New Rome-IV criteria of the functional dyspepsia (review)

Aim of review. To analyze the changes in the IV revision of Rome criteria of the functional dyspepsia (FD) in comparison to existing criteria. Key points. The definition of FD and its main variants - postprandial distress syndrome (PDS) and epigastric pain syndrome (EPS) in new criteria did not unde...

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Main Authors: A. A. Sheptulin, A. A. Kurbatova
Format: Article
Language:Russian
Published: Gastro LLC 2018-08-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/76
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author A. A. Sheptulin
A. A. Kurbatova
author_facet A. A. Sheptulin
A. A. Kurbatova
author_sort A. A. Sheptulin
collection DOAJ
description Aim of review. To analyze the changes in the IV revision of Rome criteria of the functional dyspepsia (FD) in comparison to existing criteria. Key points. The definition of FD and its main variants - postprandial distress syndrome (PDS) and epigastric pain syndrome (EPS) in new criteria did not undergo major changes in comparison to previous edition. Frequent combination of PDS and EPS both with each other, with such symptoms as nausea and belching and some other diseases as gastroesophageal reflux disease and irritable bowel syndrome was demonstrated. It is, still, recommended to make the diagnosis of FD, being guided both by compliance of patients symptoms to Rome criteria and the absence of alarm symptoms. The major place in the treatment of PDS is occupied by prokinetics, in EPS treatment - by antisecretory medications. Conclusion. The fourth revision of Rome criteria of FD have certain advantages in comparison to the previous criteria, but at the same time preserve essential shortcomings.
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spelling doaj-art-1708ccaf889643928f545410048e01762025-02-10T16:14:28ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732018-08-0126412412810.22416/1382-4376-2016-4-124-12876New Rome-IV criteria of the functional dyspepsia (review)A. A. Sheptulin0A. A. Kurbatova1State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»Aim of review. To analyze the changes in the IV revision of Rome criteria of the functional dyspepsia (FD) in comparison to existing criteria. Key points. The definition of FD and its main variants - postprandial distress syndrome (PDS) and epigastric pain syndrome (EPS) in new criteria did not undergo major changes in comparison to previous edition. Frequent combination of PDS and EPS both with each other, with such symptoms as nausea and belching and some other diseases as gastroesophageal reflux disease and irritable bowel syndrome was demonstrated. It is, still, recommended to make the diagnosis of FD, being guided both by compliance of patients symptoms to Rome criteria and the absence of alarm symptoms. The major place in the treatment of PDS is occupied by prokinetics, in EPS treatment - by antisecretory medications. Conclusion. The fourth revision of Rome criteria of FD have certain advantages in comparison to the previous criteria, but at the same time preserve essential shortcomings.https://www.gastro-j.ru/jour/article/view/76римские критерии iv пересмотрафункциональная диспепсиядефиницияпатофизиологиядиагностикалечение
spellingShingle A. A. Sheptulin
A. A. Kurbatova
New Rome-IV criteria of the functional dyspepsia (review)
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
римские критерии iv пересмотра
функциональная диспепсия
дефиниция
патофизиология
диагностика
лечение
title New Rome-IV criteria of the functional dyspepsia (review)
title_full New Rome-IV criteria of the functional dyspepsia (review)
title_fullStr New Rome-IV criteria of the functional dyspepsia (review)
title_full_unstemmed New Rome-IV criteria of the functional dyspepsia (review)
title_short New Rome-IV criteria of the functional dyspepsia (review)
title_sort new rome iv criteria of the functional dyspepsia review
topic римские критерии iv пересмотра
функциональная диспепсия
дефиниция
патофизиология
диагностика
лечение
url https://www.gastro-j.ru/jour/article/view/76
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