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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">nogr</journal-id><journal-title-group><journal-title xml:lang="ru">Экспериментальная и клиническая гастроэнтерология</journal-title><trans-title-group xml:lang="en"><trans-title>Experimental and Clinical Gastroenterology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-8658</issn><publisher><publisher-name>«Global Media Technologies»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31146/1682-8658-ecg-195-11-5-14</article-id><article-id custom-type="elpub" pub-id-type="custom">nogr-1776</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>ПЕРЕДОВАЯ СТАТЬЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LEADING ARTICLE</subject></subj-group></article-categories><title-group><article-title>Обзор клинических рекомендаций по диагностике и лечению экзокринной панкреатической недостаточности</article-title><trans-title-group xml:lang="en"><trans-title>A brief review of clinical guidelines for the diagnosis and treatment of exocrine pancreatic insufficiency</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7760-2091</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кучерявый</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kucheryavyy</surname><given-names>Yu. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кучерявый Юрий Александрович, к. м. н., доцент, заведующий отделением гастроэнтерологии</p><p>143421. Московская область, г. о. Красногорск, д. Глухово, ул. Рублевское предместье, д. 2, корп.2</p></bio><bio xml:lang="en"><p>Yuri A. Kucheryavyy, Ph.D., Associate Professor, Head of the Department of Gastroenterology</p><p>143421. Moscow region, g. Krasnogorsk, Glukhovo village, st. Rublevskoe suburb, 2, building 2</p></bio><email xlink:type="simple">proped@mail.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/0000-0003-2815-3992</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бордин</surname><given-names>Д. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Bordin</surname><given-names>D. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бордин Дмитрий Станиславович, д. м. н., зав. отделом патологии поджелудочной железы, желчных путей и верхних отделов пищеварительного тракта; профессор кафедры пропедевтики внутренних болезней и гастроэнтерологии; профессор кафедры поликлинической терапии и семейной медицины</p><p>111123, Москва, ш. Энтузиастов, 86Москва, 127473, ул. Делегатская, д. 20, стр.1Тверь, 170100, улица Советская, дом 4</p></bio><bio xml:lang="en"><p>Dmitry S. Bordin, MD, PhD, Head of the Department of Pancreatic, Biliary and upper digestive tract disorders; professor of the department of outpatient therapy and family medicine; professor of the department of propaedeutic of internal diseases and gastroenterology</p><p>111123, Entuziastov Shosse,86, Moscow20, building 1, st. Delegatskaya, Moscow, 1274734, Sovetskaya street, Tver, 170100</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>АО Ильинская больница</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ilyinsky hospital</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Московский клинический научно-практический центр им. А. С. Логинова; Московский государственный медико-стоматологический университет им. А. И. Евдокимова; Тверской государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>A.S. Loginov Moscow clinical scientific center; A.I. Yevdokimov Moscow State University of Medicine and Dentistry; Tver State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>02</day><month>01</month><year>2022</year></pub-date><volume>0</volume><issue>11</issue><fpage>5</fpage><lpage>14</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Кучерявый Ю.А., Бордин Д.С., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Кучерявый Ю.А., Бордин Д.С.</copyright-holder><copyright-holder xml:lang="en">Kucheryavyy Y.A., Bordin D.S.</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.nogr.org/jour/article/view/1776">https://www.nogr.org/jour/article/view/1776</self-uri><abstract><p>В последние годы были опубликованы несколько консенсусов и рекомендаций по диагностике и лечению хронического панкреатита. В 2017 г. увидели свет Российский и Панъевропейский (HaPanEU) консенсусы, в 2018 г. — международный консенсус по панкреатиту минимальных изменений, в 2020 г. — клинические рекомендации Американского колледжа гастроэнтерологов, в 2021 г. — Британские клинические рекомендации. Многие их положения перекликаются. В настоящей обзорной статье были проанализированы основные положения последних рекомендаций с учетом возможности их адаптации к российской клинической практике.</p></abstract><trans-abstract xml:lang="en"><p>In recent years, several consensus and guidelines for the diagnosis and treatment of chronic pancreatitis have been published. In 2017, the Russian and Pan-European (HaPanEU) consensus was published, in 2018 — the international consensus on minimal change pancreatitis, in 2020 — the clinical guidelines of the American College of Gastroenterology, in 2021 — the British clinical guidelines. Many of their provisions overlap. This review article analyzed the main provisions of the latest recommendations, taking into account the possibility of their adaptation to Russian clinical practice.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>рекомендации по диагностике и лечению</kwd><kwd>хронический панкреатит</kwd><kwd>экзокринная панкреатическая недостаточность</kwd></kwd-group><kwd-group xml:lang="en"><kwd>recommendations for diagnosis and treatment</kwd><kwd>chronic pancreatitis</kwd><kwd>exocrine pancreatic insufficiency</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">Бордин Д. С., Кучерявый Ю. А. Ключевые позиции панъевропейских клинических рекомендаций по диагностике и лечению хронического панкреатита в фокусе гастроэнтеролога РМЖ. 2017. Т. 25. № 10. С. 730–737.</mixed-citation><mixed-citation xml:lang="en">Bordin D.S., Kucheryavy Yu. A. 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