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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2018-14-44-49</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-2650</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ВОСПАЛИТЕЛЬНЫЕ ЗАБОЛЕВАНИЯ КИШЕЧНИКА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>INFLAMMATORY BOWEL DISEASE</subject></subj-group></article-categories><title-group><article-title>Ведолизумаб в лечении воспалительных заболеваний кишечника: кому и как?</article-title><trans-title-group xml:lang="en"><trans-title>Vedolizumab in the treatment of inflammatory bowel diseases: whom and how?</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Головенко</surname><given-names>А. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Golovenko</surname><given-names>A. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., гастроэнтеролог,</p><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Головенко</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Golovenko</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., профессор кафедры,</p><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ООО «Глобал Медикал Систем»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Global Medical System LLC</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ДПО «Российская медицинская академия непрерывного медицинского образования» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuing Medical Education, Federal State Budgetary Educational Institution of Further Professional Education of the Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>09</day><month>10</month><year>2018</year></pub-date><volume>0</volume><issue>14</issue><fpage>44</fpage><lpage>49</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Головенко А.О., Головенко О.В., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Головенко А.О., Головенко О.В.</copyright-holder><copyright-holder xml:lang="en">Golovenko A.O., Golovenko O.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/2650">https://www.med-sovet.pro/jour/article/view/2650</self-uri><abstract><p>Статья посвящена применению ведолизумаба – селективного ингибитора α4β7-интегринов – в лечении воспалительных заболеваний кишечника (язвенного колита и болезни Крона). Приведены результаты клинических испытаний препарата и опыт применения ведолизумаба в реальной клинической практике. Предоставлены последние доступные сведения о профиле безопасности лекарственного средства. Рассмотрены практические аспекты терапии, такие как определение показаний к лечению, тактика при потере ответа, необходимость комбинации ведолизумаба с иммуносупрессорами, применение препарата у особых категорий пациентов.</p></abstract><trans-abstract xml:lang="en"><p>The article is devoted to the use of vedolizumab, an α4β7 integrin antagonist, in the treatment of inflammatory bowel diseases (ulcerative colitis and Crohn’s disease). It presents the results of clinical trials of the drug and the experience of using vedolizumab in actual clinical practice. The latest available information about the drug’s safety profile is provided. The authors considered the practical aspects of therapy, such as determining the indications for treatment, tactics in loss of response, the need for a combination of vedolizumab with immunosuppressors, and the use of the drug in specific categories of patients.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>воспалительные заболевания кишечника</kwd><kwd>терапия</kwd><kwd>ведолизумаб</kwd><kwd>иммуносупрессанты</kwd></kwd-group><kwd-group xml:lang="en"><kwd>inflammatory bowel disease</kwd><kwd>therapy</kwd><kwd>vedolizumab</kwd><kwd>immunosuppressants</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Allez M, Karmiris K, Louis E, Van Assche G, BenHorin S, Klein A et al. Report of the ECCO pathogenesis workshop on anti-TNF therapy failures in inflammatory bowel diseases: definitions, frequency and pharmacological aspects. 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