{"id":60,"date":"2009-02-26T18:55:49","date_gmt":"2009-02-26T18:55:49","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gasesophageal\/"},"modified":"2025-05-14T21:00:37","modified_gmt":"2025-05-14T21:00:37","slug":"gasesophageal","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/gasesophageal\/","title":{"rendered":"ROME II Diagnostic Criteria for Functional Esophageal Disorders"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" 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><\/p>\n<p class=\"MsoNormal\">The diagnosis of a Functional Esophageal Disorder always presumes the absence of a structural or biochemical explanation for the symptoms.<\/p>\n<p><!--more--><\/p>\n<p class=\"MsoNormal\"><strong>A1. Globus<\/strong><\/p>\n<p class=\"MsoNormal\">At least 12 weeks, which need not be consecutive, in the preceding 12 months of:<\/p>\n<ol>\n<li>The persistent or intermittent sensation of a lump or foreign body in the throat;<\/li>\n<li>Occurrence of the sensation between meals;<\/li>\n<li>Absence of dysphagia and odynophagia; and<\/li>\n<li>Absence of pathologic gastroesophageal reflux, achalasia, or other motility disorder with a recognized pathologic basis (e.g., scleroderma of the esophagus).<\/li>\n<\/ol>\n<p class=\"MsoNormal\"><strong>A2. Rumination Syndrome<\/strong><\/p>\n<p class=\"MsoNormal\">At least 12 weeks, which need not be consecutive, in the preceding 12 months of:<\/p>\n<ol>\n<li>Persistent or recurrent regurgitation of recently ingested food into the mouth with subsequent remastication and swallowing or spitting it out;<\/li>\n<li>Absence of nausea and vomiting;<\/li>\n<li>Cessation of the process when the regurgitated material becomes acidic; and<\/li>\n<li>Absence of pathologic gastroesophageal reflux, achalasia, or other motility disorder with a recognized pathologic basis as the primary disorder.<\/li>\n<\/ol>\n<p class=\"MsoNormal\"><strong>A3. Functional Chest Pain of Presumed Esophageal Origin<\/strong><\/p>\n<p class=\"MsoNormal\">At least 12 weeks, which need not be consecutive, within the preceding 12 months of:<\/p>\n<ol>\n<li>Midline chest pain or discomfort that is not of burning quality; and<\/li>\n<li>Absence of pathologic gastroesophageal reflux, achalasia, or other motility disorder with a recognized pathologic basis.<\/li>\n<\/ol>\n<p class=\"MsoNormal\"><strong>A4. Functional Heartburn<\/strong><\/p>\n<p class=\"MsoNormal\">At least 12 weeks, which need not be consecutive, in the preceding 12 months of:<\/p>\n<ol>\n<li>Burning retrosternal discomfort or pain; and<\/li>\n<li>Absence of pathologic gastroesophageal reflux, achalasia, or other motility disorder with a recognized pathologic basis.<\/li>\n<\/ol>\n<p class=\"MsoNormal\"><strong>A5. Functional Dysphagia<\/strong><\/p>\n<p class=\"MsoNormal\">At least 12 weeks, which need not be consecutive, in the preceding 12 months of:<\/p>\n<ol>\n<li>Sense of solid and\/or liquid foods sticking, lodging, or passing abnormally through the esophagus; and<\/li>\n<li>Absence of pathologic gastroesophageal reflux, achalasia, or other motility disorder with a recognized pathologic basis.<\/li>\n<\/ol>\n<p class=\"MsoNormal\"><strong>A6. Unspecified Functional Esophageal Disorder<\/strong><\/p>\n<p class=\"MsoNormal\">At least 12 weeks, which need not be consecutive, in the preceding 12 months of:<\/p>\n<ol>\n<li>Unexplained symptoms attributed to the esophagus that do not fit into the previously described categories; and<\/li>\n<li>Absence of pathologic gastroesophageal reflux, achalasia, or other motility disorder with a recognized pathologic basis.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>\n<p align=\"left\">Douglas A. Drossman. ROME II: The Functional Gastrointestinal Disorders, Second Edition<\/p>\n<\/li>\n<\/ol>\n<p align=\"left\">This material was taken from the ROME II. It is intended for educational purposes only.<\/p>\n<p align=\"left\">\n<p align=\"left\">Created: Mar 19, 2005<\/p>\n<p align=\"left\">\n<p><\/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>Sorry, this entry is only available in Espa\u00f1ol.<\/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":[16,15,14,939,1815,734,1413,1593,732,738],"class_list":["post-60","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-criteria","tag-criterios","tag-diagnostic","tag-disorders","tag-esophageal","tag-functional","tag-gastroenterology","tag-ii","tag-roma","tag-rome"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/60","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=60"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/60\/revisions"}],"predecessor-version":[{"id":9066,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/60\/revisions\/9066"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=60"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=60"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=60"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}