A foreign body in the digestive tract. Age group: adults and children. The main positions of the national clinical recommendations approved by the Ministry of Health in December 2021

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The paper presents the main positions of the national clinical recommendations approved by the Ministry of Health in December 2021, which were created by a large team of authors with the direct participation of medical professional non-profit organizations (Association of Endoscopic Society of the Russian Federation «RANDO»; Russian Society of Surgeons; Russian Society of Endoscopic Surgery; Russian Association of Pediatric Surgeons; Russian Society of Radiologists and Radiologists). The article contains data concerning the epidemiology, etiology and pathogenesis of foreign bodies of the digestive tract in both adults and children. Modern classifications of various foreign bodies, the clinical picture of the disease, taking into account the age of patients, are given. The diagnostic algorithm, indications and contraindications to the use of diagnostic methods, as well as indications and methods of conservative management of patients are described in detail. In the section of endoscopic treatment, the deadlines for performing endoscopic removal of foreign bodies and techniques for ensuring safe removal are discussed. A whole section is devoted to the management of patients after endoscopic removal of a foreign body and drug therapy. In addition, the tactics of surgical treatment for foreign bodies of the digestive tract are described in detail. The final section contains information on the medical rehabilitation of patients after the removal of various foreign bodies.

Keywords:

foreign bodies

digestive tract

endoscopic treatment

surgical treatment

adults

children

Authors:

Koroljov M.P.

St. Petersburg State Pediatric Medical University

Antipova M.V.

St. Petersburg State Pediatric Medical University;
City Mariinsky Hospital

Drobayzgin E.A.

Novosibirsk State Medical University;
Novosibirsk State Regional Clinical Hospital;
Meshalkin National Medical Research Center

ORCID: 0000-0002-3690-1316

Zaharenko A.A.

Pavlov First St. Petersburg State Medical University

Meshkov A.V.

Far Eastern State Medical University;
Children’s Regional Clinical Hospital

Mihin A.I.

Pirogov City Clinical Hospital No. 1 of the Department of Healthcare of the City of Moscow;
Pirogov Russian National Research Medical University

Panfilova V.N.

Voino-Yasenetsky Krasnoyarsk State Medical University;
Clinic and diagnostic center «MedPractik»

Pinigin A.G.

Far Eastern State Medical University

Sinicyn V.E.

Lomonosov Moscow State University

Razumovsky A.Yu.

Pirogov Russian National Research Medical University;
N.F. Filatov Children’s City Clinical Hospital

ORCID: 0000-0003-3511-0456

Fedorov E.D.

Pirogov Russian National Research Medical University of the Russian Ministry of Health

SPIN RSCI: 6785-9959
Scopus AuthorID: 7004381289
ORCID: 0000-0002-6036-7061

Shavrov A.A.

Pirogov Russian National Research Medical University;
Morozovskaya Children’s City Clinical Hospital of the Department of Healthcare of the City of Moscow

Shhjogolev A.A.

Pirogov Russian National Research Medical University;
Inozemtsev State Clinical Hospital of the Moscow City Health Department

Received:

20.01.2022

Accepted:

01.02.2022

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