gastro-jРоссийский журнал гастроэнтерологии, гепатологии, колопроктологииRussian Journal of Gastroenterology, Hepatology, Coloproctology1382-43762658-6673«Gastro» LLC10.22416/1382-4376-2022-32-2-99-156gastro-j-703Research ArticleКЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИCLINICAL GUIDELINESКлинические рекомендации по диагностике и лечению хронического панкреатитаClinical Guidelines of the Russian Society of Surgeons, the Russian Gastroenterological Association, the Association of Surgeons-Hepatologists and the Endoscopic Society “REndO” on Diagnostics and Treatment of Chronic Pancreatitishttps://orcid.org/0000-0002-6815-6015ИвашкинВ. Т.IvashkinV. T.

Ивашкин Владимир Трофимович — доктор медицинских наук, академик РАН, заведующий кафедрой пропедевтики внутренних болезней, гастроэнтерологии и гепатологии; директор клиники пропедевтики внутренних болезней, гастроэнтерологии и гепатологии им. В.Х. Василенко УКБ № 2 

119435, Москва, Погодинская ул., д. 1, стр. 1

Vladimir T. Ivashkin — Dr. Sci. (Med.), Full Member of the Russian Academy of Sciences, Head of the Chair of Internal Disease Propaedeutics, Gastroenterology and Hepatology;  Director, Vasilenko Clinic of Internal Disease Propaedeutics, Gastroenterology and Hepatology, University Clinical Hospital No. 2

19435, Moscow, Pogodinskaya str., 1, bld. 1

ivashkin_v_t@staff.sechenov.ruhttps://orcid.org/0000-0003-4539-9943КригерА. Г.KrigerA. G.

Кригер Андрей Германович — доктор медицинских наук, профессор, заведующий отделением абдоминальной хирургии

117997, Москва, Большая Серпуховская ул., 27

Andrey G. Kriger — Dr. Sci. (Med.), Prof., Head of the Department of Abdominal Surgery

117997, Moscow, Bolshaya Serpukhovskaya str., 27

kriger@ixv.ruhttps://orcid.org/0000-0002-4617-2292ОхлобыстинА. В.OkhlobystinA. V.

Охлобыстин Алексей Викторович — кандидат медицинских наук, доцент кафедры пропедевтики внутренних болезней, гастроэнтерологии и гепатологии

119435, Москва, Погодинская ул., д. 1, стр. 1

Aleksey V. Okhlobystin — Cand. Sci. (Med.), Assoc. Prof., Chair of Internal Disease Propaedeutics, Gastroenterology and Hepatology

119435, Moscow, Pogodinskaya str., 1, bld. 1

okhlobystin_a_v@staff.sechenov.ruhttps://orcid.org/0000-0003-4255-0783АнищенкоМ. А.AnischenkoM. A.

Анищенко Мария Александровна — кандидат медицинских наук, научный сотрудник научно-исследовательской лаборатории хирургической гастроэнтерологии и эндоскопии при кафедре госпитальной хирургии № 2 лечебного факультета; врач-эндоскопист ГБУЗ «Городская клиническая больница № 31» Департамента здравоохранения г. Москвы

 

Mariya A. Anischenko — Cand. Sci. (Med.), Researcher, Research Laboratory of Surgical Gastroenterology and Endoscopy, Chair of Hospital Surgery No. 2, Faculty of General Medicine; Physician (endoscopy), City Clinical Hospital No. 31, Moscow City Department of Health

КардашеваС. С.KardashevaS. S.

Кардашева Светлана Станиславовна — кандидат медицинских наук, доцент кафедры пропедевтики внутренних болезней, гастроэнтерологии и гепатологии 

119435, Москва, Погодинская ул., д. 1, стр. 1

Svetlana S. Kardasheva — Cand. Sci. (Med.), Assoc. Prof., Chair of Internal Disease Propaedeutics, Gastroenterology and Hepatology

119435, Moscow, Pogodinskaya str., 1, bld. 1

kardasheva_s_s@staff.sechenov.ruhttps://orcid.org/0000-0003-1724-9980АлексеенкоС. А.AlekseenkoS. A.

Алексеенко Сергей Алексеевич — доктор медицинских наук, заведующий кафедрой госпитальной терапии; руководитель Клиники внутренних болезней Дорожной клинической больницы на ст. Хабаровск-1 Дальневосточной железной дороги; главный внештатный гастроэнтеролог Дальневосточного федерального округа

680000, г. Хабаровск, ул. Запарина, д. 83

Sergey A. Alekseenko — Dr. Sci. (Med.), Head of the Chair of Hospital Therapy; Head of the Clinic of Internal Medicine, Khabarovsk-1 Railway Clinical Hospital, Far-Eastern Railways; Chief External Expert (gastroenterology), Far-Eastern Federal District

680000, Khabarovsk, Zaparina str., 83

sa.alexeenko@gmail.comhttps://orcid.org/0000-0002-6380-137XБагненкоС. Ф.BagnenkoS. F.

Багненко Сергей Федорович — доктор медицинских наук, профессор, академик РАН, ректор 

119435, Москва, Погодинская ул., д. 1, стр. 1

Sergey F. Bagnenko — Dr. Sci. (Med.), Prof., Full Member of the Russian Academy of Sciences, Rector

197022, St. Petersburg, Lva Tolstogo str., 6–8

rector@1spbgmu.ruhttps://orcid.org/0000-0001-6806-1414БыковМ. И.BykovM. I.

Быков Михаил Ильич — доктор медицинских наук, профессор кафедры хирургии № 1 ФПК и ППС; заведующий эндоскопическим отделением № 2 НИИ-Краевая клиническая больница №1 им. С. В. Очаповского

350000, г. Краснодар, ул. им. М. Седина, д. 4

Mikhail I. Bykov — Dr. Sci. (Med.), Prof., Chair of Surgery No. 1, School of Advanced Vocational Training and Retraining; Head of Endoscopy Unit No. 2, Ochapovsky Regional Clinical Hospital No. 1 Research Institute

 

https://orcid.org/0000-0003-4255-0783БудзинскийC. А.BudzinskiyS. A.

Будзинский Станислав Александрович — доктор медицинских наук, старший научный сотрудник научно-исследовательской лаборатории хирургической гастроэнтерологии и эндоскопии при кафедре госпитальной хирургии № 2; врач-эндоскопист ГБУЗ «Городская клиническая больница № 31» Департамента здравоохранения г. Москвы

119415, г. Москва, ул. Лобачевского, д. 42

Stanislav A. Budzinskiy — Dr. Sci. (Med.), Senior Researcher, Research Laboratory of Surgical Gastroenterology and Endoscopy, Chair of Hospital Surgery No. 2, Faculty of General Medicine; Physician (endoscopy), City Clinical Hospital No. 31, Moscow City Department of Health

 

stanislav.budzinskiy@mail.ruhttps://orcid.org/0000-0002-1205-9152БуриевИ. М.BurievI.  M.

Буриев Илья Михайлович — доктор медицинских наук, профессор, советник главного врача, хирург 

 

Ilya M. Buriev — Dr. Sci. (Med.), Prof., Advisor to Chief Physician

https://orcid.org/0000-0003-1467-5853ВишневскийВ. А.VishnevskiyV. A.

Вишневский Владимир Александрович — доктор медицинских наук, профессор, советник директора

117997, Москва, ул. Большая Серпуховская, д. 27

Vladimir A. Vishnevskiy — Dr. Sci. (Med.), Prof., Advisor to Director

117997, Moscow, Bolshaya Serpukhovskaya str., 27

https://orcid.org/0000-0003-4255-0783ГальперинЭ. И.GalperinE. I.

Гальперин Эдуард Израилевич — доктор медицинских наук, профессор, почетный профессор и профессор кафедры госпитальной хирургии; почетный президент Международной общественной организации «Ассоциация хирургов-гепатологов»

119991, Москва, ул. Трубецкая, д. 8, стр. 2

Eduard I. Galperin — Dr. Sci. (Med.), Prof., Professor Emeritus, Chair of Hospital Surgery; Honorary President, Association of Surgical Hepatologists NGO

119991, Moscow, Trubetskaya str., 8, bld. 2

ГлабайВ. П.GlabayV. P.

Глабай Владимир Петрович — доктор медицинских наук, профессор кафедры хирургии 

119991, Москва, ул. Трубецкая, д. 8, стр. 2

Vladimir P. Glabay — Dr. Sci. (Med.), Prof., Chair of Surgery

119991, Moscow, Trubetskaya str., 8, bld. 2

glabay_v_p@staff.sechenov.ruГольцовВ. Р.GoltsovV. R.

Гольцов Валерий Ремирович — доктор медицинских наук, руководитель Городского панкреатологического центра, ведущий научный сотрудник отдела неотложной хирургии

192242, г. Санкт-Петербург, Будапештская ул., д. 3

Valeriy R. Goltsov — Dr. Sci. (Med.), Head of the City Centre for Pancreatology; Leading Researcher, Department of Emergency Surgery

192242, St. Petersburg, Budapeshtskaya str., 3

govare@yandex.ruhttps://orcid.org/0000-0003-0573-7573ДюжеваТ. Г.DyuzhevaT. G.

Дюжева Татьяна Геннадьевна — доктор медицинских наук, профессор кафедры госпитальной хирургии 

119991, Москва, ул. Трубецкая, д. 8, стр. 2

Tatyana G. Dyuzheva — Dr. Sci. (Med.), Prof., Chair of Hospital Surgery

119991, Moscow, Trubetskaya str., 8, bld. 2

dyuzheva_t_g@staff.sechenov.ruhttps://orcid.org/0000-0002-9357-0998КармазановскийГ. Г.KarmazanovskiyG. G.

Кармазановский Григорий Григорьевич — член-корреспондент РАН, доктор медицинских наук, профессор, заведующий отделением рентгенологии и магнитно-резонансных исследований с кабинетом ультразвуковой диагностики ; профессор кафедры лучевой диагностики и терапии медико-биологического факультета

117997, г. Москва, ул. Большая Серпуховская, д. 27

Grigoriy G. Karmazanovskiy — Dr. Sci. (Med.), Prof., Corresponding Member of the Russian Academy of Sciences, Head of the Department of Radiology and MRI with ultrasonic diagnostics unit; Prof., Chair of Diagnostic Radiology and Therapy, Faculty of Biomedicine

117997, Moscow, Bolshaya Serpukhovskaya str., 27

КоролевМ. П.KorolevM. P.

Королев Михаил Павлович — доктор медицинских наук, заведующий кафедрой общей хирургии с курсом эндоскопии; председатель Российского эндоскопического общества

 119014, г. Санкт-Петербург, Литейный проспект, д. 56

 

Mikhail P. Korolev — Dr. Sci. (Med.), Head of the Chair of General Surgery with course of endoscopy; Chairman, Russian Endoscopic Society

119014, St. Petersburg, Liteynyy Ave., 56

korolevmp@yandex.ruКрасильниковД. М.KrasilnikovD. M.

Красильников Дмитрий Михайлович — доктор медицинских наук, профессор, заведующий кафедрой хирургических болезней № 1, руководитель хирургической клиники ГАУЗ РКБ МЗ РТ, руководитель хирургической клиники ГАУЗ «Республиканская клиническая больница» МЗ Республики Татарстан

420012, Казань, ул. Бутлерова, 49

Dmitriy M. Krasilnikov — Dr. Sci. (Med.), Prof., Head of Chair of Surgical Diseases No. 1; Director, Surgical Clinic, Republican Clinical Hospital

420012, Kazan, Butlerova str., 49

https://orcid.org/0000-0001-7760-2091КучерявыйЮ. А.KucheryavyYu. A.

Кучерявый Юрий Александрович — кандидат медицинских наук, заведующий гастроэнтерологическим отделением; научный руководитель образовательного проекта DiaGastro для врачей по вопросам гастроэнтерологии и смежных дисциплин агентства «Eventum Medical Consulting»

143421, Московская обл., г.о. Красногорск, д. Глухово, ул. Рублевское предместье, д. 2, к. 2.

Yuriy A. Kucheryavy — Cand. Sci. (Med.), Head of Gastroenterology Unit; Scientific Advisor, Eventum Medical Consulting Agency’s DiaGastro Education Programme for Physicians in Gastroenterology and Related Specialties

143421, Krasnogorsk, Glukhovo settl., Rublevskoe Predmestye str., 2, korp. 2

proped@mail.ruhttps://orcid.org/0000-0001-6114-564XМаевИ. В.MaevI. V.

Маев Игорь Вениаминович — доктор медицинских наук, академик РАН, профессор, заведующий кафедрой пропедевтики внутренних болезней и гастроэнтерологии 

127473, г. Москва, ул. Делегатская, д. 20, стр. 1

Igor V. Maev — Dr. Sci. (Med.), Prof., Full Member of the Russian Academy of Sciences, Head of the Chair of Internal Disease Propaedeutics and Gastroenterology

127473, Moscow, Delegatskaya str., 20, bld. 1

igormaev@rambler.ruhttps://orcid.org/0000-0002-1405-7660МайстренкоН. А.MaystrenkoN. A.

Майстренко Николай Анатольевич — доктор медицинских наук, профессор, академик РАН, заведующий кафедрой факультетской хирургии им. С.П. Федорова

194044, г. Санкт-Петербург, ул. Академика Лебедева, 6

Nikolay A. Maystrenko — Dr. Sci. (Med.), Prof., Full Member of the Russian Academy of Sciences, Head of the Chair of Theoretical Surgery named after S.P. Fedorov

194044, St. Petersburg, Akademika Lebedeva str., 6

https://orcid.org/0000-0002-5156-2842ОсипенкоМ. Ф.OsipenkoM. F.

Осипенко Марина Федоровна — доктор медицинских наук, профессор, заведующая кафедрой пропедевтики внутренних болезней

630091, г. Новосибирск, Красный проспект, д. 52

Marina F. Osipenko — Dr. Sci. (Med.), Prof., Head of the Chair of Internal Medicine Propaedeutics

630091, Novosibirsk, Krasnyy Ave., 52

ngma@bk.ruhttps://orcid.org/0000-0003-2512-2760ПрудковМ. И.PrudkovM. I.

Прудков Михаил Иосифович — доктор медицинских наук, профессор, заведующий кафедрой хирургии, колопроктологии и эндоскопии

 

Mikhail I. Prudkov — Dr. Sci. (Med.), Prof., Head of the Chair of Surgery, Coloproctology and Endoscopy

 

https://orcid.org/0000-0002-1956-0070СиманенковВ. И.SimanenkovV. I.

Симаненков Владимир Ильич — доктор медицинских наук, профессор кафедры внутренних болезней, клинической фармакологии и нефрологии 

191015, г. Санкт-Петербург, ул. Кирочная, д. 41

Vladimir I. Simanenkov — Dr. Sci. (Med.), Prof., Chair of Internal Medicine, Clinical Pharmacology and Nephrology

191015, St. Petersburg, Kirochnaya str., 41

visimanenkov@mail.ruhttps://orcid.org/0000-0002-0794-232XСолоницинЕ. Г.SolonitsinE. G.

Солоницин Евгений Геннадьевич — кандидат медицинских наук, врач-эндоскопист, заведующий эндоскопическим отделением 

Evgeniy G. Solonitsin — Cand. Sci. (Med.), Physician (endoscopy), Head of the Department of Endoscopy

 

ФедоровА. В.FedorovA. V.

Федоров Андрей Владимирович — доктор медицинских наук, профессор, главный научный сотрудник ФГБУ «Национальный медицинский исследовательский центр хирургии имени А.В. Вишневского» Министерства здравоохранения Российской Федерации; профессор кафедры эндоскопической хирургии 

 

Andrey V. Fedorov — Dr. Sci. (Med.), Prof., Principal Researcher; Prof., Chair of Surgical Endoscopy

 

https://orcid.org/0000-0002-6036-7061ФедоровЕ. Д.FedorovE. D.

Федоров Евгений Дмитриевич — доктор медицинских наук, профессор, главный научный сотрудник кафедры госпитальной хирургии No 2 с научно-исследовательской лабораторией хирургической гастроэнтерологии и эндоскопии; клинический руководитель отделения эндоскопической хирургии 

119415, г. Москва, ул. Лобачевского, д. 42

Evgeniy D. Fedorov — Dr. Sci. (Med.), Prof., Principal Researcher, Research Laboratory of Surgical Gastroenterology and Endoscopy, Chair of Hospital Surgery No. 2, Faculty of General Medicine; Clinical Director, Surgical Endoscopy Unit, City Clinical Hospital No. 31, Moscow City Department of Health

119415, Moscow, Lobachevskogo str., 42

efedo@mail.ruhttps://orcid.org/0000-0002-0944-9811ХлыновИ. Б.KhlynovI. B.

Хлынов Игорь Борисович — доктор медицинских наук, доцент кафедры факультетской терапии и гериатрии; главный гастроэнтеролог Уральского федерального округа

620028, г. Екатеринбург, ул. Репина, д. 3

Igor B. Khlynov — Dr. Sci. (Med.), Assoc. Prof., Chair of Intermediate Therapy and Geriatrics; Chief Gastroenterologist, Ural Federal District

620028, Ekaterinburg, Repina str., 3

hlinov.doc@yandex.ruhttps://orcid.org/0000-0002-0591-0535ЧикуноваМ. В.ChikunovaM. V.

Чикунова Марина Валерьевна — кандидат медицинских наук, доцент кафедры факультетской терапии и гериатрии 

620028, г. Екатеринбург, ул. Репина, д. 3

Marina V. Chikunova — Cand. Sci. (Med.), Assoc. Prof., Chair of Intermediate Therapy and Geriatrics

620028, Ekaterinburg, Repina str., 3

mvchikunova@mail.ruhttps://orcid.org/0000-0002-0522-0681ШабунинА. В.ShabuninA. V.

Шабунин Алексей Васильевич — доктор медицинских наук, профессор, член-корреспондент РАН, главный хирург Департамента здравоохранения г. Москвы; главный врач; заведующий кафедрой хирургии Российской медицинской академии непрерывного профессионального образования

125284, Москва, 2-й Боткинский пр-д, д. 5

Aleksey V. Shabunin — Dr. Sci. (Med.), Prof., Corresponding Member of the Russian Academy of Sciences, Chief Surgeon, Moscow City Department of Health; Chief Physician, Botkin Hospital; Head of the Chair of Surgery, Russian Medical Academy of Continuous Professional Education

125284, Moscow, Vtoroy Botkinskiy proezd, 5

glavbotkin@zdrav.mos.ruhttps://orcid.org/0000-0002-1571-8125ШаповальянцС. Г.ShapovalyantsS. G.

Шаповальянц Сергей Георгиевич — доктор медицинских наук, профессор, заведующий кафедрой госпитальной хирургии № 2 

119415, г. Москва, ул. Лобачевского, д. 42

Sergey G. Shapovalyants — Dr. Sci. (Med.), Prof., Head of Chair of Hospital Surgery No. 2

119415, Moscow, Lobachevskogo str., 42

sgs31@mail.ruhttps://orcid.org/0000-0002-1395-9566ШептулинА. А.SheptulinA. A.

Шептулин Аркадий Александрович — доктор медицинских наук, профессор кафедры пропедевтики внутренних болезней, гастроэнтерологии и гепатологии 

119435, г. Москва, ул. Погодинская, д. 1, стр. 1

Arkadiy A. Sheptulin — Dr. Sci. (Med.), Prof., Chair of Internal Disease Propaedeutics, Gastroenterology and Hepatology

119435, Moscow, Pogodinskaya str., 1, bld. 1

sheptulin_a_a@staff.sechenov.ruhttps://orcid.org/0000-0001-8148-2862ШифринО. С.ShifrinO. S.

Шифрин Олег Самуилович — доктор медицинских наук, профессор кафедры пропедевтики внутренних болезней, гастроэнтерологии и гепатологии

119435, г. Москва, ул. Погодинская, д. 1, стр. 1

Oleg S. Shifrin — Dr. Sci. (Med.), Prof., Chair of Internal Disease Propaedeutics, Gastroenterology and Hepatology

119435, Moscow, Pogodinskaya str., 1, bld. 1

shifrin_o_s@staff.sechenov.ruФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский Университет) Министерства здравоохранения Российской ФедерацииSechenov First Moscow State Medical University (Sechenov University)ФГБУ «Национальный медицинский исследовательский центр хирургии им. А.В. Вишневского» Министерства здравоохранения Российской ФедерацииA.V. Vishnevsky Institute of SurgeryФГАOУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Министерства здравоохранения Российской ФедерацииN.I. Pirogov Russian National Research Medical UniversityФГБОУ ВО «Дальневосточный государственный медицинский университет» Министерства здравоохранения Российской ФедерацииFar-Eastern State Medical UniversityФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский Университет) Министерства здравоохранения Российской ФедерацииPavlov First Saint-Petersburg State Medical UniversityФГБОУ ВО «Кубанский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииKuban State Medical UniversityГБУЗ «Городская клиническая больница № 4» Департамента здравоохранения г. МосквыCity Clinical Hospital No. 4, Moscow City Department of HealthФГБУ «Национальный медицинский исследовательский центр хирургии имени А.В. Вишневского» Министерства здравоохранения Российской ФедерацииA.V. Vishnevsky Institute of SurgeryГБУ «Санкт-Петербургский научно-исследовательский институт скорой помощи им. И.И. Джанелидзе»Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency MedicineФГБУ «Национальный медицинский исследовательский центр хирургии имени А.В. Вишневского» Министерства здравоохранения Российской Федерации; ФГАOУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Министерства здравоохранения Российской ФедерацииA.V. Vishnevsky Institute of Surgery; N.I. Pirogov Russian National Research Medical UniversityФГБОУ ВО «Санкт-Петербургский государственный педиатрический медицинский университет» Министерства здравоохранения Российской ФедерацииSt. Petersburg State Paediatric Medical UniversityФГАОУ ВО «Казанский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииKazan State Medical UniversityАО «Ильинская больница»Ilyinskaya Hospital JSCФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Министерства здравоохранения Российской ФедерацииA.I. Yevdokimov Moscow State University of Medicine and DentistryФГБОУ ВО «Военно-медицинская академия им. С.М. Кирова» Министерства обороны Российской ФедерацииS.M. Kirov Military Medical AcademyФГБОУ ВО «Новосибирский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииNovosibirsk State Medical UniversityФГБОУ ВО «Уральский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииUral State Medical UniversityФБГОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Министерства здравоохранения Российской ФедерацииMechnikov North-Western State Medical UniversityФГБУ «Национальный медицинский исследовательский центр им. В.А. Алмазова»V.A. Almazov National Medical Research CentreФГБУ «Национальный медицинский исследовательский центр хирургии имени А.В. Вишневского» Министерства здравоохранения Российской Федерации; ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Министерства здравоохранения Российской ФедерацииA.V. Vishnevsky Institute of Surgery; A.I. Yevdokimov Moscow State University of Medicine and DentistryФГАOУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Министерства здравоохранения Российской Федерации; ГБУЗ «Городская клиническая больница № 31» Департамента здравоохранения г. МосквыN.I. Pirogov Russian National Research Medical UniversityГБУЗ «Городская клиническая больница им. С.П. Боткина» Департамента здравоохранения г. МосквыBotkin HospitalФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Министерства здравоохранения Российской ФедерацииN.I. Pirogov Russian National Research Medical UniversityФГАОУ ВО «Первый Московский государственный университет им. И.М. Сеченова» (Сеченовский Университет) Министерства здравоохранения Российской ФедерацииSechenov First Moscow State Medical University (Sechenov University)20221505202232299156Copyright © Ивашкин В.Т., Кригер А.Г., Охлобыстин А.В., Анищенко М.А., Кардашева С.С., Алексеенко С.А., Багненко С.Ф., Быков М.И., Будзинский C.А., Буриев И.М., Вишневский В.А., Гальперин Э.И., Глабай В.П., Гольцов В.Р., Дюжева Т.Г., Кармазановский Г.Г., Королев М.П., Красильников Д.М., Кучерявый Ю.А., Маев И.В., Майстренко Н.А., Осипенко М.Ф., Прудков М.И., Симаненков В.И., Солоницин Е.Г., Федоров А.В., Федоров Е.Д., Хлынов И.Б., Чикунова М.В., Шабунин А.В., Шаповальянц С.Г., Шептулин А.А., Шифрин О.С., 20222022Ивашкин В.Т., Кригер А.Г., Охлобыстин А.В., Анищенко М.А., Кардашева С.С., Алексеенко С.А., Багненко С.Ф., Быков М.И., Будзинский C.А., Буриев И.М., Вишневский В.А., Гальперин Э.И., Глабай В.П., Гольцов В.Р., Дюжева Т.Г., Кармазановский Г.Г., Королев М.П., Красильников Д.М., Кучерявый Ю.А., Маев И.В., Майстренко Н.А., Осипенко М.Ф., Прудков М.И., Симаненков В.И., Солоницин Е.Г., Федоров А.В., Федоров Е.Д., Хлынов И.Б., Чикунова М.В., Шабунин А.В., Шаповальянц С.Г., Шептулин А.А., Шифрин О.С.Ivashkin V.T., Kriger A.G., Okhlobystin A.V., Anischenko M.A., Kardasheva S.S., Alekseenko S.A., Bagnenko S.F., Bykov M.I., Budzinskiy S.A., Buriev I.M., Vishnevskiy V.A., Galperin E.I., Glabay V.P., Goltsov V.R., Dyuzheva T.G., Karmazanovskiy G.G., Korolev M.P., Krasilnikov D.M., Kucheryavy Y.A., Maev I.V., Maystrenko N.A., Osipenko M.F., Prudkov M.I., Simanenkov V.I., Solonitsin E.G., Fedorov A.V., Fedorov E.D., Khlynov I.B., Chikunova M.V., Shabunin A.V., Shapovalyants S.G., Sheptulin A.A., Shifrin O.S.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/703Цель

Цель: представить современные методы диагностики и лечения хронического панкреатита для врачей-гастроэнтерологов, врачей общей практики и врачей-терапевтов.

Основное содержание

Основное содержание. Хронический панкреатит (ХП) – длительное воспалительное заболевание поджелудочной железы, проявляющееся необратимыми морфологическими изменениями паренхимы и протоков органа, которые вызывают боль и/или стойкое снижение функции. Современные представления об этиологии ХП отражает классификация TIGAR-O. К критериям установления диагноза ХП относят характерные жалобы на приступы абдоминальной боли и/или клинические и лабораторные признаки экзокринной, эндокринной недостаточности при обязательном выявлении достоверных морфологических изменений (кальцификатов в паренхиме и камней в протоках поджелудочной железы, расширения главного панкреатического протока и его ветвей). КТ, МРХПГ и эндосонография панкреатобилиарной зоны рекомендуются как методы выбора для верификации диагноза ХП. Консервативное лечение пациентов с ХП направлено на купирование симптомов и предотвращение развития осложнений. Отдельные случаи с некупируемой болью в животе, а также осложненное течение заболевания (развитие протоковой гипертензии за счет вирзунголитиаза или стриктур протока ПЖ, механической желтухи, обусловленной компрессией холедоха, симптоматических постнекротических кист, портальной гипертензии за счет сдавления конфлюенса воротной вены или тромбоза селезеночной вены, стойкого нарушения пассажа пищи по двенадцатиперстной кишке, ложной аневризмы бассейна чревного ствола и верхней брыжеечной артерии) служат показанием к эндоскопическому или хирургическому лечению. В Рекомендациях представлены современные подходы к диагностике, консервативному, эндоскопическому и хирургическому лечению ХП, профилактике его осложнений.

Заключение

Заключение. Выполнение клинических рекомендаций может способствовать своевременному установлению диагноза и улучшению качества оказания медицинской помощи пациентам с хроническим панкреатитом.

Aim

Aim: to present modern methods of diagnosis and treatment of chronic pancreatitis for gastroenterologists, general practitioners and physicians.

Chronic pancreatitis (CP) is a long-term inflammatory disease of the pancreas, manifested by irreversible morphological changes in the parenchyma and pancreatic ducts, which cause pain and/or persistent impairment of function. Current concept on the etiology of CP is reflected by the TIGAR-O classification. The criteria for establishing the diagnosis of CP include typical attacks of abdominal pain and/or clinical and laboratory signs of exocrine, endocrine insufficiency with the mandatory detection of characteristic morphological changes (calcifications in the parenchyma and pancreatic ductal stones, dilatation of the main pancreatic duct and its branches). CT, MRCP, and pancreatobiliary endosonography are recommended as the methods of choice to verify the diagnosis of CP. Conservative treatment of patients with CP is provided for symptom relief and prevention of complications. Individual cases with severe non-interactable abdominal pain, as well as a complicated course of the disease (development of ductal hypertension due to main pancreatic duct stones or strictures, obstructive jaundice caused by compression of the common bile duct, symptomatic postnecrotic cysts, portal hypertension due to compression of the portal vein or thrombosis of the splenic vein, persistent duodenal obstruction, pseudoaneurysm of the celiac trunk basin and the superior mesenteric artery) serve as an indication for endoscopic or surgical treatment. The Guidelines set out modern approaches to the diagnosis, conservative, endoscopic and surgical treatment of CP, and the prevention of its complications.

Conclusion

Conclusion. The implementation of clinical guidelines can contribute to the timely diagnosis and improve the quality of medical care for patients with chronic pancreatitis.

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