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Drapkin O.M.

Federal State Budgetary Institution “National Medical Research Center for Transplantology and Endocrinology” of the Ministry of Health of Russia;
Federal State Budgetary Educational Institution of Higher Education “Russian University of Medicine” of the Ministry of Health of Russia

Kaprin A.D.

Federal State Budgetary Institution “National Medical Research Center for Radiology” of the Ministry of Health of Russia

Achkasov S.I.

Federal State Budgetary Institution “National Medical Research Center for Coloproctology named after A.N. Ryzhikh” of the Ministry of Health of Russia;
Federal State Budgetary Educational Institution of Higher Education “Russian Medical Academy of Postgraduate Education

Shelygin Yu.A.

Federal State Budgetary Institution “National Medical Research Center for Coloproctology named after A.N. Ryzhikh” of the Ministry of Health of Russia;
Federal State Budgetary Educational Institution of Higher Education “Russian Medical Academy of Postgraduate Education

Drozdova L.Yu.

Federal State Budgetary Institution “National Medical Research Center for Transplantology and Endocrinology” of the Ministry of Health of Russia;
Federal State Budgetary Educational Institution of Higher Education “Russian University of Medicine” of the Ministry of Health of Russia

Ivanova E.S.

Federal State Budgetary Institution “National Medical Research Center for Transplantology and Endocrinology” of the Ministry of Health of Russia

Fedorov E.D.

Federal State Autonomous Educational Institution of Higher Education “N.I. Pirogov Russian National Research Medical University” of the Ministry of Health of Russia (Pirogov University)

Kashin S.V.

Federal State Budgetary Institution “National Medical Research Center for Transplantology and Endocrinology” of the Ministry of Health of Russia;
State Budgetary Healthcare Institution of Yaroslavl Region “Clinical Oncology Hospital”

Khailova Zh.V.

Federal State Budgetary Educational Institution of Higher Education “Russian Medical Academy of Postgraduate Education;
A.F. Tsyb Research Center, a branch of the Federal State Budgetary Institution “National Medical Research Center for Radiology” of the Ministry of Health of Russia

Pirogov S.S.

P.A. Herzen Research Institute, a branch of the Federal State Budgetary Institution “National Medical Research Center for Radiology” of the Ministry of Health of Russia

Shepel R.N.

Federal State Budgetary Institution “National Medical Research Center for Transplantology and Endocrinology” of the Ministry of Health of Russia

Zharova M.E.

Federal State Budgetary Institution “National Medical Research Center for Transplantology and Endocrinology” of the Ministry of Health of Russia

Almazova I.I.

Federal State Budgetary Institution “National Medical Research Center for Transplantology and Endocrinology” of the Ministry of Health of Russia

Abdrakhmanov R.R.

Federal State Budgetary Institution “National Medical Research Center for Transplantology and Endocrinology” of the Ministry of Health of Russia

Kulovskaya D.P.

Federal State Budgetary Institution “National Medical Research Center for Coloproctology named after A.N. Ryzhikh” of the Ministry of Health of Russia

Standards for screening, diagnosis, treatment, and management of patients with premalignancies and early cancer of the lower digestive tract as part of the preventive medical examination. Guidelines

Authors:

Drapkin O.M., Kaprin A.D., Achkasov S.I., Shelygin Yu.A., Drozdova L.Yu., Ivanova E.S., Fedorov E.D., Kashin S.V., Khailova Zh.V., Pirogov S.S., Shepel R.N., Zharova M.E., Almazova I.I., Abdrakhmanov R.R., Kulovskaya D.P.

More about the authors

Journal: Russian Journal of Preventive Medicine. 2025;28(8‑2): 7‑46

DOI: 10.17116/profmed2025280827

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Table of contents

STANDARDS FOR SCREENING, DIAGNOSIS, TREATMENT, AND MANAGEMENT OF PATIENTS WITH PREMALIGNANCIES AND EARLY CANCER OF THE LOWER DIGESTIVE TRACT AS PART OF THE PREVENTIVE MEDICAL EXAMINATION. GUIDELINES.
STANDARDS FOR SCREENING, DIAGNOSIS, TREATMENT, AND MANAGEMENT OF PATIENTS WITH PREMALIGNANCIES AND EARLY CANCER OF THE LOWER DIGESTIVE TRACT AS PART OF THE PREVENTIVE MEDICAL EXAMINATION. GUIDELINES.

To cite this article:

Drapkin OM, Kaprin AD, Achkasov SI, et al. . Standards for screening, diagnosis, treatment, and management of patients with premalignancies and early cancer of the lower digestive tract as part of the preventive medical examination. Guidelines. Russian Journal of Preventive Medicine. 2025;28(8‑2):7‑46. (In Russ.)
https://doi.org/10.17116/profmed2025280827

 
Подписка 2026 Профилактическая медицина (Russian Journal of Preventive Medicine)
 
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Abstract:

The methodological recommendations describe a comprehensive approach to the organization of screening, diagnosis, treatment, and follow-up care for patients with precancerous changes and early forms of colorectal cancer as part of the medical examination of certain groups of the adult population. The document includes algorithms for patient routing, aspects of conducting questionnaires, fecal immunochemical tests, and colonoscopy. The criteria for the quality of endoscopic examinations, standards for photo documentation, tactics for removing neoplasms, principles of anesthesiological support, and subsequent dispensary observation are described in detail. Particular attention is paid to the diagnosis of inflammatory bowel diseases and the use of modern imaging methods. The recommendations have been developed in accordance with the current regulatory and legal acts and clinical recommendations of the Russian Federation and international standards, and have been adapted for practical application.The methodological recommendations are designed for doctors providing primary health care, therapists, general practitioners, clinical laboratory diagnosticians, endoscopists, oncologists, coloproctologists, gastroenterologists, and health care administrators.

Authors:

Drapkin O.M.

Federal State Budgetary Institution “National Medical Research Center for Transplantology and Endocrinology” of the Ministry of Health of Russia;
Federal State Budgetary Educational Institution of Higher Education “Russian University of Medicine” of the Ministry of Health of Russia

Kaprin A.D.

Federal State Budgetary Institution “National Medical Research Center for Radiology” of the Ministry of Health of Russia

Achkasov S.I.

Federal State Budgetary Institution “National Medical Research Center for Coloproctology named after A.N. Ryzhikh” of the Ministry of Health of Russia;
Federal State Budgetary Educational Institution of Higher Education “Russian Medical Academy of Postgraduate Education

Shelygin Yu.A.

Federal State Budgetary Institution “National Medical Research Center for Coloproctology named after A.N. Ryzhikh” of the Ministry of Health of Russia;
Federal State Budgetary Educational Institution of Higher Education “Russian Medical Academy of Postgraduate Education

Drozdova L.Yu.

Federal State Budgetary Institution “National Medical Research Center for Transplantology and Endocrinology” of the Ministry of Health of Russia;
Federal State Budgetary Educational Institution of Higher Education “Russian University of Medicine” of the Ministry of Health of Russia

Ivanova E.S.

Federal State Budgetary Institution “National Medical Research Center for Transplantology and Endocrinology” of the Ministry of Health of Russia

Fedorov E.D.

Federal State Autonomous Educational Institution of Higher Education “N.I. Pirogov Russian National Research Medical University” of the Ministry of Health of Russia (Pirogov University)

Kashin S.V.

Federal State Budgetary Institution “National Medical Research Center for Transplantology and Endocrinology” of the Ministry of Health of Russia;
State Budgetary Healthcare Institution of Yaroslavl Region “Clinical Oncology Hospital”

Khailova Zh.V.

Federal State Budgetary Educational Institution of Higher Education “Russian Medical Academy of Postgraduate Education;
A.F. Tsyb Research Center, a branch of the Federal State Budgetary Institution “National Medical Research Center for Radiology” of the Ministry of Health of Russia

Pirogov S.S.

P.A. Herzen Research Institute, a branch of the Federal State Budgetary Institution “National Medical Research Center for Radiology” of the Ministry of Health of Russia

Shepel R.N.

Federal State Budgetary Institution “National Medical Research Center for Transplantology and Endocrinology” of the Ministry of Health of Russia

Zharova M.E.

Federal State Budgetary Institution “National Medical Research Center for Transplantology and Endocrinology” of the Ministry of Health of Russia

Almazova I.I.

Federal State Budgetary Institution “National Medical Research Center for Transplantology and Endocrinology” of the Ministry of Health of Russia

Abdrakhmanov R.R.

Federal State Budgetary Institution “National Medical Research Center for Transplantology and Endocrinology” of the Ministry of Health of Russia

Kulovskaya D.P.

Federal State Budgetary Institution “National Medical Research Center for Coloproctology named after A.N. Ryzhikh” of the Ministry of Health of Russia

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