medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2021-5-176-184medsovet-6184Research ArticleЗАБОЛЕВАНИЯ КИШЕЧНИКАBOWEL DISEASESВозможности эндоскопической ультрасонографии в диагностике воспалительных заболеваний кишечника и их осложненийDiagnostic potential of endoscopic ultrasound for inflammatory bowel diseases and their complicationsБудзинскаяА. А.BudzinskayaA. A.

к.м.н., старший научный сотрудник эндоскопического отделения, 

129110, Москва, ул. Щепкина, д. 61/2, корп. 15

Cand. Sci. (Med.), Senior Research Associate of Endoscopy Department, 

61/2, Bldg. 15, Schepkin St., Moscow, 129110

atitaeva@inbox.ruБелоусоваЕ. А.BelousovaE. A.

д.м.н., профессор, руководитель отделения гастроэнтерологии, 

129110, Москва, ул. Щепкина, д. 61/2, корп. 15

Dr. Sci. (Med.), Professor, Head of Department of Gastroenterology, 

61/2, Bldg. 15, Schepkin St., Moscow, 129110

eabelous@yandex.ruТерещенкоС. Г.TereshchenkoS. G.

д.м.н., руководитель эндоскопического отделения, 

129110, Москва, ул. Щепкина, д. 61/2, корп. 15

Dr. Sci. (Med.), Head of Endoscopy Department, 

61/2, Bldg. 15, Schepkin St., Moscow, 129110

tat43n@yandex.ruАхмедоваЭ. Ф.AkhmedovaE. F.

аспирант отделения гастроэнтерологии, 

129110, Москва, ул. Щепкина, д. 61/2, корп. 9

Postgraduate Student, Department of Gastroenterology, 

61/2, Bldg. 9, Schepkin St., Moscow, 129110

elvira@ahmadova.comМосковский областной научно-исследовательский клинический институт имени М.Ф. ВладимирскогоРоссияMoscow Regional Research Clinical Institute named after M.F. VladimirskyRussian Federation20211305202105176184Copyright © Будзинская А.А., Белоусова Е.А., Терещенко С.Г., Ахмедова Э.Ф., 20212021Будзинская А.А., Белоусова Е.А., Терещенко С.Г., Ахмедова Э.Ф.Budzinskaya A.A., Belousova E.A., Tereshchenko S.G., Akhmedova E.F.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/6184

Воспалительные заболевания кишечника (ВЗК), к которым относятся язвенный колит и болезнь Крона, – хронические воспалительные заболевания желудочно-кишечного тракта, являющиеся предметом многочисленных исследований и дискуссий во  всем мире. Распространенность ВЗК в  мире составляет 20,4  на  100  тыс. населения для язвенного колита и 3,7 на 100 тыс. населения – для болезни Крона. С каждым годом число больных растет, что, возможно, говорит об улучшении диагностики ВЗК, но  вместе с  тем демонстрирует определенные недостатки и  трудности в  диагностике и  лечении данной группы больных. Однако несмотря на то что изучением ВЗК занимаются ученые всего мира на протяжении многих десятилетиий, актуальными остаются многие вопросы диагностики и лечения данной патологии. Ввиду стертости симптоматики на ранних этапах, схожести симптомов с другими гастроэнтерологическими заболеваниями, диагностика ВЗК в большом количестве случаев представляет определенные сложности. Вследствие поздней диагностики появляются запущенные формы заболевания, а также осложнения ВЗК. Эндоскопическая ультрасонография (ЭУС, эндоУЗИ) является современным методом диагностики желудочно-кишечного тракта, включающего в  себя эндоскопический и  ультразвуковой осмотры. В статье рассматриваются различные международные и российские исследования по использованию ЭУС при различной патологии ЖКТ. Несмотря на отсутствие ЭУС в официальных рекомендациях при ВЗК, метод представляется перспективным для диагностики, дифференциальной диагностики язвенного колита и болезни Крона, а также осложнений данных заболеваний, таких как первичный склерозирующий холангит, хронический и аутоиммунный панкреатит, аутоиммунный гепатит, рак поджелудочной железы и др. 

Inflammatory bowel diseases (IBD), which is a term for two conditions (ulcerative colitis and Crohn’s disease), are chronic inflammatory diseases of the gastrointestinal tract that are the subject of many studies and much discussion around the world. The global prevalence of IBD is 20.4 per 100 thousand for ulcerative colitis and 3.7 per 100 thousand for Crohn’s disease. Every year the number of patients is increasing, which may indicate improvement in diagnosis of IBD, but at the same time demonstrates certain disadvantages and difficulties in the diagnosis and treatment of this group of patients. However, despite the fact that IBD has been exercising the minds of scientists around the world for many decades, many issues of diagnosis and treatment of this pathology appear relevant. Due to the paucisymptomatic condition of patients at early stages and the similarity of its symptoms with other gastroenterological diseases, the diagnosis of IBD involves certain difficulties in many cases. Advanced forms of the disease, as well as complications of IBD, result from late diagnosis. Endoscopic ultrasound (EUS, endo-ultrasound), which includes endoscopic and ultrasound examinations, is a modern imaging technique for the diagnosis of gastrointestinal diseases. The article discusses various international and Russian studies on the use of EUS in various pathologies of the gastrointestinal tract. Despite the absence of EUS in the formal guidelines for IBD, the technique appears promising for diagnosis, differential diagnosis of ulcerative colitis and Crohn’s disease, as well as complications of these diseases, such as primary sclerosing cholangitis, chronic and autoimmune pancreatitis, autoimmune hepatitis, pancreatic cancer, etc. 

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