关注儿童肠-脑互动异常罗马Ⅴ标准的更新OA

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.