Gastroenterology

Rome IV Functional Gallbladder Disorder calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

Pain in the epigastrium and/or right upper quadrantBuilds to a steady level and lasts 30 minutes or longerOccurs at differing intervals and not dailySevere enough to interrupt daily activities or prompt an emergency visitLess than 20% related to bowel movementsLess than 20% relieved by posture change or acid suppressionNo gallstones or other structural gallbladder disease

Result

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Criteria not met

Band: Criteria not met

Interpretation. Criteria not met

Suggested management. One or more required criteria in the source are absent.

Rome IV Functional Gallbladder Disorder: 0 — Criteria not met. Interpretation: Criteria not met What to do: One or more required criteria in the source are absent. Inputs: Pain in the epigastrium and/or right upper quadrant: false; Builds to a steady level and lasts 30 minutes or longer: false; Occurs at differing intervals and not daily: false; Severe enough to interrupt daily activities or prompt an emergency visit: false; Less than 20% related to bowel movements: false; Less than 20% relieved by posture change or acid suppression: false; No gallstones or other structural gallbladder disease: false Source: Cotton PB, Elta GH, Carter CR, Pasricha PJ, Corazziari ES. Gallbladder and sphincter of Oddi disorders. Gastroenterology. DOI: 10.1053/j.gastro.2016.02.033. PMID: 27144629. Functional gallbladder disorder requires biliary pain and absence of gallstones or other structural pathology. A low scintigraphic ejection fraction and normal liver enzymes, conjugated bilirubin, and amylase/lipase are supportive and are not required. (2016)

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Clinical inputs

Pain in the epigastrium and/or right upper quadrant
Builds to a steady level and lasts 30 minutes or longer
Occurs at differing intervals and not daily
Severe enough to interrupt daily activities or prompt an emergency visit
Less than 20% related to bowel movements
Less than 20% relieved by posture change or acid suppression
No gallstones or other structural gallbladder disease

Primary source

Cotton PB, Elta GH, Carter CR, Pasricha PJ, Corazziari ES. Gallbladder and sphincter of Oddi disorders. Gastroenterology. DOI: 10.1053/j.gastro.2016.02.033. PMID: 27144629. Functional gallbladder disorder requires biliary pain and absence of gallstones or other structural pathology. A low scintigraphic ejection fraction and normal liver enzymes, conjugated bilirubin, and amylase/lipase are supportive and are not required. (2016)

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