DGBI/FGIDs
Rome IV 2016 Diagnostic Criteria for FGIDs Disorders of Gut-Brain Interaction (DGBI), also known as functional gastrointestinal disorders (FGIDs) A. Esophageal Disorders A1. FUNCTIONAL CHEST PAIN Diagnostic criteria* Must include all of the following: Retrosternal chest pain or discomfort** Absence of associated esophageal symptoms, such as heartburn and dysphagia Absence of evidence that gastroesophageal reflux or eosinophilic esophagitis is the cause of the symptom Absence of major esophageal motor disorders† *Criteria fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis with a frequency of at least once a week **Cardiac causes should be ruled out †Achalasia/EGJ outflow obstruction, diffuse esophageal spasm, jackhammer esophagus, absent peristalsis A2. FUNCTIONAL HEARTBURN Diagnostic criteria* Must include all of the following: Burning retrosternal discomfort or pain No sympto