Review of Rome-IV criteria for the irritable bowel syndrome: are there any basic changes?

Aim of the lecture. To analyze the changes in the Rome IV criteria of the irritable bowel syndrome (IBS) in comparison to their previous version. Summary. The term «discomfort» was withdrawn from the definition of IBS, and the phrase «pain decreases after defecation» was replaced by «pain related to...

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Main Authors: A. A. Sheptulin, M. A. Vize-Khripunova
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/89
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author A. A. Sheptulin
M. A. Vize-Khripunova
author_facet A. A. Sheptulin
M. A. Vize-Khripunova
author_sort A. A. Sheptulin
collection DOAJ
description Aim of the lecture. To analyze the changes in the Rome IV criteria of the irritable bowel syndrome (IBS) in comparison to their previous version. Summary. The term «discomfort» was withdrawn from the definition of IBS, and the phrase «pain decreases after defecation» was replaced by «pain related to defecation»; number of days when patient experience abdominal pain, required for diagnostics of this disease is changed. As in the previous version, it is recommended to estimate compliance of the patient’s symptoms to Rome criteria, though it is noted that IBS-like clinical symptoms may be attributed to other diseases (celiac sprue, chronic inflammatory bowel diseases etc.). It causes the need of the limited laboratory and instrumental investigation of the patients. The new drugs (rifaximin, lubiprostone, linaclotide etc.) are included in the treatment modes. Conclusion. Rome-IV criteria of IBS represent a certain step forward, especially regarding diagnosis and treatment of the discussed disease.
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series Российский журнал гастроэнтерологии, гепатологии, колопроктологии
spelling doaj-art-50ff4c1b6700493eaaf013087f6139542025-02-10T16:14:28ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732018-08-012659910310.22416/1382-4376-2016-5-99-10389Review of Rome-IV criteria for the irritable bowel syndrome: are there any basic changes?A. A. Sheptulin0M. A. Vize-Khripunova1Federal state educational government-financed institution of higher education «Sechenov First Moscow state medical university»State educational state-funded institution of higher professional education «Ulyanovsk state university»Aim of the lecture. To analyze the changes in the Rome IV criteria of the irritable bowel syndrome (IBS) in comparison to their previous version. Summary. The term «discomfort» was withdrawn from the definition of IBS, and the phrase «pain decreases after defecation» was replaced by «pain related to defecation»; number of days when patient experience abdominal pain, required for diagnostics of this disease is changed. As in the previous version, it is recommended to estimate compliance of the patient’s symptoms to Rome criteria, though it is noted that IBS-like clinical symptoms may be attributed to other diseases (celiac sprue, chronic inflammatory bowel diseases etc.). It causes the need of the limited laboratory and instrumental investigation of the patients. The new drugs (rifaximin, lubiprostone, linaclotide etc.) are included in the treatment modes. Conclusion. Rome-IV criteria of IBS represent a certain step forward, especially regarding diagnosis and treatment of the discussed disease.https://www.gastro-j.ru/jour/article/view/89римские критерии iv пересмо-трасиндром раздраженного кишечникаопределе-ниедиагностикалечение
spellingShingle A. A. Sheptulin
M. A. Vize-Khripunova
Review of Rome-IV criteria for the irritable bowel syndrome: are there any basic changes?
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
римские критерии iv пересмо-тра
синдром раздраженного кишечника
определе-ние
диагностика
лечение
title Review of Rome-IV criteria for the irritable bowel syndrome: are there any basic changes?
title_full Review of Rome-IV criteria for the irritable bowel syndrome: are there any basic changes?
title_fullStr Review of Rome-IV criteria for the irritable bowel syndrome: are there any basic changes?
title_full_unstemmed Review of Rome-IV criteria for the irritable bowel syndrome: are there any basic changes?
title_short Review of Rome-IV criteria for the irritable bowel syndrome: are there any basic changes?
title_sort review of rome iv criteria for the irritable bowel syndrome are there any basic changes
topic римские критерии iv пересмо-тра
синдром раздраженного кишечника
определе-ние
диагностика
лечение
url https://www.gastro-j.ru/jour/article/view/89
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