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Drapkina O.M.

National Medical Research Center for Therapy and Preventive Medicine;
A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Kashin S.V.

Yaroslavl Regional Oncology Hospital

Kuvaev R.O.

Yaroslavl Regional Oncology Hospital;
Pirogov Russian National Research Medical University

Kaibysheva V.O.

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

Krainova E.A.

Yaroslavl Regional Clinical Oncology Hospital

Shepel R.N.

National Medical Research Center for Therapy and Preventive Medicine, Ministry of Health of the Russia

Nikonov E.L.

Pirogov Russian National Research Medical University

Modern algorithm of diagnostics and management of patients with chronic atrophic gastritis and intestinal metaplasia of the stomach

Authors:

Drapkina O.M., Kashin S.V., Kuvaev R.O., Kaibysheva V.O., Krainova E.A., Shepel R.N., Nikonov E.L.

More about the authors

Journal: Russian Journal of Preventive Medicine. 2023;26(1): 7‑10

DOI: 10.17116/profmed2023260117

Read: 19190 times

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Table of contents

MODERN ALGORITHM OF DIAGNOSTICS AND MANAGEMENT OF PATIENTS WITH CHRONIC ATROPHIC GASTRITIS AND INTESTINAL METAPLASIA OF THE STOMACH
MODERN ALGORITHM OF DIAGNOSTICS AND MANAGEMENT OF PATIENTS WITH CHRONIC ATROPHIC GASTRITIS AND INTESTINAL METAPLASIA OF THE STOMACH

To cite this article:

Drapkina OM, Kashin SV, Kuvaev RO, Kaibysheva VO, Krainova EA, Shepel RN, Nikonov EL. Modern algorithm of diagnostics and management of patients with chronic atrophic gastritis and intestinal metaplasia of the stomach. Russian Journal of Preventive Medicine. 2023;26(1):7‑10. (In Russ.)
https://doi.org/10.17116/profmed2023260117

 
Подписка 2026 Профилактическая медицина (Russian Journal of Preventive Medicine)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Upper gastrointestinal endoscopy with the morphological examination of gastric mucosa is an important stage in diagnosing precancerous gastric conditions, initial stages of gastric cancer, and selecting patients for subsequent treatment and follow-up within the program of medical checkups of the adult population. According to the Order of the Ministry of Health of the Russian Federation of 27.04.2021. No. 404n «On approval of the procedure for preventive medical examinations and health check-ups for certain groups of the adult population,» a list of screening measures and examination methods for the early detection of cancers was developed. As part of these measures, it is mandatory to perform esophagogastroduodenoscopy (EGDS) at the age of 45. If necessary, it can be performed in daycare specialized medical institutions under general anesthesia. The main objectives of EGDS are the detection and typing of chronic gastritis, H. pylori infections, gastric pre-tumor conditions, assessment of the prevalence of premalignant conditions and their staging, detection of early gastric cancer and performance of standardized biopsy protocol. However, there is no unified algorithm for endoscopic examination and biopsy, use of modern optical technologies for diagnostics of pre-tumor conditions of the mucous membrane, and follow-up procedure for patients with atrophic gastritis and precancerous changes of the stomach mucous membrane. A new algorithm of endoscopic diagnostics and management of patients based on national and international guidelines will improve endoscopic diagnostics and follow-up of patients within the medical check-ups of the adult population in the Russian Federation.

Keywords:

chronic gastritis
endoscopic diagnosis
diagnostic algorithm

Authors:

Drapkina O.M.

National Medical Research Center for Therapy and Preventive Medicine;
A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Kashin S.V.

Yaroslavl Regional Oncology Hospital

Kuvaev R.O.

Yaroslavl Regional Oncology Hospital;
Pirogov Russian National Research Medical University

Kaibysheva V.O.

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

Krainova E.A.

Yaroslavl Regional Clinical Oncology Hospital

Shepel R.N.

National Medical Research Center for Therapy and Preventive Medicine, Ministry of Health of the Russia

Nikonov E.L.

Pirogov Russian National Research Medical University

Received:

14.08.2022

Accepted:

28.09.2022

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References:

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