中国实用儿科杂志

中国实用儿科杂志 ›› 2026, Vol. 41 ›› Issue (7): 558-563.DOI: 10.19538/j.ek2026070604

• 专题笔谈 • 上一篇    下一篇

罗马V 儿童食管疾病的诊治

  

  1. 浙江大学医学院附属儿童医院消化科和儿童内镜中心  儿童少年健康与疾病国家临床医学研究中心  国家儿童区域医疗中心，浙江  杭州  310052
  • 出版日期:2026-07-06 发布日期:2026-09-17
  • 通讯作者: 江米足，电子信箱：mizu@zju.edu.cn
  • 基金资助:
    国家重点研发计划课题（2023YFC2706504）

Diagnosis and treatment of esophageal diseases of Rome V criteria in children

  1. Department of Gastroenterology and Pediatric Endoscopy Center，Children’s Hospital，Zhejiang University School of Medicine，National Clinical Research Center for Children and Adolescents’Health and Diseases，National Children’s Regional Medical Center，Hangzhou  310052，China 
  • Online:2026-07-06 Published:2026-09-17

摘要： 罗马Ⅴ标准对儿童上消化道肠- 脑互动异常（DGBI）进行了全面、细化的分类，包括食管疾病、儿童功能性喂养困难、胃十二指肠疾病三大类，其中食管疾病可分为3 种：反流高敏感、非反流性食管疼痛病、食管气体传输障碍。食管气体传输障碍分为2 个亚型：吞气综合征和胃上嗳气综合征。pH- 阻抗监测和食管高分辨测压等技术的进步使得临床症状与客观的检测结果关联，对儿童DGBI 食管疾病进行更精确地分型和管理。文章以罗马Ⅴ标准为核心，阐述儿童DGBI 食管疾病的诊治进展，以期提高儿科医师对该类疾病的认识。

关键词: 罗马Ⅴ标准, 肠- 脑互动异常, 食管疾病, 胃食管反流病, 反流高敏感, 儿童

Abstract: The Rome V criteria have made a comprehensive and detailed classification of upper gastrointestinal disorders of gut brain interaction in children，including esophageal disorders，functional feeding disorders in children and gastroduodenal disorders. Among them，esophageal disorders can be divided into 3 types：reflux hypersensitivity，reflux-negative esophageal pain disorder and disorders of esophageal air-transit. Aerophagia syndrome and supragastric belching syndrome are the subtypes of disorders of esophageal air-transit.The advances in pH-impedance monitoring and high-resolution manometry have enabled the association between clinical symptoms and objective testing results in more precision in subtyping and individualized management of esophageal disorders in pediatric DGBI. This article focuses on the Rome V criteria and reviews recent advances in the diagnosis and treatment of esophageal disorders in pediatric DGBI，aiming to improve pediatricians' understanding of these disorders.

Key words: Rome V criteria, disorders of gut-brain interaction, esophageal disorders, gastroesophageal reflux disease, reflux hypersensitivity, children