{"id":17,"date":"2009-02-20T14:21:11","date_gmt":"2009-02-20T14:21:11","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gasrome2anus\/"},"modified":"2025-05-14T21:05:18","modified_gmt":"2025-05-14T21:05:18","slug":"gasrome2anus","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/gasrome2anus\/","title":{"rendered":"Criterios Diagn\u00f3stico para Des\u00f3rdenes Funcionales del Recto y del Ano (ROMA II)"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>El diagn\u00f3stico de un desorden funcional del ano y del recto siempre presume la ausencia de una explicaci\u00f3n estructural o bioqu\u00edmica de los s\u00edntomas.<\/p>\n<p><strong>F1. Incontinencia fecal funcional:<\/strong> pasaje incontrolado y recurrente de materia fecal durante un mes por lo menos, en un sujeto de m\u00e1s de cuatro a\u00f1os de edad, asociado con:<\/p>\n<ol>\n<li>Impactaci\u00f3n fecal; o<\/li>\n<li>Diarrea; o<\/li>\n<li>Disfunci\u00f3n no estructural del esf\u00ednter anal.<\/li>\n<\/ol>\n<p><!--more--><\/p>\n<p><strong>F2. Dolor funcional anorectal<\/strong><\/p>\n<p><strong>F2a. S\u00edndrome del elevador del ano:<\/strong> al menos 12 semanas, no necesariamente consecutivas, en los 12 meses anteriores de:<\/p>\n<ol>\n<li>Dolor o molestias cr\u00f3nicas o recurrente en el recto;<\/li>\n<li>Episodios de 20 minutos de una duraci\u00f3n o m\u00e1s; y<\/li>\n<li>Se han excluido otras causas de dolor rectal tales como isquemia, enfermedad inflamatoria intestinal, criptitis, absceso intramuscular, fisuras, hemorroides, prostatitis, y \u00falcera rectal solitaria<\/li>\n<\/ol>\n<p><strong>F2b. Proctalgia Fugaz<\/strong><\/p>\n<ol>\n<li>Episodios recurrentes de dolor localizados en el ano o en la parte inferior del recto;<\/li>\n<li>Episodios que duran desde varios segundos a minutos; y<\/li>\n<li>No existe dolor anorectal entre los episodios.<\/li>\n<\/ol>\n<p><strong>F3. Disinergia del piso p\u00e9lvico<\/strong><\/p>\n<ol>\n<li>El paciente debe satisfacer los criterios de diagn\u00f3stico de constipaci\u00f3n funcional (ver criterios de diagn\u00f3stico C3);<\/li>\n<li>Debe haber evidencia manom\u00e9trica, electromiogr\u00e1fica o radiol\u00f3gica de una contracci\u00f3n inapropiada o de un fracaso de los m\u00fasculos del suelo pelviano para relajarse durante los intentos repetidos para defecar;<\/li>\n<li>Debe haber evidencia de fuerzas propulsivas adecuadas durante los intentos de defecaci\u00f3n y<\/li>\n<li>Debe haber evidencia de una evacuaci\u00f3n incompleta.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Douglas A. Drossman. ROME II: The Functional Gastrointestinal Disorders, Second Edition<\/li>\n<\/ol>\n<p>This material was taken from the ROME II. It is intended for educational purposes only.<\/p>\n<p>&nbsp;<\/p>\n<p>Creado: Mar 19, 2005<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El diagn\u00f3stico de un desorden funcional del ano y del recto siempre presume la ausencia de una explicaci\u00f3n estructural o bioqu\u00edmica de los s\u00edntomas. F1. Incontinencia fecal funcional: pasaje incontrolado y recurrente de materia fecal durante un mes por lo menos, en un sujeto de m\u00e1s de cuatro a\u00f1os de edad, asociado con: Impactaci\u00f3n fecal; [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[53],"tags":[1595,1594,16,15,940,14,13,939,735,734,1413,1593,1592,1591,732,738],"class_list":["post-17","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-ano","tag-anus","tag-criteria","tag-criterios","tag-desordenes","tag-diagnostic","tag-diagnostico","tag-disorders","tag-funcional","tag-functional","tag-gastroenterology","tag-ii","tag-recto","tag-rectum","tag-roma","tag-rome"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Criterios Diagn\u00f3stico para Des\u00f3rdenes Funcionales del Recto y del Ano (ROMA II) - MedicalCRITERIA.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medicalcriteria.com\/web\/gasrome2anus\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"[:es]Criterios Diagn\u00f3stico para Des\u00f3rdenes Funcionales del Recto y del Ano (ROMA II)[:en]ROME II Diagnostic Criteria for Functional Disorders of the Anus and Rectum[:] - MedicalCRITERIA.com\" \/>\n<meta property=\"og:description\" content=\"El diagn\u00f3stico de un desorden funcional del ano y del recto siempre presume la ausencia de una explicaci\u00f3n estructural o bioqu\u00edmica de los s\u00edntomas. F1. Incontinencia fecal funcional: pasaje incontrolado y recurrente de materia fecal durante un mes por lo menos, en un sujeto de m\u00e1s de cuatro a\u00f1os de edad, asociado con: Impactaci\u00f3n fecal; [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medicalcriteria.com\/web\/gasrome2anus\/\" \/>\n<meta property=\"og:site_name\" content=\"MedicalCRITERIA.com\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/medicalcriteria\/\" \/>\n<meta property=\"article:published_time\" content=\"2009-02-20T14:21:11+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-14T21:05:18+00:00\" \/>\n<meta name=\"author\" content=\"Guillermo Firman\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Guillermo Firman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/gasrome2anus\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/gasrome2anus\\\/\"},\"author\":{\"name\":\"Guillermo Firman\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/person\\\/ead6734a2f20659131388ba822c7078c\"},\"headline\":\"Criterios Diagn\u00f3stico para Des\u00f3rdenes Funcionales del Recto y del Ano (ROMA II)\",\"datePublished\":\"2009-02-20T14:21:11+00:00\",\"dateModified\":\"2025-05-14T21:05:18+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/gasrome2anus\\\/\"},\"wordCount\":560,\"publisher\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#organization\"},\"keywords\":[\"ano\",\"Anus\",\"Criteria\",\"criterios\",\"desordenes\",\"Diagnostic\",\"diagnostico\",\"Disorders\",\"funcional\",\"Functional\",\"gastroenterology\",\"II\",\"recto\",\"Rectum\",\"roma\",\"ROME\"],\"articleSection\":[\"Gastroenterology\"],\"inLanguage\":\"es\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/gasrome2anus\\\/\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/gasrome2anus\\\/\",\"name\":\"[:es]Criterios Diagn\u00f3stico para Des\u00f3rdenes Funcionales del Recto y del Ano (ROMA II)[:en]ROME II Diagnostic Criteria for Functional Disorders of the Anus and Rectum[:] - MedicalCRITERIA.com\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#website\"},\"datePublished\":\"2009-02-20T14:21:11+00:00\",\"dateModified\":\"2025-05-14T21:05:18+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/gasrome2anus\\\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/gasrome2anus\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/gasrome2anus\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Criterios Diagn\u00f3stico para Des\u00f3rdenes Funcionales del Recto y del Ano (ROMA II)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#website\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/\",\"name\":\"MedicalCRITERIA.com\",\"description\":\"Unifying Concepts\",\"publisher\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#organization\",\"name\":\"MedicalCRITERIA.com\",\"alternateName\":\"Criterios M\u00e9dicos\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/wp-content\\\/uploads\\\/2025\\\/03\\\/cropped-mc_1024x500.png\",\"contentUrl\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/wp-content\\\/uploads\\\/2025\\\/03\\\/cropped-mc_1024x500.png\",\"width\":600,\"height\":257,\"caption\":\"MedicalCRITERIA.com\"},\"image\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/medicalcriteria\\\/\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/person\\\/ead6734a2f20659131388ba822c7078c\",\"name\":\"Guillermo Firman\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g\",\"caption\":\"Guillermo Firman\"},\"sameAs\":[\"http:\\\/\\\/MedicalCRITERIA.com\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"[:es]Criterios Diagn\u00f3stico para Des\u00f3rdenes Funcionales del Recto y del Ano (ROMA II)[:en]ROME II Diagnostic Criteria for Functional Disorders of the Anus and Rectum[:] - MedicalCRITERIA.com","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/medicalcriteria.com\/web\/gasrome2anus\/","og_locale":"es_ES","og_type":"article","og_title":"[:es]Criterios Diagn\u00f3stico para Des\u00f3rdenes Funcionales del Recto y del Ano (ROMA II)[:en]ROME II Diagnostic Criteria for Functional Disorders of the Anus and Rectum[:] - MedicalCRITERIA.com","og_description":"El diagn\u00f3stico de un desorden funcional del ano y del recto siempre presume la ausencia de una explicaci\u00f3n estructural o bioqu\u00edmica de los s\u00edntomas. F1. Incontinencia fecal funcional: pasaje incontrolado y recurrente de materia fecal durante un mes por lo menos, en un sujeto de m\u00e1s de cuatro a\u00f1os de edad, asociado con: Impactaci\u00f3n fecal; [&hellip;]","og_url":"https:\/\/medicalcriteria.com\/web\/gasrome2anus\/","og_site_name":"MedicalCRITERIA.com","article_publisher":"https:\/\/www.facebook.com\/medicalcriteria\/","article_published_time":"2009-02-20T14:21:11+00:00","article_modified_time":"2025-05-14T21:05:18+00:00","author":"Guillermo Firman","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Guillermo Firman","Tiempo de lectura":"3 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/medicalcriteria.com\/web\/gasrome2anus\/#article","isPartOf":{"@id":"https:\/\/medicalcriteria.com\/web\/gasrome2anus\/"},"author":{"name":"Guillermo Firman","@id":"https:\/\/medicalcriteria.com\/web\/#\/schema\/person\/ead6734a2f20659131388ba822c7078c"},"headline":"Criterios Diagn\u00f3stico para Des\u00f3rdenes Funcionales del Recto y del Ano (ROMA II)","datePublished":"2009-02-20T14:21:11+00:00","dateModified":"2025-05-14T21:05:18+00:00","mainEntityOfPage":{"@id":"https:\/\/medicalcriteria.com\/web\/gasrome2anus\/"},"wordCount":560,"publisher":{"@id":"https:\/\/medicalcriteria.com\/web\/#organization"},"keywords":["ano","Anus","Criteria","criterios","desordenes","Diagnostic","diagnostico","Disorders","funcional","Functional","gastroenterology","II","recto","Rectum","roma","ROME"],"articleSection":["Gastroenterology"],"inLanguage":"es"},{"@type":"WebPage","@id":"https:\/\/medicalcriteria.com\/web\/gasrome2anus\/","url":"https:\/\/medicalcriteria.com\/web\/gasrome2anus\/","name":"[:es]Criterios Diagn\u00f3stico para Des\u00f3rdenes Funcionales del Recto y del Ano (ROMA II)[:en]ROME II Diagnostic Criteria for Functional Disorders of the Anus and Rectum[:] - MedicalCRITERIA.com","isPartOf":{"@id":"https:\/\/medicalcriteria.com\/web\/#website"},"datePublished":"2009-02-20T14:21:11+00:00","dateModified":"2025-05-14T21:05:18+00:00","breadcrumb":{"@id":"https:\/\/medicalcriteria.com\/web\/gasrome2anus\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/medicalcriteria.com\/web\/gasrome2anus\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/medicalcriteria.com\/web\/gasrome2anus\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/medicalcriteria.com\/web\/"},{"@type":"ListItem","position":2,"name":"Criterios Diagn\u00f3stico para Des\u00f3rdenes Funcionales del Recto y del Ano (ROMA II)"}]},{"@type":"WebSite","@id":"https:\/\/medicalcriteria.com\/web\/#website","url":"https:\/\/medicalcriteria.com\/web\/","name":"MedicalCRITERIA.com","description":"Unifying Concepts","publisher":{"@id":"https:\/\/medicalcriteria.com\/web\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/medicalcriteria.com\/web\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Organization","@id":"https:\/\/medicalcriteria.com\/web\/#organization","name":"MedicalCRITERIA.com","alternateName":"Criterios M\u00e9dicos","url":"https:\/\/medicalcriteria.com\/web\/","logo":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/medicalcriteria.com\/web\/#\/schema\/logo\/image\/","url":"https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2025\/03\/cropped-mc_1024x500.png","contentUrl":"https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2025\/03\/cropped-mc_1024x500.png","width":600,"height":257,"caption":"MedicalCRITERIA.com"},"image":{"@id":"https:\/\/medicalcriteria.com\/web\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/medicalcriteria\/"]},{"@type":"Person","@id":"https:\/\/medicalcriteria.com\/web\/#\/schema\/person\/ead6734a2f20659131388ba822c7078c","name":"Guillermo Firman","image":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/secure.gravatar.com\/avatar\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/24f0f68ba780b5b240680962755c6f75e6116e6667394a46e38b7b8fd0a62e9f?s=96&d=mm&r=g","caption":"Guillermo Firman"},"sameAs":["http:\/\/MedicalCRITERIA.com"]}]}},"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/17","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=17"}],"version-history":[{"count":2,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/17\/revisions"}],"predecessor-version":[{"id":9029,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/17\/revisions\/9029"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=17"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=17"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=17"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}