gastro-jРоссийский журнал гастроэнтерологии, гепатологии, колопроктологииRussian Journal of Gastroenterology, Hepatology, Coloproctology1382-43762658-6673«Gastro» LLC10.22416/1382-4376-2017-27-5-94-104gastro-j-185Research ArticleНАЦИОНАЛЬНАЯ ШКОЛА ГАСТРОЭНТЕРОЛОГОВ, ГЕПАТОЛОГОВNATIONAL COLLEGE OF GASTROENTEROLOGISTS, HEPATOLOGISTSНепереносимость углеводовCarbohydrate intoleranceКайбышеваВ. О.KaybyshevaV. O.noemail@neicon.ruБаранскаяЕ. К.BaranskayaYe. K.noemail@neicon.ruФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова»РоссияFederal state autonomous educational institution of higher education «Pirogov Russian National Research Medical University»Russian FederationФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова»РоссияFederal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical UniversityRussian Federation20171208201827594104Copyright © Кайбышева В.О., Баранская Е.К., 20182018Кайбышева В.О., Баранская Е.К.Kaybysheva V.O., Baranskaya Y.K.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/185

Цель обзора. Изложить современные представления об этиологии и патогенезе пищевой непереносимости, проанализировать современные стратегии диагностики и лечения непереносимости углеводов. Основные положения. У пациентов, у которых наблюдаются абдоминальная боль, диарея, вздутие живота, при отсутствии органических заболеваний необходимо исключить непереносимость компонентов продуктов питания, в первую очередь углеводов. В случае подтверждения пищевой непереносимости высокоэффективными методами лечения являются коррекция рациона с исключением непереносимых продуктов питания, добавление в схему терапии соответствующих ферментных препаратов. Заключение. Непереносимость углеводов нередко является причиной возникновения абдоминальной боли, вздутия живота, диареи у практически здоровых людей и больных с функциональными заболеваниями желудочно-кишечного тракта. Своевременное выявление непереносимого компонента пищи и исключение его из рациона позволяют значительно уменьшить выраженность имеющихся симптомов.

Aim of review. To present the modern concept on etiology and pathogenesis of food intolerance, to analyze the modern strategy of diagnosis and treatment of carbohydrate intolerance. Key points. Patients, who presented with abdominal pain, diarrhea, flatulence at the absence of organic diseases should be investigated to exclude intolerance of nutritional components, first of all - carbohydrates. If food intolerance was confirmed, high performance treatment methods should be applied including dietary modification with elimination of intolerable food products, addition of specific enzyme preparations to the treatment mode. Conclusion. Carbohydrate intolerance results in abdominal pain, flatulence and diarrhea in generally healthy population and patients with functional gastrointestinal diseases. Early detection of integrated agentт and its elimination from the ration will provide significant decrease in symptom severity.

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