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. 2007 Winter;1(2):56-65.

All Roads Lead to Rome: Update on Rome III Criteria and New Treatment Options

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All Roads Lead to Rome: Update on Rome III Criteria and New Treatment Options

David Q Shih et al. Gastroenterol Rep. 2007 Winter.

Abstract

The recently published Rome III criteria reflect current understanding of functional gastrointestinal disorders. These criteria include definitions of these conditions and their pathophysiologic subtypes and offer guidelines for their management. At the 2006 Annual Scientific Meeting of the American College of Gastroenterology, a panel of experts discussed these criteria as they pertain to irritable bowel syndrome, functional dyspepsia, and chronic constipation. This article reviews the panel's findings, highlights the differences between the Rome II and III criteria, and summarizes best treatment options currently available to practitioners and their patients.

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Figures

Figure 1
Figure 1
Bristol Stool Form Scale. Adapted from Lewis and Heaton.
Figure 2
Figure 2
Pharmacologic therapy for irritable bowel syndrome. PEG = polyethylene glycol. Adapted from Prather.
Figure 3
Figure 3
Pathophysiology-based treatment for chronic constipation. IBS-C = constipation-predominant irritable bowel syndrome; PEG = polyethylene glycol. Adapted from Rao.

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