gastro-jРоссийский журнал гастроэнтерологии, гепатологии, колопроктологииRussian Journal of Gastroenterology, Hepatology, Coloproctology1382-43762658-6673«Gastro» LLCgastro-j-1197Research ArticleЛЕКЦИИ И ОБЗОРЫLECTURES AND REVIEWSТактика ведения пациентов с предраковыми изменениями в желудкеManagement approach to patients with premalignant lesions of the stomachЦукановВ. В.TsukanovV. V.АмельчуговаО. С.AmelchugovaO. S.ВасютинА. В.Vas'yutinA. V.БуторинН. Н.ButorinN. N.ФГБУ «Научно-исследовательский институт медицинских проблем Севера» Сибирского отделения РАМНРоссияFederal State Budgetary Institution «Scientific research institute of medical problems of the North» Siberian branch, Russian Academy of Medical ScienceRussian FederationХакасская республиканская клиническая больница им Г.Я. РемишевскойРоссияRemishevskaya Khakass republic hospitalRussian Federation20132007201323348Copyright © Цуканов В.В., Амельчугова О.С., Васютин А.В., Буторин Н.Н., 20132013Цуканов В.В., Амельчугова О.С., Васютин А.В., Буторин Н.Н.Tsukanov V.V., Amelchugova O.S., Vas'yutin A.V., Butorin N.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gastro-j.ru/jour/article/view/1197

Цель обзора. Проанализировать современные аспекты тактики ведения пациентов с предраковыми изменениями в желудке.Основные положения. Для квалифицированной диагностики атрофии, метаплазии и дисплазии в желудке необходимо применение современных эндоскопических методов и морфологических исследований в соответствии с требованиями системы OLGA или OLGIM. Выявление инфекции Helicobacter pylori и ее эрадикация являются важными принципами ведения больных с предраковыми изменениями в желудке.Заключение. Указаны методы наблюдения за пациентами с дисплазией в желудке. Описаны схемы эрадикации H. pylori.

The aim of review

The aim of review. To analyze modern aspects of management of patients with premalignant changes in the stomach.

Key points

Key points. According to requirements of system OLGA or OLGIM application of modern endoscopic methods and morphological investigation is necessary for expert diagnostics of atrophy, metaplasia and dysplasia in the stomach. Detection of Helicobacter pylori infection and its eradication are important principles of management of patients with stomach premalignant lesions.

Conclusion

Conclusion. Monitoring methods of patients with stomach mucosa dysplasia are specified. Modes of H. pylori eradication are presented.

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The authors declare that there are no conflicts of interest present.