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Expert Rev Gastroenterol Hepatol. 2017 Mar;11(3):193-201. doi: 10.1080/17474124.2017.1282820. Epub 2017 Jan 24.

The pediatric Rome IV criteria: what's new?

Author information

1
a Department of Pediatric Gastroenterology and Nutrition , Emma Children's Hospital /Academic Medical Center , Amsterdam , the Netherlands.
2
b Center for Motility and Functional Gastrointestinal Disorders , Boston Children's Hospital , Boston , MA , United States of America.
3
c Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics , Nationwide Children's Hospital , Columbus , OH , United States of America.

Abstract

Functional gastrointestinal disorders (FGIDs) are common in children of all ages and comprise of a wide range of conditions related to the gastrointestinal tract that cannot be attributed to structural or biochemical abnormalities. FGIDs are diagnosed according to the symptom-based Rome criteria. Areas covered: In 2016, the revised pediatric Rome IV criteria were published, these revised criteria are discussed in this review article. For the youngest age group (neonates/toddlers), the criteria for infant colic have undergone the most notable revisions. The most prominent changes in Rome IV were made in the criteria for children/adolescents, with the definition of two new FGIDs (functional nausea and functional vomiting) and the restructuring of the criteria for functional abdominal pain disorders, including the definition of FGID subtypes for functional dyspepsia and irritable bowel syndrome. Expert commentary: Overall, the Rome IV have been refined and are expected to improve the process of diagnosing FGIDs in the pediatric population and to better facilitate the healthcare professional in distinguishing different clinical entities. These changes will likely benefit future research and clinical care.

KEYWORDS:

FGIDs; Functional gastrointestinal disorders; Rome; children; criteria

PMID:
28092724
DOI:
10.1080/17474124.2017.1282820
[Indexed for MEDLINE]

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