Management of patients with functional GI disorders (FGIDs) is one of the most challenging areas of gastroenterology and medicine Diagnosis is accomplished using the symptom based Rome criteria. However with treatment, we must also rely on patient reports of symptom response. The FGIDs are truly biopsychosocial disorders because these symptoms are influenced by several factors (diagnostic criteria and clinical modifiers, the impact of the illness, and psychosocial and physiological influences) that in concert characterize the unique profile of the patient’s clinical status. This biopsychosocial profile determines the specific methods of treatment, from a patient with infrequent and mild IBS-D to one with IBS-C having severe pain, emotional distress and physiological disturbance
As President of the Rome Foundation, I’m pleased to announce that the Rome Foundation Multi-Dimensional Clinical Profile has just been released. Created by the world’s leading experts, this intuitive learning model incorporates how good clinicians approach treatment of these disorders. The key factors are organized into a simple and logical 5-component framework. Using this information, we provide a treatment plan uniquely targeted to the patient. This is demonstrated with over 30 clinical cases that cover the full spectrum of the FGIDs, from mild to severe. After completion of these case exercises, the reader will be well prepared to address the full spectrum of treatment options available to help our patients.
This is an excellent and unique learning tool for all clinicians working in functional GI disorders (FGIDs) to develop a more biopsychosocial patient centered approach to care, and i highly recommend the MDCP for students, practitioners in gastroenterology and primary care, health care extenders, or anyone who treats patients with FGIDs
Douglas A. Drossman, MD