title: Update on Rome IV Criteria for Colorectal Disorders: Implications for Clinical Practice.
abstract: OBJECTIVE
  The purpose of the review was to provide an update of the Rome IV criteria for colorectal disorders with implications for clinical practice.
  
  
  RESULTS
  The Rome diagnostic criteria are expert consensus criteria for diagnosing functional gastrointestinal disorders (FGIDs). The current version, Rome IV, was released in May of 2016 after Rome III had been in effect for a decade. It is the collective product of committees that included more than 100 leading functional GI experts. For functional bowel and anorectal disorders, the majority of changes relative to Rome III are relatively minor and will have little impact on clinical practice. However, notable changes with potential impact on clinical practice and research include the changes in the diagnostic criteria for IBS, the modified approach for subtyping of IBS, the view on functional bowel disorders as a spectrum of disorders, and the new definition of fecal incontinence. New features in the Rome IV diagnostic criteria for functional bowel and anorectal disorders will likely have modest influence on clinical practice, with a few exceptions.
authors.affiliation: Department of Internal Medicine & Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, 40530, Gothenburg, Sweden. magnus.simren@medicine.gu.se.|Center for Functional Gastrointestinal and Motility Disorders, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. magnus.simren@medicine.gu.se.
authors.forename: Magnus
authors.initials: M
authors.lastname: Simren
authors.affiliation: Center for Functional Gastrointestinal and Motility Disorders, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Olafur S
authors.initials: OS
authors.lastname: Palsson
authors.affiliation: Center for Functional Gastrointestinal and Motility Disorders, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: William E
authors.initials: WE
authors.lastname: Whitehead
mesh_terms: D000701:Analgesics, Opioid / Q000009:adverse effects; D003245:Consensus Statements as Topic; D003248:Constipation / Q000209:etiology; D003672:Defecation; D003937:Diagnosis, Differential; D003967:Diarrhea / Q000209:etiology; D005242:Fecal Incontinence / Q000209:etiology; D005767:Gastrointestinal Diseases / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D043183:Irritable Bowel Syndrome / Q000175:diagnosis; D010146:Pain / Q000209:etiology; D011364:Professional Practice; D012002:Rectal Diseases / Q000175:diagnosis
chemical_list: D000701:Analgesics, Opioid
keywords: Fecal incontinence; Functional GI disorders; Functional anorectal disorders; Functional bowel disorders; Irritable bowel syndrome; Rome IV diagnostic criteria