H. pylori-Associated Gastritis, Gastritis after H. pylori Eradication and H. pylori-Negative Gastritis: Algorithm of Diagnosis and Treatment (Literature Review and Resolution of the Expert Panel of the Russian Gastroenterological Association)

Aim: to provide the basic points of the Expert Panel of the Russian Gastroenterological Association with discussion of measures to improve diagnostics, treatment and management of chronic gastritis patients.Key points. In the Russian Federation in 2021 more than 30 million patients diagnosed with “G...

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Main Authors: V. T. Ivashkin, I. V. Maev, T. L. Lapina, Yu. A. Kucheryavyy, S. R. Abdulkhakov, O. P. Alekseeva, S. A. Alekseenko, D. N. Andreev, I. G. Bakulin, N. V. Bakulina, D. S. Bordin, Z. M. Galeeva, N. N. Dekhnich, N. V. Korochanskaya, R. O. Kuvaev, M. A. Livzan, M. F. Osipenko, S. S. Pirogov, V. I. Simanenkov, O. A. Storonova, A. S. Tertychnyy, A. S. Trukhmanov, Yu. P. Uspenskiy, I. B. Khlynov, V. V. Tsukanov
Format: Article
Language:Russian
Published: Gastro LLC 2024-08-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1377
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author V. T. Ivashkin
I. V. Maev
T. L. Lapina
Yu. A. Kucheryavyy
S. R. Abdulkhakov
O. P. Alekseeva
S. A. Alekseenko
D. N. Andreev
I. G. Bakulin
N. V. Bakulina
D. S. Bordin
Z. M. Galeeva
N. N. Dekhnich
N. V. Korochanskaya
R. O. Kuvaev
M. A. Livzan
M. F. Osipenko
S. S. Pirogov
V. I. Simanenkov
O. A. Storonova
A. S. Tertychnyy
A. S. Trukhmanov
Yu. P. Uspenskiy
I. B. Khlynov
V. V. Tsukanov
author_facet V. T. Ivashkin
I. V. Maev
T. L. Lapina
Yu. A. Kucheryavyy
S. R. Abdulkhakov
O. P. Alekseeva
S. A. Alekseenko
D. N. Andreev
I. G. Bakulin
N. V. Bakulina
D. S. Bordin
Z. M. Galeeva
N. N. Dekhnich
N. V. Korochanskaya
R. O. Kuvaev
M. A. Livzan
M. F. Osipenko
S. S. Pirogov
V. I. Simanenkov
O. A. Storonova
A. S. Tertychnyy
A. S. Trukhmanov
Yu. P. Uspenskiy
I. B. Khlynov
V. V. Tsukanov
author_sort V. T. Ivashkin
collection DOAJ
description Aim: to provide the basic points of the Expert Panel of the Russian Gastroenterological Association with discussion of measures to improve diagnostics, treatment and management of chronic gastritis patients.Key points. In the Russian Federation in 2021 more than 30 million patients diagnosed with “Gastritis and duodenitis” were recorded (K29 in accordance with International Classification of Diseases-10). H. pylori incidence rate in the Russian population has reduced and presently is about 40 %. In chronic gastritis pattern H. pylori-associated gastritis has still dominated though gastritis percent after successful H. pylori eradication, reactive gastropathy (including reflux gastritis) and autoimmune gastritis, has increased. Endoscopic and histologic examinations serve as key diagnostic techniques that provide a means for assessing the ethiology of gastritis, topography and degree of atrophic changes, gastritis staging as per OLGA/OLGIM system that properly correlates with the risk of stomach cancer and determines endoscopic examination strategy. H. pylori eradication therapy of gastritis serves as an etiotropic treatment and makes it possible to prevent progression of atrophy and stomach cancer. Conventional triple therapy combined with bismuth tripotassium dicitrate allows for achieving optimal cure rates of H. pylori eradication. Addition of rebamipide to regimens of H. pylori eradication improves their efficiency. Rebamipide arrests symptoms of dyspepsia in the case of chronic gastritis and functional dyspepsia. The administration of rebamipide for chronic gastritis makes it possible to influence the syndrome of increased epithelial permeability and inflammation, which makes it advisable to study it as a means of preventing stomach cancer and the progression of atrophy in various types of chronic gastritis.Conclusion. Members of the Expert Panel has approved the algorithm of diagnosis and treatment of H. pylori-associated gastritis, gastritis after H. pylori eradication and H. pylori-negative gastritis at the diagnostic stage in the case of initial presentation and long-term follow-up when needed.
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spelling doaj-art-5d7742e1af5741d880c34da4985bf2212025-02-10T16:14:39ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732024-08-0134372310.22416/1382-4376-2024-34-3-7-23932H. pylori-Associated Gastritis, Gastritis after H. pylori Eradication and H. pylori-Negative Gastritis: Algorithm of Diagnosis and Treatment (Literature Review and Resolution of the Expert Panel of the Russian Gastroenterological Association)V. T. Ivashkin0I. V. Maev1T. L. Lapina2Yu. A. Kucheryavyy3S. R. Abdulkhakov4O. P. Alekseeva5S. A. Alekseenko6D. N. Andreev7I. G. Bakulin8N. V. Bakulina9D. S. Bordin10Z. M. Galeeva11N. N. Dekhnich12N. V. Korochanskaya13R. O. Kuvaev14M. A. Livzan15M. F. Osipenko16S. S. Pirogov17V. I. Simanenkov18O. A. Storonova19A. S. Tertychnyy20A. S. Trukhmanov21Yu. P. Uspenskiy22I. B. Khlynov23V. V. Tsukanov24I.M. Sechenov First Moscow State Medical University (Sechenov University)Russian University of MedicineI.M. Sechenov First Moscow State Medical University (Sechenov University)Ilyinskaya HospitalKazan (Volga Region) Federal University; Kazan State Medical UniversityPrivolzhsky Research Medical UniversityFar Eastern State Medical UniversityRussian University of MedicineNorth-Western State Medical University named after I.I. MechnikovNorth-Western State Medical University named after I.I. MechnikovRussian University of Medicine; A.S. Loginov Moscow Clinical Scientific Center; Tver State Medical UniversityKazan State Medical Academy — Branch of the Russian Medical Academy of Continuous Professional EducationSmolensk State Medical UniversityKuban State Medical University; Krai Clinical Hospital No. 2Clinical Oncological Hospital; N.I. Pirogov Russian National Research Medical UniversityOmsk State Medical UniversityNovosibirsk State Medical UniversityMoscow Research Oncological Institute named after P.A. Gertsen — Branch of National Medical Research Radiological CenterNorth-Western State Medical University named after I.I. MechnikovI.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)First Saint-Petersburg State Medical University named after Academician I.P. Pavlov; Saint Petersburg State Pediatric Medical UniversityUral State Medical UniversityFederal Research Center “Krasnoyarsk Science Center of Siberian Branch of the Russian Academy of Sciences”, Separate Division “Scientific Research Institute of Medical Problems of the North”Aim: to provide the basic points of the Expert Panel of the Russian Gastroenterological Association with discussion of measures to improve diagnostics, treatment and management of chronic gastritis patients.Key points. In the Russian Federation in 2021 more than 30 million patients diagnosed with “Gastritis and duodenitis” were recorded (K29 in accordance with International Classification of Diseases-10). H. pylori incidence rate in the Russian population has reduced and presently is about 40 %. In chronic gastritis pattern H. pylori-associated gastritis has still dominated though gastritis percent after successful H. pylori eradication, reactive gastropathy (including reflux gastritis) and autoimmune gastritis, has increased. Endoscopic and histologic examinations serve as key diagnostic techniques that provide a means for assessing the ethiology of gastritis, topography and degree of atrophic changes, gastritis staging as per OLGA/OLGIM system that properly correlates with the risk of stomach cancer and determines endoscopic examination strategy. H. pylori eradication therapy of gastritis serves as an etiotropic treatment and makes it possible to prevent progression of atrophy and stomach cancer. Conventional triple therapy combined with bismuth tripotassium dicitrate allows for achieving optimal cure rates of H. pylori eradication. Addition of rebamipide to regimens of H. pylori eradication improves their efficiency. Rebamipide arrests symptoms of dyspepsia in the case of chronic gastritis and functional dyspepsia. The administration of rebamipide for chronic gastritis makes it possible to influence the syndrome of increased epithelial permeability and inflammation, which makes it advisable to study it as a means of preventing stomach cancer and the progression of atrophy in various types of chronic gastritis.Conclusion. Members of the Expert Panel has approved the algorithm of diagnosis and treatment of H. pylori-associated gastritis, gastritis after H. pylori eradication and H. pylori-negative gastritis at the diagnostic stage in the case of initial presentation and long-term follow-up when needed.https://www.gastro-j.ru/jour/article/view/1377chronic gastritish. pyloriatrophic gastritisautoimmune gastritisreflux gastritishigher epithelial permeability syndromedyspepsiaprevention of stomach cancerrebamipide
spellingShingle V. T. Ivashkin
I. V. Maev
T. L. Lapina
Yu. A. Kucheryavyy
S. R. Abdulkhakov
O. P. Alekseeva
S. A. Alekseenko
D. N. Andreev
I. G. Bakulin
N. V. Bakulina
D. S. Bordin
Z. M. Galeeva
N. N. Dekhnich
N. V. Korochanskaya
R. O. Kuvaev
M. A. Livzan
M. F. Osipenko
S. S. Pirogov
V. I. Simanenkov
O. A. Storonova
A. S. Tertychnyy
A. S. Trukhmanov
Yu. P. Uspenskiy
I. B. Khlynov
V. V. Tsukanov
H. pylori-Associated Gastritis, Gastritis after H. pylori Eradication and H. pylori-Negative Gastritis: Algorithm of Diagnosis and Treatment (Literature Review and Resolution of the Expert Panel of the Russian Gastroenterological Association)
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
chronic gastritis
h. pylori
atrophic gastritis
autoimmune gastritis
reflux gastritis
higher epithelial permeability syndrome
dyspepsia
prevention of stomach cancer
rebamipide
title H. pylori-Associated Gastritis, Gastritis after H. pylori Eradication and H. pylori-Negative Gastritis: Algorithm of Diagnosis and Treatment (Literature Review and Resolution of the Expert Panel of the Russian Gastroenterological Association)
title_full H. pylori-Associated Gastritis, Gastritis after H. pylori Eradication and H. pylori-Negative Gastritis: Algorithm of Diagnosis and Treatment (Literature Review and Resolution of the Expert Panel of the Russian Gastroenterological Association)
title_fullStr H. pylori-Associated Gastritis, Gastritis after H. pylori Eradication and H. pylori-Negative Gastritis: Algorithm of Diagnosis and Treatment (Literature Review and Resolution of the Expert Panel of the Russian Gastroenterological Association)
title_full_unstemmed H. pylori-Associated Gastritis, Gastritis after H. pylori Eradication and H. pylori-Negative Gastritis: Algorithm of Diagnosis and Treatment (Literature Review and Resolution of the Expert Panel of the Russian Gastroenterological Association)
title_short H. pylori-Associated Gastritis, Gastritis after H. pylori Eradication and H. pylori-Negative Gastritis: Algorithm of Diagnosis and Treatment (Literature Review and Resolution of the Expert Panel of the Russian Gastroenterological Association)
title_sort h pylori associated gastritis gastritis after h pylori eradication and h pylori negative gastritis algorithm of diagnosis and treatment literature review and resolution of the expert panel of the russian gastroenterological association
topic chronic gastritis
h. pylori
atrophic gastritis
autoimmune gastritis
reflux gastritis
higher epithelial permeability syndrome
dyspepsia
prevention of stomach cancer
rebamipide
url https://www.gastro-j.ru/jour/article/view/1377
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