Rome V Multidimensional Clinical Profile for Functional Gastrointestinal Disorders: MDCP (Fourth Edition)

MDCP integrates the multiple components contributing to the patient’s illness experience. This information helps the clinician develop a comprehensive patient-centered approach to treatment.

Over 83 MDCP cases studied in this fourth edition incorporate five essential components that clinicians should use to comprehensively diagnose, treat, and maximize the quality of life of their patients.

These include:

• Traditional diagnosis of a DGBI based on Rome V criteria
• Clinical modifiers such as other symptoms, signs,
  or laboratory findings
• Impact of the illness on the patient as mild, moderate, or severe
• Psychosocial modifiers such as psychologic co-morbidity, anxiety, depression, or trauma
• Physiological modifiers and biomarkers

Chapters included: 

1. Aim, Objectives, and Rationale
2. Development of the MDCP
3. Guidelines for Use of the MDCP
4. Learning from the Case Reports
5. Use in Primary Care
6. Adult FGIDs
   1. Esophageal Disorders: Functional chest pain, heartburn, globus, dysphagia, reflux hypersensitivity
   2. Gastroduodenal Disorders: Functional dyspepsia, belching disorders, nausea, and vomiting
   3. Bowel Disorders: IBS, chronic constipation, functional diarrhea, abdominal bloating, OIC
   4. Centrally Mediated Disorders of Gastrointestinal Pain: Centrally mediated abdominal syndrome, abdominal migraine
   5. Gallbladder and Sphincter of Oddi (SO) Disorders: Biliary pain, pancreatic SOD, postcholecystectomy pain
   6. Anorectal Disorders: Fecal incontinence, anorectal pain, dyssynergic rectal hyposensitivity, rectal hypersensitivity
7. Pediatrics–Upper Gastrointestinal: Esophageal disorders, disorders of air transit, functional pediatric feeding disorders, gastroduodenal disorders
   Pediatrics–Lower Gastrointestinal: Abdominal pain disorders, defecation and anorectal disorders, discomfort disorders

Appendices:

Rome V Diagnostic Criteria

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