Clinical Recommendations of Russian Gastroenterological Association and RENDO Endoscopic Society on Diagnosis and Treatment of Gastritis and Duodenitis
Aim. The clinical guidelines are intended to supplement specialty decision-making for improved aid quality in patients with gastritis and duodenitis though acknowledging the latest clinical evidence and principles of evidencebased medicine.Key points. Gastritis is an inflammatory disease of stomach...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Gastro LLC
2021-12-01
|
| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| Subjects: | |
| Online Access: | https://www.gastro-j.ru/jour/article/view/640 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823860050809061376 |
|---|---|
| author | V. T. Ivashkin I. V. Maev T. L. Lapina E. D. Fedorov A. A. Sheptulin A. S. Trukhmanov A. V. Kononov R. A. Abdulkhakov O. P. Alexeeva S. A. Alekseenko D. N. Andreev E. K. Baranskaya N. N. Dekhnich I. L. Klyaritskaya R. S. Kozlov E. A. Kogan M. P. Korolev N. V. Korochanskaya S. A. Kurilovich M. A. Livsan M. F. Osipenko P. V. Pavlov S. S. Pirogov A. S. Sarsenbaeva V. I. Simanenkov A. S. Tertychny A. V. Tkachev Yu. P. Uspensky I. B. Khlynov V. V. Tsukanov |
| author_facet | V. T. Ivashkin I. V. Maev T. L. Lapina E. D. Fedorov A. A. Sheptulin A. S. Trukhmanov A. V. Kononov R. A. Abdulkhakov O. P. Alexeeva S. A. Alekseenko D. N. Andreev E. K. Baranskaya N. N. Dekhnich I. L. Klyaritskaya R. S. Kozlov E. A. Kogan M. P. Korolev N. V. Korochanskaya S. A. Kurilovich M. A. Livsan M. F. Osipenko P. V. Pavlov S. S. Pirogov A. S. Sarsenbaeva V. I. Simanenkov A. S. Tertychny A. V. Tkachev Yu. P. Uspensky I. B. Khlynov V. V. Tsukanov |
| author_sort | V. T. Ivashkin |
| collection | DOAJ |
| description | Aim. The clinical guidelines are intended to supplement specialty decision-making for improved aid quality in patients with gastritis and duodenitis though acknowledging the latest clinical evidence and principles of evidencebased medicine.Key points. Gastritis is an inflammatory disease of stomach mucosa, with a separate definition of acute and chronic gastritis. Chronic gastritis is a cohort of chronic diseases uniting a typical morphology of persistent inflammatory infiltration, impaired cellular renewal with emergent intestinal metaplasia, atrophy and epithelial dysplasia of gastric mucosa. Oesophagogastroduodenoscopy (OGDS) or high-resolution OGDS with magnified or non-magnified virtual chromoendoscopy, including targeted biopsy for atrophy and intestinal metaplasia grading and neoplasia detection, are recommended to verify gastritis and duodenitis, precancer states and/or gastric mucosal changes. All chronic gastritis patients positive for H. рylori should undergo eradication therapy as aetiological and subsidiary for gastric cancer prevention. Chronic gastritis patients with symptoms of dyspepsia (epigastric pain, burning and congestion, early satiety), also combined with functional dyspepsia, are recommended proton pump inhibitors, prokinetics, rebamipide and bismuth tripotassium dicitrate in symptomatic treatment. With focal restricted intestinal metaplasia, follow-up is not required in most cases, mainly when advanced atrophic gastritis is ruled out in high-quality endoscopy with biopsy. However, a familial history of gastric cancer, incomplete intestinal metaplasia and persistent H. pylori infection render endoscopy monitoring with chromoendoscopy and targeted biopsy desirable once in three years. Patients with advanced atrophic gastritis should have high-quality endoscopy every 3 years, and once in 1–2 years if complicated with a familial history of gastric cancer.Conclusion. The recommendations condense current knowledge on the aetiology and pathogenesis of gastritis and duodenitis, as well as laboratory and instrumental diagnostic techniques, main approaches to aetiological H. pylori eradication and treatment of dyspeptic states. |
| format | Article |
| id | doaj-art-6ee1ce30659b4da7b63f4b6a8f06c973 |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2021-12-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-6ee1ce30659b4da7b63f4b6a8f06c9732025-02-10T16:14:37ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732021-12-01314709910.22416/1382-4376-2021-31-4-70-99440Clinical Recommendations of Russian Gastroenterological Association and RENDO Endoscopic Society on Diagnosis and Treatment of Gastritis and DuodenitisV. T. Ivashkin0I. V. Maev1T. L. Lapina2E. D. Fedorov3A. A. Sheptulin4A. S. Trukhmanov5A. V. Kononov6R. A. Abdulkhakov7O. P. Alexeeva8S. A. Alekseenko9D. N. Andreev10E. K. Baranskaya11N. N. Dekhnich12I. L. Klyaritskaya13R. S. Kozlov14E. A. Kogan15M. P. Korolev16N. V. Korochanskaya17S. A. Kurilovich18M. A. Livsan19M. F. Osipenko20P. V. Pavlov21S. S. Pirogov22A. S. Sarsenbaeva23V. I. Simanenkov24A. S. Tertychny25A. V. Tkachev26Yu. P. Uspensky27I. B. Khlynov28V. V. Tsukanov29Sechenov First Moscow State Medical University (Sechenov University)Yevdokimov Moscow State University of Medicine and DentistrySechenov First Moscow State Medical University (Sechenov University)Pirogov Russian National Research Medical UniversitySechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Omsk State Medical UniversityKazan State Medical UniversityPrivolzhsky Research Medical UniversityFar-Eastern State Medical UniversityYevdokimov Moscow State University of Medicine and DentistrySechenov First Moscow State Medical University (Sechenov University)Smolensk State Medical UniversityVernadsky Crimean Federal UniversitySmolensk State Medical UniversitySechenov First Moscow State Medical University (Sechenov University)Saint-Petersburg State Pediatric Medical UniversityKuban State Medical UniversityResearch Institute of Therapy and Preventive Medicine — branch of the Federal Research Center Institute of Cytology and Genetics of the Siberian Branch of the Russian Academy of SciencesOmsk State Medical UniversityResearch Institute of Therapy and Preventive Medicine — branch of the Federal Research Center Institute of Cytology and Genetics of the Siberian Branch of the Russian Academy of SciencesSechenov First Moscow State Medical University (Sechenov University)Hertsen Moscow Oncology Research Center — Branch of the National Medical Research Radiology CenterSouth Ural State Medical UniveMechnikov North-Western State Medical UniversitySechenov First Moscow State Medical University (Sechenov University)Rostov State Medical UniversitySaint-Petersburg State Pediatric Medical UniversityUral State Medical UniversityResearch Institute for Medical Problems in the North — Division of Krasnoyarsk Scientific Centre of Siberian Branch of the RASAim. The clinical guidelines are intended to supplement specialty decision-making for improved aid quality in patients with gastritis and duodenitis though acknowledging the latest clinical evidence and principles of evidencebased medicine.Key points. Gastritis is an inflammatory disease of stomach mucosa, with a separate definition of acute and chronic gastritis. Chronic gastritis is a cohort of chronic diseases uniting a typical morphology of persistent inflammatory infiltration, impaired cellular renewal with emergent intestinal metaplasia, atrophy and epithelial dysplasia of gastric mucosa. Oesophagogastroduodenoscopy (OGDS) or high-resolution OGDS with magnified or non-magnified virtual chromoendoscopy, including targeted biopsy for atrophy and intestinal metaplasia grading and neoplasia detection, are recommended to verify gastritis and duodenitis, precancer states and/or gastric mucosal changes. All chronic gastritis patients positive for H. рylori should undergo eradication therapy as aetiological and subsidiary for gastric cancer prevention. Chronic gastritis patients with symptoms of dyspepsia (epigastric pain, burning and congestion, early satiety), also combined with functional dyspepsia, are recommended proton pump inhibitors, prokinetics, rebamipide and bismuth tripotassium dicitrate in symptomatic treatment. With focal restricted intestinal metaplasia, follow-up is not required in most cases, mainly when advanced atrophic gastritis is ruled out in high-quality endoscopy with biopsy. However, a familial history of gastric cancer, incomplete intestinal metaplasia and persistent H. pylori infection render endoscopy monitoring with chromoendoscopy and targeted biopsy desirable once in three years. Patients with advanced atrophic gastritis should have high-quality endoscopy every 3 years, and once in 1–2 years if complicated with a familial history of gastric cancer.Conclusion. The recommendations condense current knowledge on the aetiology and pathogenesis of gastritis and duodenitis, as well as laboratory and instrumental diagnostic techniques, main approaches to aetiological H. pylori eradication and treatment of dyspeptic states.https://www.gastro-j.ru/jour/article/view/640gastritisduodenitishelicobacter pyloridyspepsiaatrophymetaplasiadysplasia |
| spellingShingle | V. T. Ivashkin I. V. Maev T. L. Lapina E. D. Fedorov A. A. Sheptulin A. S. Trukhmanov A. V. Kononov R. A. Abdulkhakov O. P. Alexeeva S. A. Alekseenko D. N. Andreev E. K. Baranskaya N. N. Dekhnich I. L. Klyaritskaya R. S. Kozlov E. A. Kogan M. P. Korolev N. V. Korochanskaya S. A. Kurilovich M. A. Livsan M. F. Osipenko P. V. Pavlov S. S. Pirogov A. S. Sarsenbaeva V. I. Simanenkov A. S. Tertychny A. V. Tkachev Yu. P. Uspensky I. B. Khlynov V. V. Tsukanov Clinical Recommendations of Russian Gastroenterological Association and RENDO Endoscopic Society on Diagnosis and Treatment of Gastritis and Duodenitis Российский журнал гастроэнтерологии, гепатологии, колопроктологии gastritis duodenitis helicobacter pylori dyspepsia atrophy metaplasia dysplasia |
| title | Clinical Recommendations of Russian Gastroenterological Association and RENDO Endoscopic Society on Diagnosis and Treatment of Gastritis and Duodenitis |
| title_full | Clinical Recommendations of Russian Gastroenterological Association and RENDO Endoscopic Society on Diagnosis and Treatment of Gastritis and Duodenitis |
| title_fullStr | Clinical Recommendations of Russian Gastroenterological Association and RENDO Endoscopic Society on Diagnosis and Treatment of Gastritis and Duodenitis |
| title_full_unstemmed | Clinical Recommendations of Russian Gastroenterological Association and RENDO Endoscopic Society on Diagnosis and Treatment of Gastritis and Duodenitis |
| title_short | Clinical Recommendations of Russian Gastroenterological Association and RENDO Endoscopic Society on Diagnosis and Treatment of Gastritis and Duodenitis |
| title_sort | clinical recommendations of russian gastroenterological association and rendo endoscopic society on diagnosis and treatment of gastritis and duodenitis |
| topic | gastritis duodenitis helicobacter pylori dyspepsia atrophy metaplasia dysplasia |
| url | https://www.gastro-j.ru/jour/article/view/640 |
| work_keys_str_mv | AT vtivashkin clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT ivmaev clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT tllapina clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT edfedorov clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT aasheptulin clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT astrukhmanov clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT avkononov clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT raabdulkhakov clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT opalexeeva clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT saalekseenko clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT dnandreev clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT ekbaranskaya clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT nndekhnich clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT ilklyaritskaya clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT rskozlov clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT eakogan clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT mpkorolev clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT nvkorochanskaya clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT sakurilovich clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT malivsan clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT mfosipenko clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT pvpavlov clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT sspirogov clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT assarsenbaeva clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT visimanenkov clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT astertychny clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT avtkachev clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT yupuspensky clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT ibkhlynov clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis AT vvtsukanov clinicalrecommendationsofrussiangastroenterologicalassociationandrendoendoscopicsocietyondiagnosisandtreatmentofgastritisandduodenitis |