[KYOTO CONSENSUS - THE NEW ETIOLOGICAL CLASSIFICATION OF CHRONIC GASTRITIS AND ITS DISCUSSION].

Klinicheskaia meditsina Pub Date : 2017-01-01
Ya S Tsimmerman, Yu A Zakharova
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Abstract

The main provisions and headings of the new etiological classification of chronic gastritis are discussed in the context of recent data on the true role of Helicobacter pylori infection in the development of this pathology. The methods and results of the authors ’ investigations into gastric microflora are presented along with information about the frequency of detection of its different forms, concentration of microbial forms in gastric mucosa, their pathogenic properties including urease activity, and possible contribution to chronic gastritis etiology. The possibility of alcoholic and chemical chronic gastritis is discussed along with the role of these conditions in the development of stomach cancer. Special emphasis is laid on the disagreement between the adopted consensuses and principles of evidence-based medicine.

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【京都共识——慢性胃炎新的病因分类及其探讨】。
在幽门螺杆菌感染在慢性胃炎病理发展中的真实作用的最新数据背景下,讨论了新的病因学分类的主要条款和标题。本文介绍了作者对胃菌群的调查方法和结果,并介绍了其不同形式的检测频率、胃粘膜微生物形式的浓度、它们的致病特性(包括脲酶活性)以及对慢性胃炎病因的可能贡献。讨论了酒精性和化学性慢性胃炎的可能性以及这些条件在胃癌发展中的作用。特别强调了所采纳的共识与循证医学原则之间的分歧。
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