Hot topics launched at ACG 2016

Date: October, 2016

Do you ever wish that you could quickly find the facts you need in your practice regarding IBS? is a new, one-stop website for IBS created specifically for healthcare professionals. is designed to give you up-to-date information directly from IBS experts, the IBS CounSEL. The IBS CounSEL is a group of multidisciplinary experts who are dedicated to creating greater awareness and understanding of IBS among healthcare professionals. The initiative is supported by Allergan

The goal is to provide Support, Education, and Leadership in order to achieve excellence in the care of people living with IBS. The IBS CounSEL website was designed to be a unique resource with practical, implementable information for use at the point of care. The site provides tools that may be useful for specialist and non-specialist healthcare professionals, including downloadable items such as the patient diary, symptom screener, symptom tracker, and treatment summaries for both IBS-C and IBS-D

The official website was launched during the ACG Annual Scientific Meeting at the Venetian in Las Vegas, NV, held on October 14-19, 2016

Rome IV guidelines for IBS published

Date: June, 2016

The diagnosis of IBS has heavily relied on the Rome criteria, originally developed in 1987 by the Rome Foundation, an independent, not-for-profit organization that provides support for activities that assist the diagnosis and management of GI disorders. With emerging new information regarding the etiology, pathophysiology, and management of IBS, the fourth iteration of the Rome guidelines (Rome IV) was published in May 2016 in Gastroenterology, nearly 10 years after the release of the Rome III criteria11,2

So, what’s different between Rome III and Rome IV?

Rome III
Recurrent abdominal pain or discomfort at least 3 days/month in the last 3 months associated with ≥2 of the following:

Improvement with defecation
Onset associated with a change in frequency of stool
Onset associated with a change in form of stool

Criteria fulfilled for the last 3 months with symptom onset at least 6 months prior to diagnosis

Rome IV
Recurrent abdominal pain at least 1 day/week (on average) in the last 3 months associated with/related to ≥2 of the following:

Change in frequency of stool
Onset associated with a change in form of stool

Symptom onset should occur at least 6 months prior to diagnosis and symptoms should be present during the last three months

  • Abdominal discomfort has been removed from the definition since the word “discomfort” is imprecise and difficult to define in every language
  • The presence of abdominal pain should occur now at least 1 day per week, rather than just 3 days per month, in the preceding 3 months
  • “Onset” has been removed from the symptoms coinciding with abdominal pain, since “onset” is not always correlated with bowel habit abnormalities
  • Time for fulfillment of criteria has been modified for clarity, to emphasize that symptoms are present and part of a chronic, specific functional bowel disorder, thereby decreasing the probability of an organic disease

Rome IV criteria capture the latest understanding regarding IBS symptoms and diagnosis, which can hopefully lead to improved management options for those living with IBS

Stay tuned for more information about an interactive clinical decision toolkit, an intelligent software program that helps practitioners achieve the most optimal clinical outcomes using the Rome IV guidelines

To learn more about Rome IV, visit the Rome Foundation website

Learn more about IBS


  1. Lacy BE et al. Gastroenterology 2016;150:393-1407.
  2. Longstreth GF et al. Gastroenterology 2006; 130: 1480-1491.