nogrЭкспериментальная и клиническая гастроэнтерологияExperimental and Clinical Gastroenterology1682-8658«Global Media Technologies»10.31146/1682-8658-ecg-232-12-49-145nogr-2923Research ArticleКЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИCLINICAL GUIDELINESHelicobacter pylori, хеликобактериоз и ассоциированные заболевания (VIII Московские соглашения по диагностике и лечению хеликобактериоза у взрослых и детей) Руководство для врачейHelicobacter pylori, helicobacteriosis and associated diseases (VIII Moscow Agreements on the diagnosis and treatment of helicobacteriosis in adults and children) A Clinical Guide for PhysiciansЛазебникЛ. Б.LazebnikL. B.leonid.borisl@gmail.comДехничН. Н.DekhnichN. N.noemail@neicon.ruСиткинС. И.SitkinS. I.noemail@neicon.ruАтрушевичВ. Г.AtrushevichV. G.noemail@neicon.ruАвалуеваЕ. Б.AvaluevaE. B.noemail@neicon.ruБакулинИ. Г.BakulinI. G.noemail@neicon.ruБакулинаН. В.BakulinaN. V.noemail@neicon.ruБарышниковаН. В.BaryshnikovaN. V.noemail@neicon.ruБелоусоваЛ. Н.BelousovaL. N.noemail@neicon.ruБординД. С.BordinD. S.noemail@neicon.ruВеселовА. В.VeselovA. V.noemail@neicon.ruГриневичВ. Б.GrinevichV. B.noemail@neicon.ruГуроваМ. М.GurovaM. M.noemail@neicon.ruЕреминаЕ. Ю.EreminaE. Yu.noemail@neicon.ruИванчикН. В.IvanchikN. V.noemail@neicon.ruКозловР. С.KozlovR. S.noemail@neicon.ruКозловаИ. В.KozlovaI. V.noemail@neicon.ruКорниенкоЕ. А.KornienkoE. A.noemail@neicon.ruКравчукЮ. А.KravchukYu. A.noemail@neicon.ruКуприяноваИ. Н.KupriyanovaI. N.noemail@neicon.ruКучерявыйЮ. А.KucheryavyYu. A.noemail@neicon.ruЛевитанБ. Н.LevitanB. N.noemail@neicon.ruЛивзанМ. А.LivzanM. A.noemail@neicon.ruЛузинаЕ. В.LuzinaE. V.noemail@neicon.ruЛялюковаЕ. А.LyalyukovaE. A.noemail@neicon.ruНовиковаВ. П.NovikovaV. P.noemail@neicon.ruОстроумоваО. Д.OstroumovaO. D.noemail@neicon.ruПилатТ. Л.PilatT. L.noemail@neicon.ruСарсенбаеваА. С.SarsenbaevaA. S.noemail@neicon.ruСычевД. А.SychevD. A.noemail@neicon.ruТряпышкоА. А.TryapyshkoA. A.noemail@neicon.ruТруханД. И.TrukhanD. I.noemail@neicon.ruТуркинаС. В.TurkinaS. V.noemail@neicon.ruУспенскийЮ. П.UspenskyYu. P.noemail@neicon.ruФедорченкоЮ. Л.FedorchenkoYu. L.noemail@neicon.ruФоминыхЮ. А.FominykhYu. A.noemail@neicon.ruХавкинА. И.KhavkinA. I.noemail@neicon.ruХлыноваО. В.KhlynovaO. V.noemail@neicon.ruХомерикиС. Г.KhomerikiS. G.noemail@neicon.ruХомерикиН. М.KhomerikiN. M.noemail@neicon.ruШевяковМ. А.ShevyakovM. A.noemail@neicon.ruФедеральное государственное бюджетное образовательное учреждение высшего образования «Российский университет медицины» Министерства здравоохранения Российской ФедерацииРоссияRussian University of MedicineRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Смоленский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияSmolensk State Medical UniversityRussian FederationФедеральное государственное бюджетное учреждение «НМИЦ им. В.А. Алмазова» Минздрава России; Федеральное государственное бюджетное образовательное учреждение высшего образования «Северо-Западный государственный медицинский университет имени И.И. Мечникова» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research Centre of the Ministry of Health of the Russian Federation; North-Western State Medical University named after I.I. MechnikovRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Северо-Западный государственный медицинский университет имени И.И. Мечникова» Министерства здравоохранения Российской ФедерацииРоссияNorth-Western State Medical University named after I.I. MechnikovRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Первый Санкт-Петербургский государственный медицинский университет им. академика И.П. Павлова» Министерства здравоохранения Российской Федерации; Федеральное государственное бюджетное научное учреждение «Институт Экспериментальной Медицины»; Федеральное государственное бюджетное образовательное учреждение высшего образования «Санкт-Петербургский государственный педиатрический медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияPavlov First St. Petersburg State Medical University; Institute of Experimental Medicine; St. Petersburg State Pediatric Medical UniversityRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Российский университет медицины» Министерства здравоохранения Российской Федерации; ГБУЗ Московский Клинический Научный Центр имени А.С. Логинова ДЗМ; Федеральное государственное бюджетное образовательное учреждение высшего образования «Тверской государственный медицинский университет» Министерства Здравоохранения Российской ФедерацииРоссияRussian University of Medicine; Moscow Clinical Scientific Center named after Loginov MHD; Tver State Medical University of the Ministry of Health of the Russian FederationRussian FederationФедеральное государственное бюджетное военное образовательное учреждение высшего образования Военно-медицинская академия имени С.М. Кирова Министерства обороны Российской ФедерацииРоссияMilitary Medical Academy named after S.M. KirovRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Санкт-Петербургский государственный педиатрический медицинский университет» Министерства здравоохранения Российской Федерации; Федеральное государственное автономное образовательное учреждение высшего образования «Белгородский государственный исследовательский университет» Министерства науки и высшего образования Российской ФедерацииРоссияSt. Petersburg State Pediatric Medical University; Belgorod State Research University. Ministry of Science and Higher Education of the Russian FederationRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Национальный исследовательский Мордовский государственный университет им. Н.П. Огарёва»РоссияNational Research Mordovia State UniversityRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Саратовский государственный медицинский университет им. В.И. Разумовского» Минздрава РоссииРоссияSaratov State Medical University named after V.I. Razumovsky (Razumovsky University)Russian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Санкт-Петербургский государственный педиатрический медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияSt. Petersburg State Pediatric Medical UniversityRussian FederationФедеральное государственное автономное образовательное учреждение высшего образования Уральский государственный медицинский университет Минздрава РоссииРоссияUral State Medical University of the Ministry of Health of RussiaRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Смоленский государственный медицинский университет» Министерства здравоохранения Российской Федерации; Акционерное общество «Ильинская больница»РоссияSmolensk State Medical University; Ilyinskaya hospitalRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Астраханский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияAstrakhan State Medical UniversityRussian FederationФедеральное государственное учреждение высшего профессионального образования «Омский государственный медицинский университет» Минздрава РоссииРоссияOmsk State Medical UniversityRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Читинская государственная медицинская академия» Министерства здравоохранения Российской ФедерацииРоссияChita Medical AcademyRussian FederationФедеральное государственное бюджетное образовательное учреждение дополнительного профессионального образования «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской ФедерацииРоссияRussian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian FederationRussian FederationФедеральное государственное автономное образовательное учреждение высшего образования Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет)РоссияSechenov UniversityRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Южно-Уральский государственный медицинский университет» Минздрава РоссииРоссияSouth-Ural State Medical University of the Ministry of Health of RussiaRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Волгоградский государственный медицинский университет» Минздрава РоссииРоссияVolgograd State Medical UniversityRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Первый Санкт-Петербургский государственный медицинский университет им. академика И.П. Павлова» Министерства здравоохранения Российской Федерации; Федеральное государственное бюджетное образовательное учреждение высшего образования «Санкт-Петербургский государственный педиатрический медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияPavlov First St. Petersburg State Medical University; St. Petersburg State Pediatric Medical UniversityRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Дальневосточный государственный медицинский университет» Минздрава РоссииРоссияFar Eastern State Medical UniversityRussian FederationФедеральное государственное бюджетное учреждение «НМИЦ им. В.А. Алмазова» Минздрава России; Федеральное государственное бюджетное образовательное учреждение высшего образования «Санкт-Петербургский государственный педиатрический медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research Centre of the Ministry of Health of the Russian Federation; St. Petersburg State Pediatric Medical UniversityRussian FederationФедеральное государственное автономное образовательное учреждение высшего образования «Белгородский государственный исследовательский университет» Министерства науки и высшего образования Российской Федерации; ГБУЗ МО «Научно-исследовательский клинический институт детства» Министерства здравоохранения Московской областиРоссияBelgorod State Research University. Ministry of Science and Higher Education of the Russian Federation; Research Clinical Institute of Childhood, Ministry of Health of the Moscow RegionRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Пермский государственный медицинский университет имени акад. Е.А. Вагнера» Минздрава РоссииРоссияPerm State Medical University named after Academician E.A. Wagner of the Ministry of Health of the Russian FederationRussian FederationГБУЗ Московский Клинический Научный Центр имени А.С. Логинова ДЗМРоссияMoscow Clinical Scientific Center named after Loginov MHDRussian FederationГосударственное бюджетное учреждение здравоохранения Московской области «Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского»; Федеральное государственное автономное учреждение здравоохранения Больница Пущинского научного центра Российской академии наукРоссияMoscow Region Research and Clinical Institute n. a. M.F. Vladimirskiy; Hospital of the Pushchino Scientific Center of the Russian Academy of SciencesRussian Federation20243012202401249145Copyright © Лазебник Л.Б., Дехнич Н.Н., Ситкин С.И., Атрушевич В.Г., Авалуева Е.Б., Бакулин И.Г., Бакулина Н.В., Барышникова Н.В., Белоусова Л.Н., Бордин Д.С., Веселов А.В., Гриневич В.Б., Гурова М.М., Еремина Е.Ю., Иванчик Н.В., Козлов Р.С., Козлова И.В., Корниенко Е.А., Кравчук Ю.А., Куприянова И.Н., Кучерявый Ю.А., Левитан Б.Н., Ливзан М.А., Лузина Е.В., Лялюкова Е.А., Новикова В.П., Остроумова О.Д., Пилат Т.Л., Сарсенбаева А.С., Сычев Д.А., Тряпышко А.А., Трухан Д.И., Туркина С.В., Успенский Ю.П., Федорченко Ю.Л., Фоминых Ю.А., Хавкин А.И., Хлынова О.В., Хомерики С.Г., Хомерики Н.М., Шевяков М.А., 20242024Лазебник Л.Б., Дехнич Н.Н., Ситкин С.И., Атрушевич В.Г., Авалуева Е.Б., Бакулин И.Г., Бакулина Н.В., Барышникова Н.В., Белоусова Л.Н., Бордин Д.С., Веселов А.В., Гриневич В.Б., Гурова М.М., Еремина Е.Ю., Иванчик Н.В., Козлов Р.С., Козлова И.В., Корниенко Е.А., Кравчук Ю.А., Куприянова И.Н., Кучерявый Ю.А., Левитан Б.Н., Ливзан М.А., Лузина Е.В., Лялюкова Е.А., Новикова В.П., Остроумова О.Д., Пилат Т.Л., Сарсенбаева А.С., Сычев Д.А., Тряпышко А.А., Трухан Д.И., Туркина С.В., Успенский Ю.П., Федорченко Ю.Л., Фоминых Ю.А., Хавкин А.И., Хлынова О.В., Хомерики С.Г., Хомерики Н.М., Шевяков М.А.Lazebnik L.B., Dekhnich N.N., Sitkin S.I., Atrushevich V.G., Avalueva E.B., Bakulin I.G., Bakulina N.V., Baryshnikova N.V., Belousova L.N., Bordin D.S., Veselov A.V., Grinevich V.B., Gurova M.M., Eremina E.Y., Ivanchik N.V., Kozlov R.S., Kozlova I.V., Kornienko E.A., Kravchuk Y.A., Kupriyanova I.N., Kucheryavy Y.A., Levitan B.N., Livzan M.A., Luzina E.V., Lyalyukova E.A., Novikova V.P., Ostroumova O.D., Pilat T.L., Sarsenbaeva A.S., Sychev D.A., Tryapyshko A.A., Trukhan D.I., Turkina S.V., Uspensky Y.P., Fedorchenko Y.L., Fominykh Y.A., Khavkin A.I., Khlynova O.V., Khomeriki S.G., Khomeriki N.M., Shevyakov M.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.nogr.org/jour/article/view/2923

Настоящее руководство, суммирующее современный мировой и национальный опыт по диагностике и лечению хеликобактериоза, предназначено в первую очередь для практикующих врачей. Подготавливаемое в течение нескольких лет, оно направлено на расширение борьбы с этой непростой соматической инфекцией. Основной материал пособия представлен адаптированными разделами из современных научных исследований, клинических рекомендаций профильных обществ.

This guide, summarizing the current global and national experience in the diagnosis and treatment of Helicobacter pylori infection, is primarily intended for practicing physicians. Developed over several years, it aims to enhance efforts in combating this complex somatic infection. The main content of the manual consists of adapted sections from modern scientific studies and clinical guidelines issued by relevant professional societies.

Helicobacter pyloriхеликобактериоздиагностикалечениеинфекцияассоциированные заболеваниягастроэнтерологияклинические рекомендацииантибиотикорезистентностьэрадикационная терапиявоспалительные заболевания желудкаязвенная болезньрак желудкамикробиомVIII Московские соглашениявзрослыедетируководство для врачейHelicobacter pylorihelicobacteriosisdiagnosistreatmentinfectionassociated diseasesgastroenterologyclinical guidelinesantibiotic resistanceeradication therapyinflammatory gastric diseasespeptic ulcer diseasegastric cancermicrobiomeVIII Moscow Agreementsadultschildrenphysician's manualReferencesLazebnik L.B., Tkachenko E.I., Abdulganiyeva D.I. et al. VI National guidelines for the diagnosis and treatment of acid-related and helicobacter pylori-associated diseases (VI Moscow agreement). Experimental and Clinical Gastroenterology. 2017;(2):3-21. (In Russ.)@@ Лазебник Л.Б., Ткаченко Е.И., Абдулганиева Д.И. и соавт. VI национальные рекомендации по диагностике и лечению кислотозависимых и ассоциированных с Helicobacter pylori заболеваний (VI Московские соглашения). Экспериментальная и клиническая гастроэнтерология. 2017;(2):3-21.Lazebnik L.B., Tkachenko E.I., Abdulganiyeva D.I. et al. VI National guidelines for the diagnosis and treatment of acid-related and helicobacter pylori-associated diseases (VI Moscow agreement). Experimental and Clinical Gastroenterology. 2017;(2):3-21. (In Russ.)@@ Лазебник Л.Б., Ткаченко Е.И., Абдулганиева Д.И. и соавт. VI национальные рекомендации по диагностике и лечению кислотозависимых и ассоциированных с Helicobacter pylori заболеваний (VI Московские соглашения). Экспериментальная и клиническая гастроэнтерология. 2017;(2):3-21.Lazebnik L.B., Bordin D.S., Dekhnich N.N. et al. The need to strengthen measures for the diagnosis and treatment of Helicobacter pylori infection in Russia. Memorandum. Experimental and Clinical Gastroenterology. 2021;(3):83-96. (In Russ.) doi: 10.31146/1682-8658-ecg-187-3-83-96.@@ Лазебник Л.Б., Бордин Д.С., Дехнич Н.Н. и Соавт. Необходимость усиления мер по диагностике и лечению хеликобактерной инфекции в России. Меморандум. Экспериментальная и клиническая гастроэнтерология. 2021;(3):83-96. doi: 10.31146/1682-8658-ecg-187-3-83-96.Lazebnik L.B., Bordin D.S., Dekhnich N.N. et al. The need to strengthen measures for the diagnosis and treatment of Helicobacter pylori infection in Russia. Memorandum. Experimental and Clinical Gastroenterology. 2021;(3):83-96. (In Russ.) doi: 10.31146/1682-8658-ecg-187-3-83-96.@@ Лазебник Л.Б., Бордин Д.С., Дехнич Н.Н. и Соавт. Необходимость усиления мер по диагностике и лечению хеликобактерной инфекции в России. Меморандум. Экспериментальная и клиническая гастроэнтерология. 2021;(3):83-96. doi: 10.31146/1682-8658-ecg-187-3-83-96.Maev I. V., Andreev D.N., Samsonov A.A., Veliev A.M. 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Экспериментальная и клиническая гастроэнтерология. 2017;140(4):103-110.Lazebnik L.B., Bordin D.S., Dekhnich N.N., Kozlov R.S., Tryapyshko A.A.; Russian Scientific Medical Society of Therapists, Scientific Society of Gastroenterologists of Russia VII national guidelines for the diagnosis and treatment of diseases associated with Helicobacter pylori (VII Moscow Agreements) 2021. Available at: https://www.rnmot.ru/public/uploads/RNMOT/clinical/2021/17102021_Project%20VII%20national%20recommendations%20for%20diagnosis%20and%20treatment%20of%20diseases%20associated%20with%20Helicobacter%20pylori.pdf (Accessed: 05.10.2024.)@@ Лазебник Л.Б., Бордин Д.С., Дехнич Н.Н., Козлов Р.С., Тряпышко А.А.; Российское научное медицинское общество терапевтов, Научное общество гастроэнтерологов России VII национальные рекомендации по диагностике и лечению заболеваний, ассоциированных с Helicobacter pylori (VII Московские соглашения) 2021. Электронный ресурс: https://www.rnmot.ru/public/uploads/RNMOT/clinical/2021/17102021_Проект%20VII%20национальные%20рекомендации%20по%20диагностике%20и%20лечению%20заболеваний%20ассоциированных%20с%20Helicobacter%20pylori.pdf (Доступ: 05.10.2024.)Lazebnik L.B., Bordin D.S., Dekhnich N.N., Kozlov R.S., Tryapyshko A.A.; Russian Scientific Medical Society of Therapists, Scientific Society of Gastroenterologists of Russia VII national guidelines for the diagnosis and treatment of diseases associated with Helicobacter pylori (VII Moscow Agreements) 2021. 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The authors declare that there are no conflicts of interest present.