{"id":43328,"date":"2026-04-24T10:51:39","date_gmt":"2026-04-24T13:51:39","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=43328"},"modified":"2026-04-24T11:11:51","modified_gmt":"2026-04-24T14:11:51","slug":"atualizacao-roma-v","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-roma-v\/","title":{"rendered":"Atualiza\u00e7\u00e3o Roma V: saiba o que mudou\u00a0\u00a0"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-roma-v\/#Atualizacao_sobre_desordens_esofagicas_funcionais\" >Atualiza\u00e7\u00e3o sobre desordens esof\u00e1gicas funcionais<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-roma-v\/#Diagnostico_mais_rigoroso\" >Diagn\u00f3stico mais rigoroso<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-roma-v\/#Papel_reforcado_da_esofagite_eosinofilica_EoE_como_confundidor\" >Papel refor\u00e7ado da esofagite eosinof\u00edlica (EoE) como confundidor<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-roma-v\/#Desordens_intestinais_Sindrome_do_Intestino_Irritavel\" >Desordens intestinais (S\u00edndrome do Intestino Irrit\u00e1vel)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-roma-v\/#Disturbios_intestinais_Roma_V\" >Dist\u00farbios intestinais (Roma V)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-roma-v\/#Sindrome_do_Intestino_Irritavel_SII\" >S\u00edndrome do Intestino Irrit\u00e1vel (SII)<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-roma-v\/#Subtipos_de_SII_mantidos_baseados_em_Bristol\" >Subtipos de SII: mantidos, baseados em Bristol<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-roma-v\/#Desordens_gastroduodenais\" >Desordens gastroduodenais<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-roma-v\/#Dispepsia_funcional_redefinicao_da_sobreposicao_PDS%E2%80%93EPS\" >Dispepsia funcional: redefini\u00e7\u00e3o da sobreposi\u00e7\u00e3o PDS\u2013EPS<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-roma-v\/#Acesse_o_Roma_V_na_integra\" >Acesse o Roma V na \u00edntegra!<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-roma-v\/#Seja_um_MedCofer\" >Seja um MedCofer!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-33-1024x576.jpg\" alt=\"Atualiza\u00e7\u00e3o Roma V: saiba o que mudou\" class=\"wp-image-43333\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-33-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-33-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-33-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-33-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-33-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-33-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-33-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-33-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-33.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>A <strong>American Gastroenterological Association (AGA)<\/strong> publicou o <strong>Roma V,<\/strong> padr\u00e3o diagn\u00f3stico lan\u00e7ado em 2026 para <strong>Dist\u00farbios de Intera\u00e7\u00e3o C\u00e9rebro-Intestino (DGBIs)<\/strong>, desenvolvido por mais de 140 especialistas.&nbsp;<\/p>\n\n\n\n<p>O documento introduz <strong>atualiza\u00e7\u00f5es baseadas em evid\u00eancias<\/strong>, com crit\u00e9rios mais centrados no paciente, <strong>novas entidades diagn\u00f3sticas e atualiza\u00e7\u00f5es pedi\u00e1tricas<\/strong>, substituindo o Rome IV.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"320\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-1024x320.png\" alt=\"\" class=\"wp-image-39227\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-1024x320.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-300x94.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-768x240.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-150x47.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-696x218.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-1068x334.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1.png 1343w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-atualizacao-sobre-desordens-esofagicas-funcionais\"><span class=\"ez-toc-section\" id=\"Atualizacao_sobre_desordens_esofagicas_funcionais\"><\/span><strong>Atualiza\u00e7\u00e3o sobre desordens esof\u00e1gicas funcionais<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O <strong>Roma V<\/strong> renomeou as antigas \u201cdesordens esof\u00e1gicas funcionais\u201d como <strong>desordens esof\u00e1gicas da intera\u00e7\u00e3o c\u00e9rebro-intestino (E-DGBI)<\/strong>.&nbsp;<\/p>\n\n\n\n<p>A principal evolu\u00e7\u00e3o do Roma IV para o Roma V \u00e9 a <strong>integra\u00e7\u00e3o formal de crit\u00e9rios diagn\u00f3sticos <\/strong>atualizados:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Consenso de Lyon 2.0<\/strong>: para exclus\u00e3o de Doen\u00e7a do Refluxo Gastroesof\u00e1gico (DRGE);<\/li>\n\n\n\n<li><strong>Chicago Classification v4.0<\/strong>: para exclus\u00e3o de dist\u00farbios motores esof\u00e1gicos, mantendo o crit\u00e9rio temporal (\u2265 3 meses e in\u00edcio \u2265 6 meses antes), refor\u00e7ando o car\u00e1ter <strong>cr\u00f4nico<\/strong> e <strong>n\u00e3o transit\u00f3rio<\/strong>.\u00a0<\/li>\n<\/ul>\n\n\n\n<p>Confira os pontos do documento que podem impactar sua prova de <strong>resid\u00eancia m\u00e9dica<\/strong>:<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-diagnostico-mais-rigoroso\"><span class=\"ez-toc-section\" id=\"Diagnostico_mais_rigoroso\"><\/span><strong>Diagn\u00f3stico mais rigoroso<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O Roma V refor\u00e7a que o<strong> diagn\u00f3stico s\u00f3 deve ser feito ap\u00f3s excluir<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Doen\u00e7a estrutural (endoscopia);<\/li>\n\n\n\n<li>DRGE significativa (pHmetria\/imped\u00e2ncia);<\/li>\n\n\n\n<li>Dist\u00farbios motores maiores (manometria esof\u00e1gica): Aten\u00e7\u00e3o que motilidade esof\u00e1gica ineficaz (MEI) n\u00e3o exclui Dist\u00farbios Esof\u00e1gicos da Intera\u00e7\u00e3o Intestino-C\u00e9rebro (E-DGBI);<\/li>\n\n\n\n<li>Esofagite eosinof\u00edlica (com bi\u00f3psia esof\u00e1gica, quando indicado)<\/li>\n<\/ul>\n\n\n\n<p>Isso reduz um problema frequente no Roma IV: o risco de <strong>sobrediagn\u00f3stico de dist\u00farbios funcionais<\/strong>.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-papel-reforcado-da-esofagite-eosinofilica-eoe-como-confundidor\"><span class=\"ez-toc-section\" id=\"Papel_reforcado_da_esofagite_eosinofilica_EoE_como_confundidor\"><\/span><strong>Papel refor\u00e7ado da esofagite eosinof\u00edlica (EoE) como confundidor<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O Roma V enfatiza que a <strong>esofagite eosinof\u00edlica, <\/strong>doen\u00e7a cr\u00f4nica, imune e inflamat\u00f3ria do es\u00f4fago,<strong> deve ser ativamente exclu\u00edda<\/strong>, especialmente em:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Disfagia<\/strong> (dificuldade para engolir alimentos, l\u00edquidos ou saliva, desde a boca at\u00e9 o est\u00f4mago);<\/li>\n\n\n\n<li><strong>Dor tor\u00e1cica<\/strong> relacionada \u00e0 alimenta\u00e7\u00e3o.<\/li>\n<\/ul>\n\n\n\n<p>A aus\u00eancia de bi\u00f3psia adequada pode levar ao diagn\u00f3stico incorreto de E-DGBI. Para mais informa\u00e7\u00f5es, confira a publica\u00e7\u00e3o da AGA a respeito:&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.gastrojournal.org\/article\/S0016-5085(26)00133-2\/fulltext\">CLIQUE AQUI<\/a><\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-desordens-intestinais-sindrome-do-intestino-irritavel\"><span class=\"ez-toc-section\" id=\"Desordens_intestinais_Sindrome_do_Intestino_Irritavel\"><\/span><strong>Desordens intestinais (S\u00edndrome do Intestino Irrit\u00e1vel)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Houveram tamb\u00e9m mudan\u00e7as consider\u00e1veis <strong>nos crit\u00e9rios da S\u00edndrome do Intestino Irrit\u00e1vel (SII)<\/strong>. A implementa\u00e7\u00e3o do Roma IV em 2016 havia reduzido significativamente a preval\u00eancia relatada de SII em rela\u00e7\u00e3o ao Roma III \u2014 principalmente por elevar o limiar de frequ\u00eancia da dor e por retirar o termo \u201c<strong>desconforto\u201d<\/strong>.&nbsp;<\/p>\n\n\n\n<p>A Roma V revisa esses pontos e reconfigura a defini\u00e7\u00e3o. Veja&nbsp; os pontos mais relevantes sua prova de resid\u00eancia m\u00e9dica:<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-disturbios-intestinais-roma-v\"><span class=\"ez-toc-section\" id=\"Disturbios_intestinais_Roma_V\"><\/span><strong>Dist\u00farbios intestinais (Roma V)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u00edndrome do Intestino Irrit\u00e1vel<\/li>\n\n\n\n<li>Constipa\u00e7\u00e3o cr\u00f4nica<\/li>\n\n\n\n<li>Diarreia funcional<\/li>\n\n\n\n<li>Distens\u00e3o abdominal funcional<\/li>\n\n\n\n<li>Dist\u00farbio intestinal n\u00e3o classificado<\/li>\n\n\n\n<li>Constipa\u00e7\u00e3o induzida por opioides<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-sindrome-do-intestino-irritavel-sii\"><span class=\"ez-toc-section\" id=\"Sindrome_do_Intestino_Irritavel_SII\"><\/span><strong>S\u00edndrome do Intestino Irrit\u00e1vel (SII)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-reintroducao-do-desconforto-abdominal-nos-criterios\"><strong><em>Reintrodu\u00e7\u00e3o do \u201cdesconforto abdominal\u201d nos crit\u00e9rios<\/em><\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Roma IV:<\/strong> aceitava apenas <em>dor abdominal<\/em> como sintoma central.\u00a0<\/li>\n\n\n\n<li><strong>Roma V:<\/strong> reincorpora <strong>dor e\/ou desconforto abdominal<\/strong> ao crit\u00e9rio diagn\u00f3stico<\/li>\n<\/ul>\n\n\n\n<p>Essa mudan\u00e7a \u00e9 reconhecimento a estudos que mostraram pacientes com SII referindo desconforto sem dor verdadeira \u2014 particularmente em determinados pa\u00edses\/popula\u00e7\u00f5es.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-reducao-do-limiar-de-frequencia-da-dor-desconforto\"><strong><em>Redu\u00e7\u00e3o do limiar de frequ\u00eancia da dor\/desconforto<\/em><\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Roma IV<\/strong> exigia sintomas <strong>\u2265 1 dia por semana<\/strong>.\u00a0<\/li>\n\n\n\n<li><strong>Roma V <\/strong>reduz para <strong>\u2265 3 dias por m\u00eas<\/strong>, em m\u00e9dia, nos \u00faltimos 3 meses\u00a0<\/li>\n<\/ul>\n\n\n\n<p>Assim, o material resgata parcialmente o limiar do Roma III e aumenta a sensibilidade diagn\u00f3stica. Isso, ap\u00f3s o <strong>RFGES (The Rome Foundation Global Epidemiology study) <\/strong>demonstrar que o principal motivo da queda na preval\u00eancia entre Roma III e IV foi justamente a eleva\u00e7\u00e3o do limiar.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-nova-especificacao-dor-desconforto-nao-pode-ser-continuo\"><strong><em>Nova especifica\u00e7\u00e3o: dor\/desconforto N\u00c3O pode ser cont\u00ednuo<\/em><\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Foi adicionada a exig\u00eancia de que a dor\/desconforto abdominal seja <strong>recorrente, mas N\u00c3O cont\u00ednuo<\/strong>.\u00a0<\/li>\n\n\n\n<li>O objetivo \u00e9 <strong>diferenciar SII da s\u00edndrome de dor abdominal de media\u00e7\u00e3o central <\/strong><em>(centrally mediated abdominal pain syndrome<\/em> \u2014 antiga dor abdominal funcional), que se caracteriza por dor abdominal constante, sem rela\u00e7\u00e3o com a defeca\u00e7\u00e3o.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-novo-criterio-de-apoio-relacao-com-o-ciclo-menstrual\"><strong><em>Novo crit\u00e9rio de apoio: rela\u00e7\u00e3o com o ciclo menstrual<\/em><\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Roma V<\/strong> acrescenta um crit\u00e9rio de apoio (supportive) determinando que a dor ou desconforto abdominal <strong>n\u00e3o deve estar relacionado exclusivamente \u00e0 menstrua\u00e7\u00e3o<\/strong>.\u00a0<\/li>\n\n\n\n<li>Esse ajuste busca reduzir o diagn\u00f3stico equivocado de SII em pacientes cujos sintomas intestinais s\u00e3o, na verdade, manifesta\u00e7\u00f5es do ciclo menstrual.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-subtipos-de-sii-mantidos-baseados-em-bristol\"><span class=\"ez-toc-section\" id=\"Subtipos_de_SII_mantidos_baseados_em_Bristol\"><\/span><strong><em>Subtipos de SII: mantidos, baseados em Bristol<\/em><\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Os subtipos seguem os mesmos 4 grupos do Roma IV, <strong>definidos pela predomin\u00e2ncia do h\u00e1bito intestinal (Escala de Bristol)<\/strong> apenas em dias com evacua\u00e7\u00f5es anormais.<\/p>\n\n\n\n<p>Confira o documento na \u00edntegra:<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.gastrojournal.org\/article\/S0016-5085(26)00132-0\/fulltext\">CLIQUE AQUI<\/a><\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-desordens-gastroduodenais\"><span class=\"ez-toc-section\" id=\"Desordens_gastroduodenais\"><\/span><strong>Desordens gastroduodenais<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A arquitetura geral das desordens gastroduodenais foi mantida \u2014 com <strong>dispepsia funcional<\/strong> (DF) subdividida em <strong>s\u00edndrome do desconforto p\u00f3s-prandial<\/strong> (PDS) e <strong>s\u00edndrome da dor epig\u00e1strica<\/strong> (EPS), <strong>desordens de n\u00e1usea e v\u00f4mito<\/strong>,<strong> dist\u00farbios de eructa\u00e7\u00e3o e s\u00edndrome de rumina\u00e7\u00e3o<\/strong>.&nbsp;<\/p>\n\n\n\n<p>Para fins de provas de resid\u00eancia vale se ater apenas a dispepsia funcional. Veja aqui os pontos mais relevantes:<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-dispepsia-funcional-redefinicao-da-sobreposicao-pds-eps\"><span class=\"ez-toc-section\" id=\"Dispepsia_funcional_redefinicao_da_sobreposicao_PDS%E2%80%93EPS\"><\/span><strong>Dispepsia funcional: redefini\u00e7\u00e3o da sobreposi\u00e7\u00e3o PDS\u2013EPS<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Roma IV:<\/strong> a dor epig\u00e1strica podia ocorrer p\u00f3s-prandialmente ou independentemente das refei\u00e7\u00f5es, gerando grande sobreposi\u00e7\u00e3o entre EPS e PDS.<\/li>\n\n\n\n<li><strong>Roma V:<\/strong> a dor\/queima\u00e7\u00e3o epig\u00e1strica p\u00f3s-prandial, quando ocorre <em>junto com sintomas de PDS<\/em> (plenitude p\u00f3s-prandial ou saciedade precoce), passa a ser classificada como PDS \u2014 e n\u00e3o como EPS.\u00a0<\/li>\n\n\n\n<li>Sintomas desencadeados ou piorados pela refei\u00e7\u00e3o devem surgir em at\u00e9 2 horas ap\u00f3s a ingest\u00e3o. Subdivis\u00e3o provis\u00f3ria do EPS (na aus\u00eancia de PDS), em \u201crelacionadas\u201d e \u201cn\u00e3o-relacionadas\u201d a refei\u00e7\u00f5es, foi introduzida para pesquisa.<\/li>\n<\/ul>\n\n\n\n<p>Para mais informa\u00e7\u00f5es, acesse o documento:<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.gastrojournal.org\/article\/S0016-5085(26)00127-7\/pdf\"><strong>CLIQUE AQUI<\/strong><\/a><\/div>\n<\/div>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/image-8-1024x682.png\" alt=\"\" class=\"wp-image-43329\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/image-8-1024x682.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/image-8-300x200.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/image-8-768x512.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/image-8-1536x1023.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/image-8-631x420.png 631w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/image-8-150x100.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/image-8-696x464.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/image-8-1068x711.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/image-8-1920x1279.png 1920w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/image-8.png 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-acesse-o-roma-v-na-integra\"><span class=\"ez-toc-section\" id=\"Acesse_o_Roma_V_na_integra\"><\/span><strong>Acesse o Roma V na \u00edntegra!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/GastroenterologyRomeV-1.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Incorporado de Atualiza\u00e7\u00e3o Roma V: saiba o que mudou  .\"><\/object><a id=\"wp-block-file--media-ff119f39-f045-4450-944b-48123ba8c81d\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/GastroenterologyRomeV-1.pdf\">Atualiza\u00e7\u00e3o Roma V: saiba o que mudou  <\/a><a href=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/GastroenterologyRomeV-1.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-ff119f39-f045-4450-944b-48123ba8c81d\">Baixar<\/a><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-seja-um-medcofer\"><span class=\"ez-toc-section\" id=\"Seja_um_MedCofer\"><\/span><strong>Seja um MedCofer!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Quer garantir a sua aprova\u00e7\u00e3o nas provas de resid\u00eancia m\u00e9dica? Ent\u00e3o conhe\u00e7a o\u00a0<strong>Grupo MedCof\u00a0<\/strong>e a\u00a0<a href=\"https:\/\/www.grupomedcof.com.br\/home\/\"><strong>metodologia<\/strong><\/a>\u00a0que j\u00e1 aprovou\u00a0<a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\"><strong>mais de 35 mil residentes<\/strong>\u00a0<\/a>pelo pa\u00eds!<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Eu levava o dobro de tempo para concluir a meta de estudos | SingularCast\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/skvnluAUBAM?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>A American Gastroenterological Association (AGA) publicou o Roma V, padr\u00e3o diagn\u00f3stico lan\u00e7ado em 2026 para Dist\u00farbios de Intera\u00e7\u00e3o C\u00e9rebro-Intestino (DGBIs), desenvolvido por mais de 140 especialistas.\u00a0<\/p>\n","protected":false},"author":41,"featured_media":43333,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[258,69,240,173],"tags":[3720,3721,1075,3719],"ppma_author":[3629],"class_list":{"0":"post-43328","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-atualizacoes","8":"category-gastroenterologia","9":"category-noticias","10":"category-novidades","11":"tag-american-gastroenterological-association","12":"tag-desordens-esofagicas-da-interacao-cerebro-intestino","13":"tag-gastroenterologia","14":"tag-roma-v"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Atualiza\u00e7\u00e3o Roma V: saiba o que mudou\u00a0\u00a0 - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"Roma V atualizada: confira as mudan\u00e7as na SII, dispepsia e desordens esof\u00e1gicas com foco em provas de resid\u00eancia e na pr\u00e1tica cl\u00ednica m\u00e9dica.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-roma-v\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Atualiza\u00e7\u00e3o Roma V: saiba o que mudou\u00a0\u00a0\" \/>\n<meta property=\"og:description\" content=\"Roma V atualizada: confira as mudan\u00e7as na SII, dispepsia e desordens esof\u00e1gicas com foco em provas de resid\u00eancia e na pr\u00e1tica cl\u00ednica m\u00e9dica.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/atualizacao-roma-v\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/MedCofQbank\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-04-24T13:51:39+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-24T14:11:51+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/04\/Blog-MedCof-33.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Nana N\u00f3brega\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Nana N\u00f3brega\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacao-roma-v\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacao-roma-v\\\/\"},\"author\":{\"name\":\"Nana N\u00f3brega\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/9fb2c4e0c5987a2a74b0cd7bfe7d5413\"},\"headline\":\"Atualiza\u00e7\u00e3o Roma V: saiba o que mudou\u00a0\u00a0\",\"datePublished\":\"2026-04-24T13:51:39+00:00\",\"dateModified\":\"2026-04-24T14:11:51+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacao-roma-v\\\/\"},\"wordCount\":1027,\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacao-roma-v\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2026\\\/04\\\/Blog-MedCof-33.jpg\",\"keywords\":[\"American Gastroenterological Association\",\"desordens esof\u00e1gicas da intera\u00e7\u00e3o c\u00e9rebro-intestino\",\"gastroenterologia\",\"roma v\"],\"articleSection\":[\"Atualiza\u00e7\u00f5es\",\"Gastroenterologia\",\"Not\u00edcias\",\"Novidades\"],\"inLanguage\":\"pt-BR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacao-roma-v\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/atualizacao-roma-v\\\/\",\"name\":\"Atualiza\u00e7\u00e3o Roma V: saiba o que mudou\u00a0\u00a0 - 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