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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-2019-3-98-107</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-3012</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>ЗАБОЛЕВАНИЯ КИШЕЧНИКА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>BOWEL DISEASES</subject></subj-group></article-categories><title-group><article-title>Циклическая терапия симптоматической дивертикулярной болезни рифаксимином и растворимыми пищевыми волокнами – эффективная профилактика осложнений</article-title><trans-title-group xml:lang="en"><trans-title>Cyclic rifaximin and soluble dietary fiber therapy for symptomatic diverticular disease: effective prevention of complications</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>Голованова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Golovanova</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., профессор кафедры поликлинической терапии,</p><p>127473, г. Москва, ул. Делегатская, д. 20, стр. 1</p></bio><bio xml:lang="en"><p>Dr. of Sci. (Med.), Professor of Chair for Polyclinic Therapy,</p><p>127473, Moscow, 20, Bldg. 1, Delegatskaya St.</p></bio><email xlink:type="simple">golovanovaev@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Федеральное государственное бюджетное образовательное учреждение высшего образования «Московский государственный медико-стоматологический университет имени А.И. Евдокимова» Министерства здравоохранения Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Federal State Budgetary Educational Institution of the Higher Education «Moscow State University of Medicine and Dentistry named after A.I. Yevdokimov» of the Ministry of Healthcare of the Russian Federation<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>12</day><month>05</month><year>2019</year></pub-date><volume>0</volume><issue>3</issue><fpage>98</fpage><lpage>107</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Голованова Е.В., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Голованова Е.В.</copyright-holder><copyright-holder xml:lang="en">Golovanova E.V.</copyright-holder><license 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/3012">https://www.med-sovet.pro/jour/article/view/3012</self-uri><abstract><p>В статье рассматриваются актуальные проблемы ведения больных с дивертикулярной болезнью толстой кишки. Распространенность патологии неуклонно растет, что обусловлено более частой диагностикой заболевания и увеличением продолжительности жизни населения. Между тем неправильные подходы к ведению данной категории больных могут оборачиваться развитием грозных осложнений, часто приводящих к фатальному исходу. В работе представлены данные об эффективности лечения дивертикулярной болезни толстой кишки рифаксимином, в т. ч. с применением циклических курсов, достоверно снижающих риск развития осложнений. Особое внимание уделено роли пищевых волокон для профилактики развития воспаления при дивертикулярной болезни, в т. ч. в сочетании с рифаксимином.</p></abstract><trans-abstract xml:lang="en"><p>The article discusses the current issues of managing patients with colonic diverticular disease. The prevalence of pathology is steadily increasing, which is due to the more frequent diagnosis of the disease and the increase in life expectancy of the population. Meanwhile, the wrong approaches to the management of this category of patients can result in the development of serious complications that often result in fatal outcomes. The paper presents data on the efficacy of rifaximin therapy of colonic diverticular disease, including using cyclic courses that significantly reduce the risk of complications. Particular attention is paid to the role of dietary fiber in the prevention of the inflammation development in the diverticular disease, including dietary fiber combined with rifaximin.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>дивертикулярная болезнь толстой кишки</kwd><kwd>дивертикулит</kwd><kwd>рифаксимин</kwd><kwd>пищевые волокна</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Colonic diverticular disease</kwd><kwd>diverticulitis</kwd><kwd>rifaximin</kwd><kwd>dietary fiber</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">Cuomo R., Barbara G., Annibale B. Rifaximin and Diverticular disease: Position Paper of the Italian Society of Gastroenterology (SIGE). Digestive and Liver Disease/.http://dx.doi.org/10.1016/j.dld.2017.01.164</mixed-citation><mixed-citation xml:lang="en">Cuomo R., Barbara G., Annibale B. 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