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Update on Rome IV Criteria for Colorectal Disorders: Implications for Clinical Practice

PURPOSE OF REVIEW: The purpose of the review was to provide an update of the Rome IV criteria for colorectal disorders with implications for clinical practice. RECENT FINDINGS: The Rome diagnostic criteria are expert consensus criteria for diagnosing functional gastrointestinal disorders (FGIDs). Th...

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Main Authors: Simren, Magnus, Palsson, Olafur S., Whitehead, William E.
Format: Online Article Text
Language:English
Published: Springer US 2017
Subjects:
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5378729/
https://www.ncbi.nlm.nih.gov/pubmed/28374308
http://dx.doi.org/10.1007/s11894-017-0554-0
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author Simren, Magnus
Palsson, Olafur S.
Whitehead, William E.
author_facet Simren, Magnus
Palsson, Olafur S.
Whitehead, William E.
author_sort Simren, Magnus
collection PubMed
description PURPOSE OF REVIEW: The purpose of the review was to provide an update of the Rome IV criteria for colorectal disorders with implications for clinical practice. RECENT FINDINGS: The Rome diagnostic criteria are expert consensus criteria for diagnosing functional gastrointestinal disorders (FGIDs). The current version, Rome IV, was released in May of 2016 after Rome III had been in effect for a decade. It is the collective product of committees that included more than 100 leading functional GI experts. For functional bowel and anorectal disorders, the majority of changes relative to Rome III are relatively minor and will have little impact on clinical practice. However, notable changes with potential impact on clinical practice and research include the changes in the diagnostic criteria for IBS, the modified approach for subtyping of IBS, the view on functional bowel disorders as a spectrum of disorders, and the new definition of fecal incontinence. SUMMARY: New features in the Rome IV diagnostic criteria for functional bowel and anorectal disorders will likely have modest influence on clinical practice, with a few exceptions.
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spelling pubmed-53787292017-04-17 Update on Rome IV Criteria for Colorectal Disorders: Implications for Clinical Practice Simren, Magnus Palsson, Olafur S. Whitehead, William E. Curr Gastroenterol Rep Large Intestine (B Cash, Section Editor) PURPOSE OF REVIEW: The purpose of the review was to provide an update of the Rome IV criteria for colorectal disorders with implications for clinical practice. RECENT FINDINGS: The Rome diagnostic criteria are expert consensus criteria for diagnosing functional gastrointestinal disorders (FGIDs). The current version, Rome IV, was released in May of 2016 after Rome III had been in effect for a decade. It is the collective product of committees that included more than 100 leading functional GI experts. For functional bowel and anorectal disorders, the majority of changes relative to Rome III are relatively minor and will have little impact on clinical practice. However, notable changes with potential impact on clinical practice and research include the changes in the diagnostic criteria for IBS, the modified approach for subtyping of IBS, the view on functional bowel disorders as a spectrum of disorders, and the new definition of fecal incontinence. SUMMARY: New features in the Rome IV diagnostic criteria for functional bowel and anorectal disorders will likely have modest influence on clinical practice, with a few exceptions. Springer US 2017-04-03 2017 /pmc/articles/PMC5378729/ /pubmed/28374308 http://dx.doi.org/10.1007/s11894-017-0554-0 Text en © The Author(s) 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Large Intestine (B Cash, Section Editor)
Simren, Magnus
Palsson, Olafur S.
Whitehead, William E.
Update on Rome IV Criteria for Colorectal Disorders: Implications for Clinical Practice
title Update on Rome IV Criteria for Colorectal Disorders: Implications for Clinical Practice
title_full Update on Rome IV Criteria for Colorectal Disorders: Implications for Clinical Practice
title_fullStr Update on Rome IV Criteria for Colorectal Disorders: Implications for Clinical Practice
title_full_unstemmed Update on Rome IV Criteria for Colorectal Disorders: Implications for Clinical Practice
title_short Update on Rome IV Criteria for Colorectal Disorders: Implications for Clinical Practice
title_sort update on rome iv criteria for colorectal disorders: implications for clinical practice
topic Large Intestine (B Cash, Section Editor)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5378729/
https://www.ncbi.nlm.nih.gov/pubmed/28374308
http://dx.doi.org/10.1007/s11894-017-0554-0
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