Benefits and pitfalls of change from Rome III to Rome IV criteria for irritable bowel syndrome and fecal incontinence

L Lin, L Chang - Clinical Gastroenterology and Hepatology, 2020 - cghjournal.org
Functional gastrointestinal disorders such as irri-table bowel syndrome (IBS), functional
diarrhea, and fecal incontinence are the most common diagnoses in gastroenterology. 1
These conditions are now redefined as disorders of the gut-brain interaction (DGBI) under
Rome IV, which defines each condition by symptombased diagnostic criteria. 1 The Rome IV
criteria were published in 2016, 10 years after the publication of Rome III, 2 with attempts to
address some of the existing limitations of Rome III. Rome IV intended to make its diagnostic …