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Воспалительные заболевания тонкого кишечника: недифференцированные и недифференцируемые энтерит и энтероколит
Воспалительные заболевания тонкого кишечника: недифференцированные и недифференцируемые энтерит и энтероколит
Вялов С.С. Воспалительные заболевания тонкого кишечника: недифференцированные и недифференцируемые энтерит и энтероколит. Consilium Medicum. 2017; 19 (8): 14–18. DOI: 10.26442/2075-1753_19.8.14-18
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Аннотация
В статье обсуждаются вопросы диагностики и лечения воспалительных заболеваний тонкого кишечника, дифференциальный диагноз. Существуют практические трудности в диагностике патологии тонкой кишки. Необходим рутинный скрининг патологии кишечника у пациентов с сохраняющейся симптоматикой. Для выявления воспалительных заболеваний кишечника целесообразно использовать кальпротектин, пассаж бария и капсульную эндоскопию.
Ключевые слова: диагностика, колит, энтерит, диарея, кальпротектин, эндоскопия.
Key words: diagnosis, colitis, enteritis, diarrhea, calprotectin, endoscopy.
Ключевые слова: диагностика, колит, энтерит, диарея, кальпротектин, эндоскопия.
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Key words: diagnosis, colitis, enteritis, diarrhea, calprotectin, endoscopy.
Полный текст
Список литературы
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2. Fine KD, Seidel RH, Do K. The prevalence, anatomic distribution, and diagnosis of colonic causes of chronic diarrhea. Gastrointest Endosc 2000; 51: 318.
3. Bhutta ZA, Ghishan F, Lindley K et al. Persistent and chronic diarrhea and malabsorption: Working Group report of the second World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr 2004; 39 (Suppl. 2): S711.
4. Binder HJ. Causes of chronic diarrhea. N Engl J Med 2006; 355: 236.
5. Farthing MJ. Diarrhoea: a significant worldwide problem. Int J Antimicrob Agents 2000; 14: 65.
6. Habba SF. Chronic diarrhea: identifying a new syndrome. Am J Gastroenterol 2000; 95: 2140.
7. Hungin AP, Whorwell PJ, Tack J, Mearin F. The prevalence, patterns and impact of irritable bowel syndrome: an international survey of 40,000 subjects. Aliment Pharmacol Ther 2003; 17: 643.
8. Burgmann T, Clara I, Graff L et al. The Manitoba Inflammatory Bowel Disease Cohort Study: prolonged symptoms before diagnosis – how much is irritable bowel syndrome? Clin Gastroenterol Hepatol 2006; 4: 614.
9. Hahn BA, Saunders WB, Maier WC. Differences between individuals with self-reported irritable bowel syndrome (IBS) and IBS-like symptoms. Dig Dis Sci 1997; 42: 2585.
10. Schiller LR. Chronic diarrhea. Gastroenterology 2004; 127: 287.
11. Mearin F, Lacy BE, Chang L et al. Bowel Disorders. Gastroenterology 2016; 150 (6): 1393–1407e5.
12. Gibbons T, Fuchs GJ. Chronic enteropathy: clinical aspects. Nestle Nutr Workshop Ser Pediatr Program 2007; 59: 89.
13. Preidis GA, Hill C, Guerrant RL et al. Probiotics, enteric and diarrheal diseases, and global health. Gastroenterology 2011; 140: 8.
14. Leeds JS, Oppong K, Sanders DS. The role of fecal elastase-1 in detecting exocrine pancreatic disease. Nat Rev Gastroenterol Hepatol 2011; 8: 405.
15. Lappinga PJ, Abraham SC, Murray JA et al. Small intestinal bacterial overgrowth: histopathologic features and clinical correlates in an underrecognized entity. Arch Pathol Lab Med 2010; 134: 264.
16. Mosli MH, Zou G, Garg SK et al. C-Reactive Protein, Fecal Calprotectin, and Stool Lactoferrin for Detection of Endoscopic Activity in Symptomatic Inflammatory Bowel Disease Patients: A Systematic Review and Meta-Analysis. Am J Gastroenterol 2015; 110: 802.
17. Poullis A, Foster R, Mendall MA, Fagerhol MK. Emerging role of calprotectin in gastroenterology. J Gastroenterol Hepatol 2003; 18: 756.
18. Beattie RM, Walker-Smith JA, Murch SH. Indications for investigation of chronic gastrointestinal symptoms. Arch Dis Child 1995; 73: 354.
19. Mowat C, Cole A, Windsor A et al. Guidelines for the management of inflammatory bowel disease in adults. Gut 2011; 60: 571.
20. ASGE Standards of Practice Committee, Shen B, Khan K et al. The role of endoscopy in the management of patients with diarrhea. Gastrointest Endosc 2010; 71: 887.
21. Van Gossum A, Munoz-Navas M, Fernandez-Urien I et al. Capsule endoscopy versus colonoscopy for the detection of polyps and cancer. N Engl J Med 2009; 361: 264.
22. Enns RA, Hookey L, Armstrong D et al. Clinical Practice Guidelines for the Use of Video Capsule Endoscopy. Gastroenterology 2017; 152: 497.
23. O'Connor OJ, McSweeney SE, McWilliams S et al. Role of radiologic imaging in irritable bowel syndrome: evidence-based review. Radiology 2012; 262: 485.
24. Levesque BG, Cipriano LE, Chang SL et al. Cost effectiveness of alternative imaging strategies for the diagnosis of small-bowel Crohn's disease. Clin Gastroenterol Hepatol 2010; 8: 261.
25. Siddiki HA, Fidler JL, Fletcher JG et al. Prospective comparison of state-of-the-art MR enterography and CT enterography in small-bowel Crohn's disease. AJR Am J Roentgenol 2009; 193: 113.
2. Fine KD, Seidel RH, Do K. The prevalence, anatomic distribution, and diagnosis of colonic causes of chronic diarrhea. Gastrointest Endosc 2000; 51: 318.
3. Bhutta ZA, Ghishan F, Lindley K et al. Persistent and chronic diarrhea and malabsorption: Working Group report of the second World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr 2004; 39 (Suppl. 2): S711.
4. Binder HJ. Causes of chronic diarrhea. N Engl J Med 2006; 355: 236.
5. Farthing MJ. Diarrhoea: a significant worldwide problem. Int J Antimicrob Agents 2000; 14: 65.
6. Habba SF. Chronic diarrhea: identifying a new syndrome. Am J Gastroenterol 2000; 95: 2140.
7. Hungin AP, Whorwell PJ, Tack J, Mearin F. The prevalence, patterns and impact of irritable bowel syndrome: an international survey of 40,000 subjects. Aliment Pharmacol Ther 2003; 17: 643.
8. Burgmann T, Clara I, Graff L et al. The Manitoba Inflammatory Bowel Disease Cohort Study: prolonged symptoms before diagnosis – how much is irritable bowel syndrome? Clin Gastroenterol Hepatol 2006; 4: 614.
9. Hahn BA, Saunders WB, Maier WC. Differences between individuals with self-reported irritable bowel syndrome (IBS) and IBS-like symptoms. Dig Dis Sci 1997; 42: 2585.
10. Schiller LR. Chronic diarrhea. Gastroenterology 2004; 127: 287.
11. Mearin F, Lacy BE, Chang L et al. Bowel Disorders. Gastroenterology 2016; 150 (6): 1393–1407e5.
12. Gibbons T, Fuchs GJ. Chronic enteropathy: clinical aspects. Nestle Nutr Workshop Ser Pediatr Program 2007; 59: 89.
13. Preidis GA, Hill C, Guerrant RL et al. Probiotics, enteric and diarrheal diseases, and global health. Gastroenterology 2011; 140: 8.
14. Leeds JS, Oppong K, Sanders DS. The role of fecal elastase-1 in detecting exocrine pancreatic disease. Nat Rev Gastroenterol Hepatol 2011; 8: 405.
15. Lappinga PJ, Abraham SC, Murray JA et al. Small intestinal bacterial overgrowth: histopathologic features and clinical correlates in an underrecognized entity. Arch Pathol Lab Med 2010; 134: 264.
16. Mosli MH, Zou G, Garg SK et al. C-Reactive Protein, Fecal Calprotectin, and Stool Lactoferrin for Detection of Endoscopic Activity in Symptomatic Inflammatory Bowel Disease Patients: A Systematic Review and Meta-Analysis. Am J Gastroenterol 2015; 110: 802.
17. Poullis A, Foster R, Mendall MA, Fagerhol MK. Emerging role of calprotectin in gastroenterology. J Gastroenterol Hepatol 2003; 18: 756.
18. Beattie RM, Walker-Smith JA, Murch SH. Indications for investigation of chronic gastrointestinal symptoms. Arch Dis Child 1995; 73: 354.
19. Mowat C, Cole A, Windsor A et al. Guidelines for the management of inflammatory bowel disease in adults. Gut 2011; 60: 571.
20. ASGE Standards of Practice Committee, Shen B, Khan K et al. The role of endoscopy in the management of patients with diarrhea. Gastrointest Endosc 2010; 71: 887.
21. Van Gossum A, Munoz-Navas M, Fernandez-Urien I et al. Capsule endoscopy versus colonoscopy for the detection of polyps and cancer. N Engl J Med 2009; 361: 264.
22. Enns RA, Hookey L, Armstrong D et al. Clinical Practice Guidelines for the Use of Video Capsule Endoscopy. Gastroenterology 2017; 152: 497.
23. O'Connor OJ, McSweeney SE, McWilliams S et al. Role of radiologic imaging in irritable bowel syndrome: evidence-based review. Radiology 2012; 262: 485.
24. Levesque BG, Cipriano LE, Chang SL et al. Cost effectiveness of alternative imaging strategies for the diagnosis of small-bowel Crohn's disease. Clin Gastroenterol Hepatol 2010; 8: 261.
25. Siddiki HA, Fidler JL, Fletcher JG et al. Prospective comparison of state-of-the-art MR enterography and CT enterography in small-bowel Crohn's disease. AJR Am J Roentgenol 2009; 193: 113.
________________________________________________
2. Fine KD, Seidel RH, Do K. The prevalence, anatomic distribution, and diagnosis of colonic causes of chronic diarrhea. Gastrointest Endosc 2000; 51: 318.
3. Bhutta ZA, Ghishan F, Lindley K et al. Persistent and chronic diarrhea and malabsorption: Working Group report of the second World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr 2004; 39 (Suppl. 2): S711.
4. Binder HJ. Causes of chronic diarrhea. N Engl J Med 2006; 355: 236.
5. Farthing MJ. Diarrhoea: a significant worldwide problem. Int J Antimicrob Agents 2000; 14: 65.
6. Habba SF. Chronic diarrhea: identifying a new syndrome. Am J Gastroenterol 2000; 95: 2140.
7. Hungin AP, Whorwell PJ, Tack J, Mearin F. The prevalence, patterns and impact of irritable bowel syndrome: an international survey of 40,000 subjects. Aliment Pharmacol Ther 2003; 17: 643.
8. Burgmann T, Clara I, Graff L et al. The Manitoba Inflammatory Bowel Disease Cohort Study: prolonged symptoms before diagnosis – how much is irritable bowel syndrome? Clin Gastroenterol Hepatol 2006; 4: 614.
9. Hahn BA, Saunders WB, Maier WC. Differences between individuals with self-reported irritable bowel syndrome (IBS) and IBS-like symptoms. Dig Dis Sci 1997; 42: 2585.
10. Schiller LR. Chronic diarrhea. Gastroenterology 2004; 127: 287.
11. Mearin F, Lacy BE, Chang L et al. Bowel Disorders. Gastroenterology 2016; 150 (6): 1393–1407e5.
12. Gibbons T, Fuchs GJ. Chronic enteropathy: clinical aspects. Nestle Nutr Workshop Ser Pediatr Program 2007; 59: 89.
13. Preidis GA, Hill C, Guerrant RL et al. Probiotics, enteric and diarrheal diseases, and global health. Gastroenterology 2011; 140: 8.
14. Leeds JS, Oppong K, Sanders DS. The role of fecal elastase-1 in detecting exocrine pancreatic disease. Nat Rev Gastroenterol Hepatol 2011; 8: 405.
15. Lappinga PJ, Abraham SC, Murray JA et al. Small intestinal bacterial overgrowth: histopathologic features and clinical correlates in an underrecognized entity. Arch Pathol Lab Med 2010; 134: 264.
16. Mosli MH, Zou G, Garg SK et al. C-Reactive Protein, Fecal Calprotectin, and Stool Lactoferrin for Detection of Endoscopic Activity in Symptomatic Inflammatory Bowel Disease Patients: A Systematic Review and Meta-Analysis. Am J Gastroenterol 2015; 110: 802.
17. Poullis A, Foster R, Mendall MA, Fagerhol MK. Emerging role of calprotectin in gastroenterology. J Gastroenterol Hepatol 2003; 18: 756.
18. Beattie RM, Walker-Smith JA, Murch SH. Indications for investigation of chronic gastrointestinal symptoms. Arch Dis Child 1995; 73: 354.
19. Mowat C, Cole A, Windsor A et al. Guidelines for the management of inflammatory bowel disease in adults. Gut 2011; 60: 571.
20. ASGE Standards of Practice Committee, Shen B, Khan K et al. The role of endoscopy in the management of patients with diarrhea. Gastrointest Endosc 2010; 71: 887.
21. Van Gossum A, Munoz-Navas M, Fernandez-Urien I et al. Capsule endoscopy versus colonoscopy for the detection of polyps and cancer. N Engl J Med 2009; 361: 264.
22. Enns RA, Hookey L, Armstrong D et al. Clinical Practice Guidelines for the Use of Video Capsule Endoscopy. Gastroenterology 2017; 152: 497.
23. O'Connor OJ, McSweeney SE, McWilliams S et al. Role of radiologic imaging in irritable bowel syndrome: evidence-based review. Radiology 2012; 262: 485.
24. Levesque BG, Cipriano LE, Chang SL et al. Cost effectiveness of alternative imaging strategies for the diagnosis of small-bowel Crohn's disease. Clin Gastroenterol Hepatol 2010; 8: 261.
25. Siddiki HA, Fidler JL, Fletcher JG et al. Prospective comparison of state-of-the-art MR enterography and CT enterography in small-bowel Crohn's disease. AJR Am J Roentgenol 2009; 193: 113.
Авторы
С.С.Вялов
ФГАОУ ВО «Российский университет дружбы народов». 117198, Россия, Москва, ул. Миклухо-Маклая, д. 6
svialov@mail.ru
People’s Friendship University of Russia. 117198, Russian Federation, Moscow, ul. Miklukho-Maklaya, d. 6
svialov@mail.ru
ФГАОУ ВО «Российский университет дружбы народов». 117198, Россия, Москва, ул. Миклухо-Маклая, д. 6
svialov@mail.ru
________________________________________________
People’s Friendship University of Russia. 117198, Russian Federation, Moscow, ul. Miklukho-Maklaya, d. 6
svialov@mail.ru
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