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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-2022-16-7-28-35</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-6857</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 пищевода и желудка</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Diseases of the esophagus and stomach</subject></subj-group></article-categories><title-group><article-title>Эффективность рабепразола (Разо®) для лечения различных клинических вариантов ГЭРБ: результаты исследования GERBERA</article-title><trans-title-group xml:lang="en"><trans-title>Efficacy of rabeprazole (Razo®) in the treatment of various clinical variants of GERD: results from the GERBERA study</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9980-2294</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Цуканов</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Tsukanov</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Цуканов Владислав Владимирович - доктор медицинских наук, профессор, заведующий клиническим отделением патологии пищеварительной системы у взрослых и детей.</p><p>660022, Красноярск, ул. Партизана Железняка, д. 3г.</p></bio><bio xml:lang="en"><p>Vladislav V. Tsukanov - Dr. Sci. (Med.), Professor, Head of the Clinical Department of the Digestive System Pathology of Adults and Children, Federal Research Center “Krasnoyarsk Science Center” of the Siberian Branch of the Russian Academy of Sciences, Separate Subdivision “Scientific Research Institute of medical problems of the North”.</p><p>3g, Partizan Zheleznyak St., Krasnoyarsk, 660022.</p></bio><email xlink:type="simple">gastro@impn.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Черепнин</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Cherepnin</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Черепнин Михаил Александрович - младший научный сотрудник клинического отделения патологии пищеварительной системы у взрослых и детей.</p><p>660022, Красноярск, ул. Партизана Железняка, д. 3г.</p></bio><bio xml:lang="en"><p>Mikhail A. Cherepnin - Junior Research Fellow of the Clinical Department of the Digestive System Pathology of Adults and Children, Federal Research Center “Krasnoyarsk Science Center” of the Siberian Branch of the Russian Academy of Sciences, Separate Subdivision “Scientific Research Institute of medical problems of the North”.</p><p>3g, Partizan Zheleznyak St., Krasnoyarsk, 660022.</p></bio><email xlink:type="simple">mikhail.cherepnin@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6481-3196</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Васютин</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasyutin</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Васютин Александр Викторович - кандидат медицинских наук, старший научный сотрудник клинического отделения патологии пищеварительной системы у взрослых и детей.</p><p>660022, Красноярск, ул. Партизана Железняка, д. 3г.</p></bio><bio xml:lang="en"><p>Alexandr V. Vasyutin - Cand. Sci. (Med.), Senior Research Fellow of the Clinical Department of the Digestive System Pathology of Adults and Children, Federal Research Center “Krasnoyarsk Science Center” of the Siberian Branch of the Russian Academy of Sciences, Separate Subdivision “Scientific Research Institute of medical problems of the North”.</p><p>3g, Partizan Zheleznyak St., Krasnoyarsk, 660022.</p></bio><email xlink:type="simple">alexander@kraslan.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7518-1895</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тонких</surname><given-names>Ю. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Tonkikh</surname><given-names>J. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тонких Юлия Леонгардовна - кандидат медицинских наук, ведущий научный сотрудник клинического отделения патологии пищеварительной системы взрослых  и детей.</p><p>660022, Красноярск, ул. Партизана Железняка, д. 3г.</p></bio><bio xml:lang="en"><p>Julia L. Tonkikh - Cand. Sci. (Med.), Leading Research Fellow of the Clinical Department of the Digestive System Pathology of Adults and Children, Federal Research Center “Krasnoyarsk Science Center” of the Siberian Branch of the Russian Academy of Sciences, Separate Subdivision “Scientific Research Institute of medical problems of the North”.</p><p>3g, Partizan Zheleznyak St., Krasnoyarsk, 660022.</p></bio><email xlink:type="simple">tjulia@bk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5988-1688</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каспаров</surname><given-names>Э. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kasparov</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Каспаров Эдуард Вильямович - доктор медицинских наук, профессор, директор НИИ медицинских проблем Севера, заместитель директора.</p><p>660022, Красноярск, ул. Партизана Железняка, д. 3г.</p></bio><bio xml:lang="en"><p>Edward V. Kasparov - Dr. Sci. (Med.), Professor, Director of the Scientific Research Institute of Medical Problems of the North, Deputy Director, Federal Research Center “Krasnoyarsk Science Center” of the Siberian Branch of the Russian Academy  of  Sciences, Separate  Subdivision “Scientific Research Institute of medical problems of the North”.</p><p>3g, Partizan Zheleznyak St., Krasnoyarsk, 660022.</p></bio><email xlink:type="simple">clinic@impn.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Масленникова</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Maslennikova</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Масленникова Надежда Анатольевна - кандидат медицинских наук, ассистент кафедры инфекционных болезней.</p><p>660022, Красноярск, ул. Партизана Железняка, д. 1.</p></bio><bio xml:lang="en"><p>Nadezhda A. Maslennikova - Cand. Sci. (Med.), Assistant of the Department of Infectious Diseases, Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky.</p><p>1, Partizan Zheleznyak St., Krasnoyarsk, 660022.</p></bio><email xlink:type="simple">frosya19751@rambler.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8909-8707</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Павлова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Pavlova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Павлова Надежда Викторовна - кандидат медицинских наук, медицинский отдел.</p><p>115035, Москва, Овчинниковская наб., д. 20, стр. 1</p></bio><bio xml:lang="en"><p>Nadezhda V. Pavlova - Cand. Sci. (Med.), Medical Department, Dr. Reddy’s Laboratories Ltd.</p><p>20, Bldg. 1, Ovchinnikovskaya Emb., Moscow, 115035.</p></bio><email xlink:type="simple">Nadezhda.Pavlova@drreddys.com</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральный исследовательский центр «Красноярский научный центр» Сибирского отделения Российской академии наук, обособленное подразделение «Научно-исследовательский институт медицинских проблем Севера»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Research Center “Krasnoyarsk Science Center” of the Siberian Branch of the Russian Academy of Sciences, Separate Subdivision “Scientific Research Institute of medical problems of the North”</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Красноярский государственный медицинский университет имени профессора В.Ф. Войно-Ясенецкого</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetsky</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ООО «Др. Редди’c Лабораторис»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Dr. Reddy’s Laboratories Ltd</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>13</day><month>05</month><year>2022</year></pub-date><volume>0</volume><issue>7</issue><fpage>28</fpage><lpage>35</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Цуканов В.В., Черепнин М.А., Васютин А.В., Тонких Ю.Л., Каспаров Э.В., Масленникова Н.А., Павлова Н.В., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Цуканов В.В., Черепнин М.А., Васютин А.В., Тонких Ю.Л., Каспаров Э.В., Масленникова Н.А., Павлова Н.В.</copyright-holder><copyright-holder xml:lang="en">Tsukanov V.V., Cherepnin M.A., Vasyutin A.V., Tonkikh J.L., Kasparov E.V., Maslennikova N.A., Pavlova N.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/6857">https://www.med-sovet.pro/jour/article/view/6857</self-uri><abstract><sec><title>Введение</title><p>Введение. В последнее время значимой проблемой в терапии стала рефрактерная к ингибиторам протонной помпы гастроэзофагеальная рефлюксная болезнь (ГЭРБ). В ряде работ отмечаются значительные отличия эффективности лечения эзофагита и неэрозивной  рефлюксной  болезни  (НЭРБ).  В  этой  связи  представляется  рациональным  получение  новых  данных о результатах лечения различных клинических вариантов ГЭРБ.</p></sec><sec><title>Цель</title><p>Цель. Выполнить проспективное обсервационное пострегистрационное исследование эффективности рабепразола (Разо®) в дозе 20 мг 1 раз в день у больных НЭРБ через 2 и 4 нед. терапии и эзофагитом стадий А и В через 4 нед. терапии (GERBERA).</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. В исследование было включено 75 больных с ГЭРБ (36 мужчин и 39 женщин, средний возраст – 41,7 ± 1,5 года). Клинический осмотр с заполнением стандартных анкет, изучение качества жизни пациентов проходило в течение трех визитов: до начала лечения, через 2 и через 4 нед. терапии. Фиброэзофагогастродуоденоскопия осуществлялась всем пациентам до начала лечения и пациентам с эзофагитом через 4 нед. терапии. Все пациенты получали рабепразол (Разо®) в дозе 20 мг 1 раз в день. Определение изжоги и кислой отрыжки осуществлялось согласно рекомендациям Монреальского консенсуса, диагностика эзофагита выполнялась на основании Лос-Анджелесской классификации.</p></sec><sec><title>Результаты и обсуждение</title><p>Результаты и обсуждение. Среди больных с НЭРБ через 2 нед. ответили  на терапию  Разо®  74,1% пациентов, через 4 нед. доля ответчиков увеличилась до 94,4% (p = 0,008). Заживление эрозий через 4 нед. отмечалось у 90,5% пациентов с эзофагитом.  Терапия  Разо®  сопровождалась  выраженным  улучшением  у  больных  ГЭРБ  по  всем  параметрам  качества   жизни и удовлетворенностью пациентов итогами применения Разо®.</p></sec><sec><title>Заключение</title><p>Заключение. По результатам проведенного исследования мы получили высокую эффективность Разо® в дозе 20 мг 1 раз в сутки для терапии больных с НЭРБ и эрозивным эзофагитом.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Introduction</title><p>Introduction. Gastroesophageal reflux disease (GERD) is extremely common in the structure of gastroenterological diseases. Aim. To conduct a prospective observational post-marketing study of rabeprazole (Razo®) 20 mg taking once daily in patients with non-erosive reflux disease (NERD) after 2 and 4 weeks of therapy and esophagitis stage A and B after 4 weeks of therapy (GERBERA).</p></sec><sec><title>Materials and methods</title><p>Materials and methods. 75 patients with GERD were included in the study (36 men and 39 women, mean age 41.7 ± 1.5 years). Clinical examination with the completion of standard questionnaires, assessment of the quality of life of patients were performed at three visits: before the start of the treatment, after 2 and 4 weeks of therapy. Fibroesophagogastroduodenoscopy was performed in all patients before treatment and in patients with esophagitis after 4 weeks of therapy. All patients received rabeprazole (Razo®) at a dose of 20 mg once a day for the treatment of GERD. The diagnosis of heartburn and sour eructation was carried out according to the recommendations of the Montreal Consensus, the diagnosis of esophagitis was performed based on the Los Angeles classification.</p></sec><sec><title>Results and discussion</title><p>Results and discussion. Among patients with NERD, 74.1% of patients responded to Razo® therapy after 2 weeks of treatment, after 4 weeks  the proportion of responders increased to 94.4% (p = 0.008). Healing of erosions after  4 weeks  was observed  in 90.5% of patients with esophagitis. Razo® therapy was accompanied by a pronounced improvement in GERD patients in all parameters of quality of life and patient satisfaction with the results of Razo® treatment.</p></sec><sec><title>Conclusion</title><p>Conclusion. Based on the results of our study, we obtained high efficacy of Razo® at a dose of 20 mg once a day for the treatment of patients with NERD and erosive esophagitis.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>ГЭРБ</kwd><kwd>эзофагит</kwd><kwd>ингибиторы протонной помпы</kwd><kwd>рабепразол</kwd><kwd>лечение</kwd></kwd-group><kwd-group xml:lang="en"><kwd>GERB</kwd><kwd>esophagitis</kwd><kwd>proton pump inhibitors</kwd><kwd>rabeprazole</kwd><kwd>treatment</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование выполнено при финансовой поддержке компании ООО «Др. Редди’с Лабораторис»</funding-statement><funding-statement xml:lang="en">The research was carried out with the financial support of the company “Dr. Reddy’s Laboratories”</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Yadlapati R., Gyawali C.P., Pandolfino J.E., CGIT GERD Consensus Conference Participants. AGA Clinical Practice Update on the Personalized Approach to the Evaluation and Management of GERD: Expert Review. Clin Gastroenterol Hepatol. заменить на 2022;20(5):984–994. https://doi.org/10.1016/j.cgh.2022.01.025.</mixed-citation><mixed-citation xml:lang="en">Yadlapati R., Gyawali C.P., Pandolfino J.E., CGIT GERD Consensus Conference Participants. AGA Clinical Practice Update on the Personalized Approach to the Evaluation and Management of GERD: Expert Review. 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