Rome IV Criteria for Functional Dyspepsia​

기능적 소화불량을 진단하기 위해서는 구조적 질환이 배제되어야 합니다.

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Rome IV Criteria for Functional Dyspepsia​

B1. Functional dyspepsia*

Diagnostic criteria¶

One or more of the following:

a. Bothersome postprandial fullness

b. Bothersome early satiation

c. Bothersome epigastric pain

d. Bothersome epigastric burning

AND

No evidence of structural disease (including at upper endoscopy) that is likely to explain the symptoms

B1a. Postprandial distress syndrome

Diagnostic criteria¶

Must include one or both of the following at least three days per week:

Bothersome postprandial fullness (ie, severe enough to impact on usual activities)

Bothersome early satiation (ie, severe enough to prevent finishing a regular-size meal)

No evidence of organic, systemic, or metabolic disease that is likely to explain the symptoms on routine investigations (including at upper endoscopy)

Supportive remarks

Postprandial epigastric pain or burning, epigastric bloating, excessive belching, and nausea can also be present

Vomiting warrants consideration of another disorder

Heartburn is not a dyspeptic symptom but may often coexist

Symptoms that are relieved by evacuation of feces or gas should generally not be considered as part of dyspepsia

Other individual digestive symptoms or groups of symptoms, eg, from gastroesophageal reflux disease and the irritable bowel syndrome may coexist with PDS

B1b. Epigastric pain syndrome

Diagnostic criteria¶

Must include at least one of the following symptoms at least one day a week:

Bothersome epigastric pain (ie, severe enough to impact on usual activities)

AND/OR

Bothersome epigastric burning (ie, severe enough to impact on usual activities)

No evidence of organic, systemic, or metabolic disease that is likely to explain the symptoms on routine investigations (including at upper endoscopy)

Supportive remarks

Pain may be induced by ingestion of a meal, relieved by ingestion of a meal, or may occur while fasting

Postprandial epigastric bloating, belching, and nausea can also be present

Persistent vomiting likely suggests another disorder

Heartburn is not a dyspeptic symptom but may often coexist

The pain does not fulfill biliary pain criteria

Symptoms that are relieved by evacuation of feces or gas generally should not be considered as part of dyspepsia

Other digestive symptoms (such as from gastroesophageal reflux disease and the irritable bowel syndrome) may coexist with EPS

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PDS: postprandial distress syndrome; EPS: epigastric pain syndrome.

* Must fulfill criteria for PDS and/or EPS.

¶ Criteria fulfilled for the last three months with symptom onset at least six months before diagnosis.

Original table modified for this publication. Stanghellini V, Chan FKL, Hasler WL, et al. Gastroduodenal disorder.

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REF. UpToDate 2020.07.08