inovmedИнновационная медицина КубаниInnovative Medicine of Kuban2541-9897Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 110.35401/2541-9897-2023-26-3-121-128inovmed-728Research ArticleОБЗОРЫREVIEWSРоль капсульной эндоскопии в диагностике предполагаемого тонкокишечного кровотеченияCapsule Endoscopy for the Diagnosis of Suspected Small Bowel Bleedinghttps://orcid.org/0000-0002-9532-0626ПоляковП. П.PolyakovP. P.

Павел Павлович Поляков, к. м. н., ассистент

кафедра общей и клинической патологической физиологии

350063

ул. М. Седина, 4

Краснодар

Pavel P. Polyakov, Cand. Sci. (Med.), Assistant Professor

Department of General and Clinical Pathophysiology

350063

ulitsa M. Sedina 4

Krasnodar

palpal.p@yandex.ruhttps://orcid.org/0000-0002-6870-3023АлиметовА. Я.AlimetovA. Ya.

Анар Яшарович Алиметов, врач-хирург

Краснодар

Anar Ya. Alimetov, Surgeon

Krasnodar

https://orcid.org/0000-0002-7940-0319ОноприевА. В.OnoprievA. V.

Александр Владимирович Оноприев, д. м. н., профессор

кафедра хирургии № 1 ФПК и ППС

Краснодар

Alexandr V. Onopriev, Professor

Surgery Department No. 1, Faculty of Continuing Professional Development and Retraining

Krasnodar

https://orcid.org/0000-0002-1873-8690АвакимянА. В.AvakimyanA. V.

Андрей Владимирович Авакимян, к. м. н., главный врач

Краснодар

Andrey V. Avakimyan, Cand. Sci. (Med.), Chief Physician

Krasnodar

https://orcid.org/0000-0002-0694-9984КадеА. Х.KadeA. Kh.

Азамат Халидович Каде, д. м. н., профессор, заведующий кафедрой

кафедра общей и клинической патологической физиологии

Краснодар

Azamat Kh. Kade, Dr. Sci. (Med.), Professor, Head of the Department

Department of General and Clinical Pathophysiology

Krasnodar

https://orcid.org/0000-0002-5667-0623ЗанинС. А.ZaninS. A.

Сергей Александрович Занин, к. м. н., доцент

кафедра общей и клинической патологической физиологии

Краснодар

Sergey A. Zanin, Cand. Sci. (Med.), Associate Professor

Department of General and Clinical Pathophysiology

Krasnodar

https://orcid.org/0000-0002-8027-628XЗанинаЕ. С.ZaninaE. S.

Екатерина Сергеевна Занина, студентка 5-го курса

лечебный факультет

Краснодар

Ekaterina S. Zanina, 5th Year Student

Faculty of General Medicine

Krasnodar

https://orcid.org/0000-0002-5956-1289ПоповЗ. С.PopovZ. S.

Захар Семенович Попов, студент 6-го курса

лечебный факультет

Краснодар

Zakhar S. Popov, 6th Year Student

Faculty of General Medicine

Krasnodar

https://orcid.org/0000-0001-7140-0739ТрофименкоА. И.TrofimenkoA. I.

Артем Иванович Трофименко, к. м. н., доцент

кафедра общей и клинической патологической физиологии

Краснодар

Artem I. Trofimenko, Cand. Sci. (Med.), Associate Professor

Department of General and Clinical Pathophysiology

Krasnodar

https://orcid.org/0000-0003-0471-8397ДжндоянЗ. Т.JndoyanZ. T.

Зинаида Титаловна Джндоян,  д. м. н., профессор, заведующая кафедрой

кафедра пропедевтики внутренних болезней

Ереван

Zinaida T. Jndoyan, Dr. Sci. (Med.), Professor, Head of the Department

Internal Disease Propedeutics Department

Yerevan

https://orcid.org/0000-0002-5383-8355АвагимянА. А.AvagimyanA. A.

Ашот Арманович Авагимян, к. м. н., ассистент

кафедра патологической анатомии и клинической морфологии

Ереван

Ashot A. Avagimyan, Cand. Sci. (Med.), Assistant Professor

Department of Pathological Anatomy and Clinical Morphology

Yerevan

Кубанский государственный медицинский университетРоссияKuban State Medical UniversityRussian FederationМедицинский центр «Клиника А»РоссияKlinika A Medical CenterRussian FederationКубанский государственный медицинский университет; НИИ – ККБ № 1 им. проф. С. В. ОчаповскогоРоссияKuban State Medical University; Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1Russian FederationЕреванский государственный медицинский университет им. М. Гераци; Университетская клиническая больница им. А. Л. МикаелянаАрменияYerevan State Medical University after M. Heratsi; Mikaelyan University Clinical HospitalArmeniaЕреванский государственный медицинский университет им. М. ГерациАрменияYerevan State Medical University after M. HeratsiArmenia20233009202303121128Copyright © Поляков П.П., Алиметов А.Я., Оноприев А.В., Авакимян А.В., Каде А.Х., Занин С.А., Занина Е.С., Попов З.С., Трофименко А.И., Джндоян З.Т., Авагимян А.А., 20232023Поляков П.П., Алиметов А.Я., Оноприев А.В., Авакимян А.В., Каде А.Х., Занин С.А., Занина Е.С., Попов З.С., Трофименко А.И., Джндоян З.Т., Авагимян А.А.Polyakov P.P., Alimetov A.Y., Onopriev A.V., Avakimyan A.V., Kade A.K., Zanin S.A., Zanina E.S., Popov Z.S., Trofimenko A.I., Jndoyan Z.T., Avagimyan A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.innovmedkub.ru/jour/article/view/728

   В данном обзоре обсуждается роль капсульной эндоскопии в диагностике предполагаемого тонкокишечного кровотечения и сравниваются рекомендации Европейского общества гастроинтестинальной эндоскопии (European Society of Gastrointestinal Endoscopy, ESGE), Американской коллегии гастроэнтерологов (American College of Gastroenterology, ACG), Американского общества гастроинтестинальной эндоскопии (American Society for Gastrointestinal Endoscopy, ASGE), Канадской гастроэнтерологической ассоциации (Canadian Association of Gastroenterology, CAG), объединенного консенсуса четырех японских экспертных сообществ. Европейские и североамериканские эксперты рекомендуют проводить капсульную эндоскопию в качестве диагностического метода первой линии у взрослого пациента с предполагаемым тонкокишечным кровотечением без жизнеугрожающих признаков после неинформативных процедур илеоколоноскопии и эзофагогастродуоденоскопии. Японские эксперты, напротив, отдают предпочтение методам томографической визуализации грудной и брюшной полостей («from the chest to the pelvis» – от груди до таза), указывая на капсульную эндоскопию как альтернативный метод.

   This review discusses the role of capsule endoscopy in diagnosing suspected small bowel bleeding and compares guidelines of the European Society of Gastrointestinal Endoscopy (ESGE), the American College of Gastroenterology (ACG), the American Society for Gastrointestinal Endoscopy (ASGE), the Canadian Association of Gastroenterology (CAG), and the consensus document of 4 Japanese medical societies. European and North American experts recommend capsule endoscopy as a first-line diagnostic modality for suspected small bowel bleeding without life-threatening signs in adult patients when ileocolonoscopy and esophagogastroduodenoscopy failed to be informative. Japanese experts, on the contrary, prefer cross-sectional imaging “from the chest to the pelvis” and consider capsule endoscopy as an alternative.

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