Clinical Recommendations of the Russian Gastroenterological Association on Diagnosis and Treatment of Infectious Esophagitis
Aim. Current clinical recommendations aim to provide gastroenterologists, general practitioners (family doctors), endoscopists and infectionists with modern methods for diagnosis and treatment of infectious esophagitis.Key points. Infectious esophagitis is an esophageal disease of fungal, viral, bac...
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| Language: | Russian |
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Gastro LLC
2020-12-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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| Online Access: | https://www.gastro-j.ru/jour/article/view/511 |
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| author | V. T. Ivashkin N. D. Yuschuk I. V. Maev A. S. Trukhmanov O. A. Storonova A. A. Makushina S. S. Pirogov O. V. Zayratyants O. P. Alekseeva D. N. Andreyev T. L. Lapina A. V. Tkachev Yu. P. Uspenskiy A. A. Sheptulin |
| author_facet | V. T. Ivashkin N. D. Yuschuk I. V. Maev A. S. Trukhmanov O. A. Storonova A. A. Makushina S. S. Pirogov O. V. Zayratyants O. P. Alekseeva D. N. Andreyev T. L. Lapina A. V. Tkachev Yu. P. Uspenskiy A. A. Sheptulin |
| author_sort | V. T. Ivashkin |
| collection | DOAJ |
| description | Aim. Current clinical recommendations aim to provide gastroenterologists, general practitioners (family doctors), endoscopists and infectionists with modern methods for diagnosis and treatment of infectious esophagitis.Key points. Infectious esophagitis is an esophageal disease of fungal, viral, bacterial or parasitic origin. Esophagus may be affected per se or conjointly in a common gastrointestinal infection. All patients suspected for infectious esophagitis, unless contraindicated, are advised an esophagogastroduodenoscopy with biopsy to confirm diagnosis. Selected incidents of infectious esophagitis require a histological, immunohistochemical examination or polymerase chain reaction-based diagnosis to verify the infectious agent. Uncomplicated infectious esophagitis requires a conservative therapy, mostly on an outpatient basis. However, cases of severe odynophagia, dysphagia, severe pain syndrome, high complication risks (e.g., esophageal ulcer bleeding in thrombocytopenia), severe immunodeficiency, generalised forms of disease and severe concomitant disorders are considered for hospital care. The clinical recommendations outline criteria for the medical care quality assessment and provide relevant information to the patient.Conclusion. Diagnosis of infectious esophagitis capitalises on the clinical picture (odynophagia, dysphagia), presence of immunosuppression, endoscopic and histological evidence. All patients with infectious esophagitis of verified origin are recommended a suitable etiotropic therapy. |
| format | Article |
| id | doaj-art-ca8790e71c0a49d3a09991a261f06609 |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2020-12-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-ca8790e71c0a49d3a09991a261f066092025-02-10T16:14:36ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732020-12-01305638310.22416/1382-4376-2020-30-5-63-83386Clinical Recommendations of the Russian Gastroenterological Association on Diagnosis and Treatment of Infectious EsophagitisV. T. Ivashkin0N. D. Yuschuk1I. V. Maev2A. S. Trukhmanov3O. A. Storonova4A. A. Makushina5S. S. Pirogov6O. V. Zayratyants7O. P. Alekseeva8D. N. Andreyev9T. L. Lapina10A. V. Tkachev11Yu. P. Uspenskiy12A. A. Sheptulin13Sechenov First Moscow State Medical University (Sechenov University)Yevdokimov Moscow State University of Medicine and DentistryYevdokimov Moscow State University of Medicine and DentistrySechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Herzen Moscow Oncology Research Center - Branch of the National Medical Research Radiology CenterYevdokimov Moscow State University of Medicine and DentistryPrivolzhsky Research Medical University, Nizhny NovgorodYevdokimov Moscow State University of Medicine and DentistrySechenov First Moscow State Medical University (Sechenov University)Rostov State Medical UniversitySaint-Petersburg State Pediatric Medical University; Pavlov First Saint-Petersburg State Medical UniversitySechenov First Moscow State Medical University (Sechenov University)Aim. Current clinical recommendations aim to provide gastroenterologists, general practitioners (family doctors), endoscopists and infectionists with modern methods for diagnosis and treatment of infectious esophagitis.Key points. Infectious esophagitis is an esophageal disease of fungal, viral, bacterial or parasitic origin. Esophagus may be affected per se or conjointly in a common gastrointestinal infection. All patients suspected for infectious esophagitis, unless contraindicated, are advised an esophagogastroduodenoscopy with biopsy to confirm diagnosis. Selected incidents of infectious esophagitis require a histological, immunohistochemical examination or polymerase chain reaction-based diagnosis to verify the infectious agent. Uncomplicated infectious esophagitis requires a conservative therapy, mostly on an outpatient basis. However, cases of severe odynophagia, dysphagia, severe pain syndrome, high complication risks (e.g., esophageal ulcer bleeding in thrombocytopenia), severe immunodeficiency, generalised forms of disease and severe concomitant disorders are considered for hospital care. The clinical recommendations outline criteria for the medical care quality assessment and provide relevant information to the patient.Conclusion. Diagnosis of infectious esophagitis capitalises on the clinical picture (odynophagia, dysphagia), presence of immunosuppression, endoscopic and histological evidence. All patients with infectious esophagitis of verified origin are recommended a suitable etiotropic therapy.https://www.gastro-j.ru/jour/article/view/511infectious esophagitiscandidiasisherpes simplex viruscytomegalovirusimmunodeficiencyodynophagiadysphagia |
| spellingShingle | V. T. Ivashkin N. D. Yuschuk I. V. Maev A. S. Trukhmanov O. A. Storonova A. A. Makushina S. S. Pirogov O. V. Zayratyants O. P. Alekseeva D. N. Andreyev T. L. Lapina A. V. Tkachev Yu. P. Uspenskiy A. A. Sheptulin Clinical Recommendations of the Russian Gastroenterological Association on Diagnosis and Treatment of Infectious Esophagitis Российский журнал гастроэнтерологии, гепатологии, колопроктологии infectious esophagitis candidiasis herpes simplex virus cytomegalovirus immunodeficiency odynophagia dysphagia |
| title | Clinical Recommendations of the Russian Gastroenterological Association on Diagnosis and Treatment of Infectious Esophagitis |
| title_full | Clinical Recommendations of the Russian Gastroenterological Association on Diagnosis and Treatment of Infectious Esophagitis |
| title_fullStr | Clinical Recommendations of the Russian Gastroenterological Association on Diagnosis and Treatment of Infectious Esophagitis |
| title_full_unstemmed | Clinical Recommendations of the Russian Gastroenterological Association on Diagnosis and Treatment of Infectious Esophagitis |
| title_short | Clinical Recommendations of the Russian Gastroenterological Association on Diagnosis and Treatment of Infectious Esophagitis |
| title_sort | clinical recommendations of the russian gastroenterological association on diagnosis and treatment of infectious esophagitis |
| topic | infectious esophagitis candidiasis herpes simplex virus cytomegalovirus immunodeficiency odynophagia dysphagia |
| url | https://www.gastro-j.ru/jour/article/view/511 |
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