罗马Ⅴ儿童食管疾病的诊治OA

The Rome Ⅴ criteria have made a comprehensive and detailed classification of upper gastrointestinal disorders of gut-brain interaction in children,including esophageal disorders,functional feeding disorders in children and gastroduodenal disorders.Among them,esophageal disorders can be divided into 3 types:reflux hypersensitivity,reflux-negative esophageal pain disorder and disorders of esophageal air-transit.Aerophagia syndrome and supragastric belching syndrome are the subtypes of disorders of esophageal air-transit.The advances in pH-impedance monitoring and high-resolution manometry have enabled the association between clinical symptoms and objective testing results in more precision in subtyping and individualized management of esophageal disorders in pediatric DGBI.This article focuses on the Rome Ⅴ criteria and reviews recent advances in the diagnosis and treatment of esophageal disorders in pediatric DGBI,aiming to improve pediatricians' understanding of these disorders.