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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-232-12-146-166</article-id><article-id custom-type="elpub" pub-id-type="custom">nogr-2924</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>КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL GUIDELINES</subject></subj-group></article-categories><title-group><article-title>Рекомендации по профилактике и лечению эзофаго-гастро-энтеро-колопатий, индуцированных нестероидными противовоспалительными препаратами (НПВП) - 2025</article-title><trans-title-group xml:lang="en"><trans-title>Recommendations for prevention and treatment of Esophago-Gastro-Entero-Colopathies induced by non-steroid anti-inflammatory drugs (NSAIDs) - 2025</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8736-5851</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лазебник</surname><given-names>Л. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Lazebnik</surname><given-names>L. B.</given-names></name></name-alternatives><email xlink:type="simple">leonid.borisl@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1724-9980</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алексеенко</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Alekseenko</surname><given-names>S. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Белова</surname><given-names>Г. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Belova</surname><given-names>G. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5872-7021</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вьючнова</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Vyuchnova</surname><given-names>E. S.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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/0000-0003-4347-9974</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кашкина</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kashkina</surname><given-names>E. I.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8614-6542</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кокорин</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Kokorin</surname><given-names>V. N.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5056-4504</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Козлова</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kozlova</surname><given-names>I. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мирончев</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Mironchev</surname><given-names>O. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1954-6639</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Онучина</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Onuchina</surname><given-names>E. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3125-6282</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пахомова</surname><given-names>И. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Pakhomova</surname><given-names>I. G.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Позднякова</surname><given-names>О. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Pozdnyakova</surname><given-names>O. Yu.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-9"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4266-0050</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рачин</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Rachin</surname><given-names>A. P.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-10"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5922-2271</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сарсенбаева</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Sarsenbaeva</surname><given-names>A. S.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-11"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0331-0963</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ситкин</surname><given-names>С. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Sitkin</surname><given-names>S. I.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-12"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ткаченко</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Tkachenko</surname><given-names>E. I.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-13"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8844-2465</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Туркина</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Turkina</surname><given-names>S. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-14"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4860-0112</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хлынова</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Khlynova</surname><given-names>O. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-15"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1423-4284</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Щеголев</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shchegolev</surname><given-names>A. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Якоб</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Yakob</surname><given-names>O. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-13"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Яковенко</surname><given-names>Э. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Yakovenko</surname><given-names>E. P.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Российский университет медицины» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian University of Medicine</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Дальневосточный государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Far Eastern State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Российский университет медицины» Министерства здравоохранения Российской Федерации; Федеральное государственное бюджетное учреждение «Федеральный центр мозга и нейротехнологий» Федерального медико-биологического агентства</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian University of Medicine; Federal center of brain research and neurotechnologies of the Federal Medical Biological Agency</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Саратовский государственный медицинский университет им. В.И. Разумовского» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Saratov State Medical University named after V.I. Razumovsky (Razumovsky University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Федеральное государственное автономное образовательное учреждение высшего образования Российский национальный исследовательский медицинский университет имени Н.И. Пирогова Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N. I. Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Оренбургский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Orenburg State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>Иркутская государственная медицинская академия последипломного образования - филиал федерального государственного бюджетного образовательного учреждения дополнительного профессионального образования «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Irkutsk State Medical Academy of Postgraduate Education - a branch of the Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В.А. Алмазова» Министерства здравоохранения Российской федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Almazov National Medical Research Centre of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-9"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Ставропольский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Stavropol State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-10"><aff xml:lang="ru"><institution>Национальная ассоциация экспертов по коморбидной неврологии (НАЭКН)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Association of Experts in Comorbid Neurology (NAEСN)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-11"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Южно-Уральский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>South-Ural State Medical University of the Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-12"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Северо-Западный государственный медицинский университет имени И.И. Мечникова» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution of Higher Education "North-Western State Medical University named after I.I. Mechnikov" of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-13"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное военное образовательное учреждение высшего образования Военно-медицинская академия имени С.М. Кирова Министерства обороны Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>The branch of the federal State Budgetary military Educational Institution of Higher Education “Kirov Military Medical Academy“ of the Ministry of defense of the Russian Federation in the city of Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-14"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Волгоградский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Volgograd State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-15"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Пермский государственный медицинский университет имени акад. Е.А. Вагнера» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Perm State Medical University named after Academician E.A. Wagner of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>30</day><month>12</month><year>2024</year></pub-date><volume>0</volume><issue>12</issue><fpage>146</fpage><lpage>166</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Лазебник Л.Б., Алексеенко С.А., Белова Г.В., Вьючнова Е.С., Кашкина Е.И., Кокорин В.Н., Козлова И.В., Мирончев О.В., Онучина Е.В., Пахомова И.Г., Позднякова О.Ю., Рачин А.П., Сарсенбаева А.С., Ситкин С.И., Ткаченко Е.И., Туркина С.В., Хлынова О.В., Щеголев А.А., Якоб О.В., Яковенко Э.П., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Лазебник Л.Б., Алексеенко С.А., Белова Г.В., Вьючнова Е.С., Кашкина Е.И., Кокорин В.Н., Козлова И.В., Мирончев О.В., Онучина Е.В., Пахомова И.Г., Позднякова О.Ю., Рачин А.П., Сарсенбаева А.С., Ситкин С.И., Ткаченко Е.И., Туркина С.В., Хлынова О.В., Щеголев А.А., Якоб О.В., Яковенко Э.П.</copyright-holder><copyright-holder xml:lang="en">Lazebnik L.B., Alekseenko S.A., Belova G.V., Vyuchnova E.S., Kashkina E.I., Kokorin V.N., Kozlova I.V., Mironchev O.V., Onuchina E.V., Pakhomova I.G., Pozdnyakova O.Y., Rachin A.P., Sarsenbaeva A.S., Sitkin S.I., Tkachenko E.I., Turkina S.V., Khlynova O.V., Shchegolev A.A., Yakob O.V., Yakovenko E.P.</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/2924">https://www.nogr.org/jour/article/view/2924</self-uri><abstract><p>С момента публикации в 2018 г. «Рекомендаций по профилактике и лечению эзофаго-гастро-энтеро-колопатий, индуцированных нестероидными противовоспалительными препаратами (НПВП)» прошло 7 лет, появилась новая информация, новое понимание, новые подходы, но проблема корректной полифармакотерапии коморбидного больного остается актуальной. Мы надеемся, что предлагаемая нами новая версия рекомендаций по профилактике коррекции нежелательных эффектов НПВП помогут врачам в более успешном решении поставленных жизнью задач</p></abstract><trans-abstract xml:lang="en"><p>Since the publication of the Guidelines for the Prevention and Treatment of Esophago-Gastro-Entero-Colopathies Induced by Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) in 2018, seven years have passed. New information has emerged, leading to a deeper understanding and new approaches. However, the issue of appropriate polypharmacotherapy for comorbid patients remains highly relevant. We hope that our updated version of the guidelines for the prevention and management of NSAID-related adverse effects will assist physicians in addressing these critical challenges more effectively.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>нестероидные противовоспалительные препараты</kwd><kwd>антитромботические препараты</kwd><kwd>безрецептурные препараты</kwd><kwd>гастроэнтеропатия</kwd><kwd>гастроэнтеропротекторные средства</kwd><kwd>ингибиторы протонной помпы</kwd><kwd>простагландин Е2</kwd><kwd>Н2-блокаторы гистаминовых рецепторов</kwd></kwd-group><kwd-group xml:lang="en"><kwd>nonsteroidal anti-inflammatory drugs</kwd><kwd>antithrombotics</kwd><kwd>OTC drugs</kwd><kwd>gastroenteropathy</kwd><kwd>gastroenteroprotective agents</kwd><kwd>proton pump inhibitors</kwd><kwd>prostaglandin E2</kwd><kwd>H2-blockers of histamine receptors</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">Lazebnik L. 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