中国实用儿科杂志2026，Vol.41Issue(7)：554-557,4.DOI:10.19538/j.ek2026070603
关注儿童肠-脑互动异常罗马Ⅴ标准的更新
Updates to the Rome Ⅴ criteria for pediatric disorders of gut-brain interaction
吴捷 1龚四堂2
作者信息
- 1. 国家儿童医学中心 首都医科大学附属北京儿童医院消化肝病营养中心,北京 100045
- 2. 国家儿童医学中心 广州医科大学附属妇女儿童医疗中心消化科,广东 广州 510623
- 折叠
摘要
Abstract
The Rome Ⅴ Pediatric Criteria have systematically reconstructed the diagnosis and treatment system for Disorders of Gut-Brain Interaction(DGBI)in children.Breaking the age-stratified classification model adopted by RomeⅣ,the criteria establish a unified diagnostic framework applicable to all age groups.They categorize conditions into two major groups:upper gastrointestinal tract disorders and lower gastrointestinal and biliary tract disorders based on anatomical locations and symptom patterns,adding 13 new disease diagnoses to fill the gaps in pediatric nomenclature.For the first time,the criteria systematically construct a pathophysiological system centered on the biopsychosocial model,refine the logic for differential diagnosis,and adopt the guidelines from ESPGHAN/NASPGHAN to standardize tiered non-pharmacological,dietary and pharmacological therapies.Pediatric clinical practice in China should draw on these international criteria while integrating domestic consensus on infant functional dyspepsia syndrome as well as Chinese and Western medicine diagnosis and treatment experience,promoting multidisciplinary collaboration,and elevate the standardized diagnosis and treatment of pediatric DGBI.关键词
儿童/肠-脑互动异常/罗马Ⅴ/罗马Ⅳ/功能性胃肠病Key words
children/disorders of gut-brain interaction/Rome Ⅴ/Rome Ⅳ/functional gastrointestinal disorders分类
医药卫生引用本文复制引用
吴捷,龚四堂..关注儿童肠-脑互动异常罗马Ⅴ标准的更新[J].中国实用儿科杂志,2026,41(7):554-557,4.
