Rome_IV_dyspepsia v.1

An evaluation tool for diagnosis of functional dyspepsia based on Rome IV criteria.

Winner Ng

dokter.winner@gmail.com

@CambioCDS

To provide diagnostic criteria dan evaluation of functional dyspepsia.

As an evaluation tool for patient suspected of functional dyspepsia. In order to fulfill the diagnostic criteria, the patient must have at least 1 of following symptoms which is bothersome for ≥3 months with the onset of ≥6 months ago: - postprandial fullness ≥3 days/week, - early satiation ≥3 days/week, - epigastric pain ≥1 day/week, - epigastric burning ≥1 day/week, and another separated criteria which is mandatory for the fulfillment of a functional dyspepsia diagnosis: - no evidence of organic, systemic, metabolic or structural disease likely to support other diagnosis. Further criteria are used to evaluate the subtype of the functional dyspepsia: - The presence of bothersome postprandial fullnesss and/or early satiation ≥3 days/week would suggest the Postprandial Distress Syndrome (PDS) subtype - The presence of bothersome epigastric pain and/or burning ≥1 day/week would suggest the Epigastric Pain Syndrome (EPS) subtype - The presence of both would suggest the coexistance of both PDS and EPS subtypes.

Not to be used in the presence of these following conditions: - symptoms or signs of gastrointestinal bleeding - family history of colon cancer - presenting patient of ≥50 years without prior colon cancer screening - unexplained iron deficiency anemia - unintentional weight loss - palpable intraabdominal mass - sudden or acute onset of change in bowel habit

1. Drossman DA. Functional Gastrointestinal Disorders: History, Pathophysiology, Clinical Features and Rome IV. Gastroenterology. 2016; 150(6):1262-1279. 2. Palsson OS, Whitehead WE, Van tilburg MA, et al. Rome IV Diagnostic Questionnaires and Tables for Investigators and Clinicians. Gastroenterology. 2016; 150(6):1481-1491. 3. Stanghellini V, Chan FK, Hasler WL, Malagelada JR, Suzuki H, Tack J, et al. Gastroduodenal Disorders. Gastroenterology. 2016; 150(6), 1380–1392. 4. Tomita T, Oshima T, Miwa H. New Approaches to Diagnosis and Treatment of Functional Dyspepsia. Current Gastroenterology Reports. 2018; 20(12), 1–8.

EVALUATION.rome_iv_diagnostic_criteria_for_dyspepsia.v0