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<article article-type="review-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">medvis</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинская визуализация</journal-title><trans-title-group xml:lang="en"><trans-title>Medical Visualization</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1607-0763</issn><issn pub-type="epub">2408-9516</issn><publisher><publisher-name>RDS-Media Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24835/1607-0763-1423</article-id><article-id custom-type="elpub" pub-id-type="custom">medvis-1423</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>БРЮШНАЯ ПОЛОСТЬ И ЗАБРЮШИННОЕ ПРОСТРАНСТВО</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ABDOMEN AND RETROPERITONEAL</subject></subj-group></article-categories><title-group><article-title>Роль энтероскопии в диагностике и лечении скрытых желудочно-кишечных кровотечений</article-title><trans-title-group xml:lang="en"><trans-title>The role of enteroscopy in the diagnosis and treatment of hidden gastrointestinal bleeding</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7431-4887</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кортиева</surname><given-names>А. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Kortieva</surname><given-names>A. T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кортиева Алена Таймуразовна – врач-эндоскопист 1-й квалификационной категории ГБУЗ “ККБ №2”, Краснодар</p></bio><bio xml:lang="en"><p>Alena T. Kortieva – Endoscopy department doctor, Regional Clinical Hospital No 2, Krasnodar</p></bio><email xlink:type="simple">kat_endo@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/0000-0001-7862-8613</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Крушельницкий</surname><given-names>В. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Krushelnitsky</surname><given-names>V. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Крушельницкий Владимир Станиславович – канд. мед. наук, первый заместитель главного врача, врач-эндоскопист высшей категории ГБУЗ “ККБ №2”; ассистент кафедры хирургии №3 ФПК и ППС ФГБОУ ВО “Кубанский государственный медицинский университет” Минздрава России, Краснодар</p></bio><bio xml:lang="en"><p>Vladimir. S. Krushelnitskiy – Cand. of Sci. (Med.), First Deputy Chief Physician, Endoscopy department doctor, endoscopist of the highest category, Regional Clinical Hospital No 2; Assistant at the Department of Surgery No. 3, Kuban State Medical University, Krasnodar</p></bio><email xlink:type="simple">kvs-endo@mail.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/0000-0002-0755-903X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Габриэль</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gabriel</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Габриэль Сергей Александрович – доктор мед. наук, профессор, главный врач ГБУЗ “ККБ №2”; профессор кафедры хирургии №3 ФПК и ППС ФГБОУ ВО “Кубанский государственный медицинский университет” Минздрава России, Краснодар</p></bio><bio xml:lang="en"><p>Sergei A. Gabriel – Doct. of Sci. (Med.), Chief Physician of Regional Clinical Hospital No 2; Professor at the Department of Surgery No. 3, Kuban State Medical University, Krasnodar</p></bio><email xlink:type="simple">gabriel-sa@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/0000-0001-5594-5739</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дынько</surname><given-names>В. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Dynko</surname><given-names>V. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дынько Виктор Юрьевич – канд. мед. наук, заведующий отделением эндоскопии, врач-эндоскопист высшей категории ГБУЗ “ККБ №2”; доцент кафедры хирургии №3 ФПК и ППС ФГБОУ ВО “Кубанский государственный медицинский университет” Минздрава России, Краснодар</p></bio><bio xml:lang="en"><p>Viktor Yu. Dynko – Cand. of Sci. (Med.), Head of the Endoscopy Department, endoscopist of the highest category, Clinical Hospital No 2; Assistant Professor at the Department of Surgery No. 3, Kuban State Medical University, Krasnodar</p></bio><email xlink:type="simple">dynko.viktor@yandex.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/0000-0001-8788-0749</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гучетль</surname><given-names>А. Я.</given-names></name><name name-style="western" xml:lang="en"><surname>Guchetl</surname><given-names>A. Ya.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гучетль Александр Якубович – канд. мед. наук, руководитель центра эндоскопических методов диагностики и лечения, врач-эндоскопист высшей категории ГБУЗ “ККБ №2”; доцент кафедры хирургии №3 ФПК и ППС КубГМУ, Краснодар</p></bio><bio xml:lang="en"><p>Aleksandr Yа. Guchetl – Cand. of Sci. (Med.), Head of center for endoscopic diagnostic and treatment methods, Clinical Hospital No 2; Assistant Professor at the Department of Surgery No. 3, Kuban State Medical University, Krasnodar</p></bio><email xlink:type="simple">guchetl@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБУЗ “Краевая клиническая больница №2” Минздрава Краснодарского края</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Regional Clinical Hospital No 2</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГБУЗ “Краевая клиническая больница №2” Минздрава Краснодарского края; ФГБОУ ВО “Кубанский государственный медицинский университет” Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Regional Clinical Hospital No 2; Kuban State Medical University</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>06</month><year>2024</year></pub-date><volume>28</volume><issue>3</issue><fpage>146</fpage><lpage>150</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Кортиева А.Т., Крушельницкий В.С., Габриэль С.А., Дынько В.Ю., Гучетль А.Я., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Кортиева А.Т., Крушельницкий В.С., Габриэль С.А., Дынько В.Ю., Гучетль А.Я.</copyright-holder><copyright-holder xml:lang="en">Kortieva A.T., Krushelnitsky V.S., Gabriel S.A., Dynko V.Y., Guchetl A.Y.</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://medvis.rdsmedia.ru/jour/article/view/1423">https://medvis.rdsmedia.ru/jour/article/view/1423</self-uri><abstract><p>Скрытое желудочно-кишечное кровотечение (ЖКК) определяется как стойкое или рецидивирующее кровотечение из желудочно-кишечного тракта, при котором эндоскопически не был определен источник. Новые достижения в диагностике тонкой кишки и возможность успешно проводить эндоскопическую терапию в значительной степени заменили хирургические процедуры и привели к тенденции использования неинвазивной диагностики и эндоскопического лечения скрытого ЖКК.</p><sec><title>Цель обзора литературы</title><p>Цель обзора литературы: изучение современного состояния диагностики и лечения скрытых ЖКК.</p></sec><sec><title>Материал и методы</title><p>Материал и методы. Проведен электронный поиск литературы с использованием баз данных: PubMed, Medline, Cochrane Library.</p></sec><sec><title>Результаты</title><p>Результаты. В настоящий обзор литературы включены систематические обзоры и метаанализы, проспективные и ретроспективные исследования, обзоры литературы.</p></sec><sec><title>Заключение</title><p>Заключение. Введение новых методов визуализации и эндоскопии поспособствовало в значительной степени улучшению эффективности методов диагностики и лечения скрытых кровотечений.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Aim</title><p>Aim. Gastrointestinal occult bleeding (OGB) is defined as persistent or recurrent bleeding from the gastrointestinal tract in which the source has not been identified endoscopically. New advances in small bowel diagnostics and the ability to successfully perform endoscopic therapy have largely replaced surgical procedures and have led to a trend towards non-invasive diagnosis and endoscopic treatment of OGB. The purpose of this literature review is to study the current state of diagnosis and treatment of occult gastrointestinal bleeding.</p></sec><sec><title>Materials and methods</title><p>Materials and methods. An electronic literature search was carried out using databases: PubMed, Medline, Cochrane Library.</p></sec><sec><title>Results</title><p>Results. This literature review includes systematic reviews and meta-analyses, prospective and retrospective studies, and literature reviews.</p></sec><sec><title>Conclusion</title><p>Conclusion. The introduction of new methods of imaging and endoscopy has contributed to a significant improvement in the effectiveness of methods for diagnosing and treating occult bleeding.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>желудочно-кишечное кровотечение</kwd><kwd>эндоскопия</kwd><kwd>капсульная эндоскопия</kwd><kwd>энтероскопия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>gastrointestinal bleeding</kwd><kwd>endoscopy</kwd><kwd>capsule endoscopy</kwd><kwd>enteroscopy</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">отсутствует</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">Zuckerman G.R., Prakash C., Askin M.P. et al. AGA technical review on the evaluation and management of occult and obscure gastrointestinal bleeding. 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