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Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Biliary dyskinesia diagnostic criteria

Introduction

Overview

Overview

The Rome IV diagnostic criteria should be considered in patients with biliary pain and suspected motility disorders (functional gallbladder disorder and functional biliary sphincter of Oddi disorder).

Diagnostic Criteria

Diagnostic Criteria

The Rome IV diagnostic criteria should be considered in patients with biliary pain and suspected motility disorders (functional gallbladder disorder and functional biliary sphincter of Oddi disorder):[1]

Rome IV Diagnostic Criteria for Biliary Pain

(Content from Cotton PB, Elta GH, Carter CR, et al. Gallbladder and sphincter of Oddi disorders. Gastroenterology 2016)[1]

Diagnostic Criteria Supportive criteria
Pain located in the epigastrium and/or right upper quadrant (RUQ) and all of the following:
  • Builds up to a steady level and lasting 30 minutes or longer
  • Occurring at different intervals (not daily)
  • Severe enough to interrupt daily activities or lead to a visit to an emergency department
  • Not significantly (<20%) related to bowel movements
  • Not significantly (<20%) relieved by postural change or acid suppression  
 May be associated with:
  • Nausea and vomiting
  • Radiation to the back and/or right infrasubscapular
  • Waking the patient from sleep  
Rome IV Diagnostic Criteria for Functional Gallbladder Disorder and Functional Biliary Sphincter of Oddi Disorder

(Content from Cotton PB, Elta GH, Carter CR, et al. Gallbladder and sphincter of Oddi disorders. Gastroenterology 2016)[1]

Functional Gallbladder Disorder  (FGD) Functional Biliary Sphincter of Oddi Disorder (SOD)  
Diagnostic Criteria

Supportive criteria  

Diagnostic Criteria

Supportive criteria

References

References

  1. ↑ 1.0 1.1 1.2 Cotton PB, Elta GH, Carter CR, Pasricha PJ, Corazziari ES (2016). “Rome IV. Gallbladder and Sphincter of Oddi Disorders”. Gastroenterology. doi:10.1053/j.gastro.2016.02.033. PMID 27144629.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]