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标题:The Functional Gastrointestinal Disorders and the Rome III Process
时间:2021-02-23 15:39:18
DOI:10.1053/j.gastro.2006.03.008
大小:356 kb
页数:15 PAGES
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目录:
  • The Functional Gastrointestinal Disorders and the Rome III Process
    • The Rome III Classification System FGIDs
    • Scientific Observations on the Pathophysiology of Functional GI Disorders
      • Genetic Predispositions
      • Early Family Environment
      • Psychosocial Factors
      • Abnormal Motility
      • Visceral Hypersensitivity
      • Inflammation
      • Bacterial Flora
      • Brain-Gut Interactions via the CNS-ENS
        • Bidirectional “hardwiring” of brain-gut axis
        • Stress and postinfectious FGID
        • Brain imaging
        • Brain-gut peptides
    • An Approach to the Care of Patients With Functional GI Disorders
      • The Therapeutic Relationship
        • Mild symptoms
        • Moderate symptoms
        • Severe symptoms
    • The Rome Committees and Criteria Development
      • Rationale for Symptom-Based Diagnostic Criteria
        • Site-specific differences
        • Symptoms resulting from multiple in.uencing factors
        • Epidemiologic data
        • Treatment implications
        • Need for diagnostic standards in clinical care and research
      • Qualifications for the Use of Symptom- Based Criteria
        • Other diseases may coexist that need to be excluded
        • Symptoms may overlap with other functional GI disorders
        • Symptoms must have begun 6 months prior to diagnosis and be active for 3 months
        • Diagnostic categories do not include psychosocial criteria
        • Criteria are determined by clinical consensus and existing evidence
      • The Rome Committee Process
      • Changes Made in Rome III
    • Concluding Comments
    • Acknowledgment
    • References

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