Korean J Med.  2017 Aug;92(4):372-381. 10.3904/kjm.2017.92.4.372.

Understanding the Rome IV: Functional Constipation and Anorectal Disorders

Affiliations
  • 1Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea. dreun@dankook.ac.kr

Abstract

We used mainly the Rome diagnostic criteria to diagnose functional gastrointestinal disease (FGID). The revised Rome IV was announced in 2016. Rome IV is the recognition that a considerable overlap exists between some of the FGIDs and that they may exist as part of a spectrum, rather than discrete disorders. Based on this concept, the Rome IV criteria for functional constipation and anorectal disorders are newly revised. We review the background and content of the Rome IV diagnostic criteria and introduce the multidimensional clinical profile using clinical cases. These revised criteria will be helpful for adequately diagnosing and managing these patients in actual clinical practice.

Keyword

Anorectal disorder; Functional constipation; Multidimensional clinical profile; Rome IV

MeSH Terms

Constipation*
Gastrointestinal Diseases
Humans
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