FUNCTIONAL DIARRHEA. ROME CRITERIA IV

Abstract

The achievements of basic and clinical science over the past 10 years in the study of epidemiology, etiology, pathophysiology, diagnosis and therapy of functional disorders of the intestine necessitated the revision existed since 2006, the Rome III criteria. In may 2016 the global gastroenterology community on the American gastroenterological week met with Roman criteria IV, the main provisions of the consensus are presented in this publication. Functional bowel disease continues to include clinical disease as irritable bowel syndrome, functional constipation, functional diarrhea, functional abdominal bloating, and nonspecific functional bowel disorders. Unlike the previous classification in the section of functional bowel diseases has a new form - opioid-induced constipation, designed to draw attention of clinicians on the sharply increased frequency of use of opiates and associated with a large number of side effects in their application. Roman urges the Committee not to consider this form as a separate disease, and to classify the developed clinical picture as opioid-induced adverse effects. Functional diarrhea (FD) is characterized by the persistence loose or watery stools, an important distinguishing criterion for diagnosis is not a criteria of IBS, i. e. in this disorder of stool abdominal pain or bloating certainly can be present but are never dominant symptoms. In addition to these changes, according to the study, Whitehead W. E. et al. for the diagnosis of functional diarrhea is the criterion of the frequency of episodes of liquid stools or watery stools was reduced from 75 % to 25 %