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

Abstract

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 The term «discomfort» was withdrawn from the definition of IBS, and the phrase «pain decreases after defecation» was replaced by «pain related to defecation»; number of days when patient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.

Keywords

• римские критерии iv пересмо-тра
• синдром раздраженного кишечника
• определе-ние
• диагностика
• лечение