罗马 III 中诊断为肠易激综合征的一些儿童在罗马 IV 中转移到功能性消化不良的诊断。
