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Parfenov AI, Bykova SV, Sabel'nikova EA, Maev IV, Baranov AA, Bakulin IG, Krums LM, Bel'mer SV, Borovik TE, Zakharova IN, Dmitrieva YA, Roslavtseva EA, Kornienko EA, Khavkin AI, Potapov AS, Revnova MO, Mukhina YG, Shcherbakov PL, Fedorov ED, Belousova EA, Khalif IL, Khomeriki SG, Rotin DL, Vorob'eva NG, Pivnik AV, Gudkova RB, Chernin VV, Vokhmyanina NV, Pukhlikova TV, Degtyarev DA, Damulin IV, Mkrtumyan AM, Dzhulai GS, Tetruashvili NK, Baranovsky AY, Nazarenko LI, Kharitonov AG, Loranskaya ID, Saifutdinov RG, Livzan MA, Abramov DA, Osipenko MF, Oreshko LV, Tkachenko EI, Sitkin SI, Efremov LI. [All-Russian Consensus on Diagnosis and Treatment of Celiac Disease in Children and Adults]. TERAPEVT ARKH 2017; 89:94-107. [PMID: 28378737 DOI: 10.17116/terarkh201789394-107] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/26/2023]
Abstract
The paper presents the All-Russian consensus on the diagnosis and treatment of celiac disease in children and adults, which has been elaborated by leading experts, such as gastroenterologists and pediatricians of Russia on the basis of the existing Russian and international guidelines. The consensus approved at the 42nd Annual Scientific Session of the Central Research Institute of Gastroenterology on Principles of Evidence-Based Medicine into Clinical Practice (March 2-3, 2016). The consensus is intended for practitioners engaged in the management and treatment of patients with celiac disease. Evidence for the main provisions of the consensus was sought in electronic databases. In making recommendations, the main source was the publications included in the Cochrane Library, EMBASE, MEDLINE, and PubMed. The search depth was 10 years. Recommendations in the preliminary version were reviewed by independent experts. Voting was done by the Delphic polling system.
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Affiliation(s)
- A I Parfenov
- Moscow Clinical Research-and-Practical Center, Moscow Healthcare Department, Moscow
| | - S V Bykova
- Moscow Clinical Research-and-Practical Center, Moscow Healthcare Department, Moscow
| | - E A Sabel'nikova
- Moscow Clinical Research-and-Practical Center, Moscow Healthcare Department, Moscow
| | - I V Maev
- A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia, Moscow
| | - A A Baranov
- Children's Health Research Center, Ministry of Health of Russia, Moscow
| | - I G Bakulin
- I.I. Mechnikov North-Western State Medical University, Ministry of Health of Russia, Saint Petersburg
| | - L M Krums
- Moscow Clinical Research-and-Practical Center, Moscow Healthcare Department, Moscow
| | - S V Bel'mer
- Russian Children's Clinical Hospital, Moscow
| | - T E Borovik
- Children's Health Research Center, Ministry of Health of Russia, Moscow
| | - I N Zakharova
- Department of Pediatrics, Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia, Moscow
| | - Yu A Dmitrieva
- Department of Pediatrics, Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia, Moscow
| | - E A Roslavtseva
- Children's Health Research Center, Ministry of Health of Russia, Moscow
| | - E A Kornienko
- I.P. Pavlov First Saint Petersburg State Medical University, Ministry of Health of Russia, Saint Petersburg
| | - A I Khavkin
- Acad. Yu.E. Veltishchev Research Clinical Institute of Pediatrics, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia, Moscow
| | - A S Potapov
- Children's Health Research Center, Ministry of Health of Russia, Moscow
| | - M O Revnova
- Clinic Four, Department of Pediatrics, I.P. Pavlov First Saint Petersburg State Medical University, Ministry of Health of Russia, Saint Petersburg
| | - Yu G Mukhina
- Russian Children's Clinical Hospital, Moscow; Childhood Diseases Department Two, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia, Moscow
| | - P L Shcherbakov
- Moscow Clinical Research-and-Practical Center, Moscow Healthcare Department, Moscow
| | - E D Fedorov
- Research Laboratory of Surgical Gastroenterology and Endoscopy, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia, Moscow; Department of Endoscopic Surgery, City Clinical Hospital Thirty-One, Moscow Healthcare Department, Moscow
| | - E A Belousova
- M.F. Vladimirsky Moscow Regional Research Clinical Institute, Moscow
| | - I L Khalif
- A.N. Ryzhikh State Research Center of Coloproctology, Ministry of Health of Russia, Moscow
| | - S G Khomeriki
- Moscow Clinical Research-and-Practical Center, Moscow Healthcare Department, Moscow
| | - D L Rotin
- Moscow Clinical Research-and-Practical Center, Moscow Healthcare Department, Moscow
| | - N G Vorob'eva
- Moscow Clinical Research-and-Practical Center, Moscow Healthcare Department, Moscow
| | - A V Pivnik
- Moscow Clinical Research-and-Practical Center, Moscow Healthcare Department, Moscow
| | - R B Gudkova
- Moscow Clinical Research-and-Practical Center, Moscow Healthcare Department, Moscow
| | - V V Chernin
- Department of Intermediate-Level Therapy, Tver State Medical University, Ministry of Health of Russia, Tver
| | - N V Vokhmyanina
- Laboratory of Medical Genetics, Diagnostic Center of Medical Genetics, Saint Petersburg
| | - T V Pukhlikova
- Laboratory of Medical Genetics, Diagnostic Center of Medical Genetics, Saint Petersburg
| | - D A Degtyarev
- HLA Typing Laboratory, Blood Transfusion Station, Moscow Healthcare Department, Moscow
| | - I V Damulin
- S.P. Botkin City Clinical Hospital, Moscow Healthcare Department, Moscow
| | - A M Mkrtumyan
- Department of Endocrinology and Diabetology, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia, Moscow
| | - G S Dzhulai
- Department of Intermediate-Level Therapy, Tver State Medical University, Ministry of Health of Russia, Tver
| | - N K Tetruashvili
- Acad. V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow
| | - A Yu Baranovsky
- I.I. Mechnikov North-Western State Medical University, Ministry of Health of Russia, Saint Petersburg
| | - L I Nazarenko
- I.I. Mechnikov North-Western State Medical University, Ministry of Health of Russia, Saint Petersburg
| | - A G Kharitonov
- I.I. Mechnikov North-Western State Medical University, Ministry of Health of Russia, Saint Petersburg
| | - I D Loranskaya
- Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia, Moscow
| | - R G Saifutdinov
- Department of Therapy, Kazan State Medical Academy, Ministry of Health of Russia, Kazan
| | - M A Livzan
- Department of Intermediate-Level Therapy with Course of Occupational Diseases, Faculty of General Medicine, Omsk State Medical University, Ministry of Health of Russia, Omsk
| | - D A Abramov
- Dmitry Rogachev Federal Research Clinical Center of Pediatric Hematology, Oncology, and Immunology, Ministry of Health of Russia, Moscow
| | - M F Osipenko
- Novosibirsk State Medical University, Ministry of Health of Russia, Novosibirsk
| | - L V Oreshko
- I.I. Mechnikov North-Western State Medical University, Ministry of Health of Russia, Saint Petersburg
| | - E I Tkachenko
- I.I. Mechnikov North-Western State Medical University, Ministry of Health of Russia, Saint Petersburg
| | - S I Sitkin
- I.I. Mechnikov North-Western State Medical University, Ministry of Health of Russia, Saint Petersburg
| | - L I Efremov
- Moscow Clinical Research-and-Practical Center, Moscow Healthcare Department, Moscow
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Dzhulai GS, Sekareva EV, Chervinets VM, Mikhailova ES, Dzhulai TE. [Gastroesophageal reflux disease associated with duodenogastroesophageal reflux in patients with biliary pathology: the specific features of the course and esophagogastroduodenal microbial biocenosis]. TERAPEVT ARKH 2014; 86:17-22. [PMID: 24772502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
AIM To study the specific features of the clinical course of gastroesophageal reflux disease (GERD) associated with duodenogastroesophageal reflux (DGER) in patients with chronic acalculous cholecystitis (CAC) and cholelithiasis (CL), as well as qualitative and quantitative characteristics. SUBJECTS AND METHODS The clinical, morphological, motor tonic characteristics of the esophagogastroduodenal area, mucosal microbial biocenosis in the esophagus, stomach, and duodenum were studied in detail in 83 patients with GERD that was associated with DGER and ran concurrently with CAC or CL. RESULTS Impaired duodenal propulsive activity as a concomitance of the signs of gastrostasis and duodenal dyskinesia with dyscoordination of both anthroduodenal and duodenojejunal propulsion and with the development of duodenogastric reflux and DGER, which in turn determine esophageal and gastric pH values is shown to be of importance in CAC and CL, which match GERD. Abnormal microbiocenosis in the upper digestive tract is characterized by the higher quantitative and qualitative content of the mucous microflora. Opportunistic microorganisms exhibit cytotoxic, hemolytic, lecithinase, caseinolytic, urease, and RNAase activities. CONCLUSION The found specific features of the course of GERD associated with DGER in patients with biliary tract abnormalities lead us to search for novel therapeutic approaches based on the correction of digestive motor tonic disorders and abnormal microbiocenoses of the mucous flora in the esophagus, stomach, and duodenum.
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