<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<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">zdor</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы здоровья и экологии</journal-title><trans-title-group xml:lang="en"><trans-title>Health and Ecology Issues</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2220-0967</issn><issn pub-type="epub">2708-6011</issn><publisher><publisher-name>Gomel State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51523/2708-6011.2011-8-1-14</article-id><article-id custom-type="elpub" pub-id-type="custom">zdor-1067</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>КЛИНИЧЕСКАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>ТАКТИКА ВЕДЕНИЯ ПАЦИЕНТОВ С КОЛОРЕКТАЛЬНЫМИ ПОЛИПАМИ</article-title><trans-title-group xml:lang="en"><trans-title>TACTICS OF CARE AFTER PATIENTS WITH RECTAL POLYPI</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Борсук</surname><given-names>А. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Borsuk</surname><given-names>A. D.</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"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Малаева</surname><given-names>Е. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Malaeva</surname><given-names>E. G.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Республиканский научно-практический центр радиационной медицины и экологии человека</institution></aff><aff xml:lang="en"><institution>Republican Research Center for Radiation Medicine and Human Ecology</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Гомельский государственный медицинский университет</institution></aff><aff xml:lang="en"><institution>Gomel State Medical University</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2011</year></pub-date><pub-date pub-type="epub"><day>28</day><month>03</month><year>2011</year></pub-date><volume>0</volume><issue>1</issue><fpage>76</fpage><lpage>80</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Борсук А.Д., Малаева Е.Г., 2011</copyright-statement><copyright-year>2011</copyright-year><copyright-holder xml:lang="ru">Борсук А.Д., Малаева Е.Г.</copyright-holder><copyright-holder xml:lang="en">Borsuk A.D., Malaeva E.G.</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://journal.gsmu.by/jour/article/view/1067">https://journal.gsmu.by/jour/article/view/1067</self-uri><abstract><p>Анализ публикаций последних лет свидетельствует о тенденции к неуклонному росту заболеваемости колоректальным раком во всем мире. По данным ВОЗ, в мире ежегодно регистрируется более 500 тыс. случаев этой болезни. В структуре онкологической заболеваемости колоректальный рак прочно занимает второе-третье место как у мужчин, так и у женщин и второе место среди причин смерти от онкопатологии в большинстве экономически развитых стран. Известно, что большинство колоректальных опухолей развивается из аденоматозных полипов. Последовательность «аденома - рак» подтверждена многочисленными исследованиями, и хотя не каждая аденома трансформируется в рак, такая вероятность существует у значительного числа данных новообразований. В связи с этим своевременная эндоскопическая диагностика и удаление аденоматозных полипов прямой и толстой кишки являются эффективным методом профилактики колоректального рака.</p></abstract><trans-abstract xml:lang="en"><p>The analysis of the late publications is evidence of the tendency to the rising rectal cancer incidence in the whole world. According to the data of World Health Organization every year more than 500 thousand cases of this disease are registered in the world. In the structure of oncologic incidence rate rectal cancer takes the second-third place in both men and women and goes second among the oncopathology death reasons in the majority of economically developed countries. The adenomatous polypi are known to develop the majority of rectal neoplasms. The chain «adenoma - cancer» has been proved by numerous researches and though not every adenoma tranforms into cancer, this is possible in a considerable number of the present neoplasms. In connection with this, the endoscopic diagnosis and ablation of adenomatous polypi of rectum and large intestine are effective methods of rectal cancer prophylaxis.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>полип</kwd><kwd>аденома</kwd><kwd>колоноскопическая полипэктомия</kwd><kwd>малигнизированный полип</kwd><kwd>polypus</kwd><kwd>adenoma</kwd><kwd>colonoscopic polypectomy</kwd><kwd>malignant polypus</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">Федоров, В. Д. Диффузный полипоз толстой кишки / В. Д. Федоров, А. М. Никитин. - М.: Медицина, 1991. - 120 с.</mixed-citation><mixed-citation xml:lang="en">Федоров, В. Д. Диффузный полипоз толстой кишки / В. Д. Федоров, А. М. Никитин. - М.: Медицина, 1991. - 120 с.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Winawer, S. J. Prevention of colorectal cancer by colonoscopic polypectomy / S. J. Winawer, A. G. Zauber, M. N. Ho // N Engl J Med. - 1993. - Vol. 329. - P. 1977-1981.</mixed-citation><mixed-citation xml:lang="en">Winawer, S. J. Prevention of colorectal cancer by colonoscopic polypectomy / S. J. Winawer, A. G. Zauber, M. N. Ho // N Engl J Med. - 1993. - Vol. 329. - P. 1977-1981.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Read, T. E. Importance of adenomas 5 mm or less in diameter that are detected by sigmoidoscopy / T. E. Read, J. D. Read, L. F. Butterly // N Engl J Med. - 1997. - Vol. 336. - P. 8-12.</mixed-citation><mixed-citation xml:lang="en">Read, T. E. Importance of adenomas 5 mm or less in diameter that are detected by sigmoidoscopy / T. E. Read, J. D. Read, L. F. Butterly // N Engl J Med. - 1997. - Vol. 336. - P. 8-12.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Lieberman, D. A. Screening for colon malignancy with colonoscopy / D. A. Lieberman, F. W. Smith // Am J Gastroenterol. - 1991. - Vol. 86. - P. 946-951.</mixed-citation><mixed-citation xml:lang="en">Lieberman, D. A. Screening for colon malignancy with colonoscopy / D. A. Lieberman, F. W. Smith // Am J Gastroenterol. - 1991. - Vol. 86. - P. 946-951.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Zarchy, T. M. Do characteristics of adenomas on flexible sigmoidoscopy predict advanced lesions on baseline colonoscopy? / T. M. Zarchy, D. Ershoff // Gastroenterology. - 1994. - Vol. 106 - P. 1501-1504.</mixed-citation><mixed-citation xml:lang="en">Zarchy, T. M. Do characteristics of adenomas on flexible sigmoidoscopy predict advanced lesions on baseline colonoscopy? / T. M. Zarchy, D. Ershoff // Gastroenterology. - 1994. - Vol. 106 - P. 1501-1504.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Grossman, S. Colonoscopic screening of persons with suspected risk factors for colon cancer. II: Past history of colorectal neoplasms / S. Grossman, M. L. Milos, I. S. Tekawa // Gastroenterology. - 1989. - Vol. 96. - P. 299-306.</mixed-citation><mixed-citation xml:lang="en">Grossman, S. Colonoscopic screening of persons with suspected risk factors for colon cancer. II: Past history of colorectal neoplasms / S. Grossman, M. L. Milos, I. S. Tekawa // Gastroenterology. - 1989. - Vol. 96. - P. 299-306.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Atkin, W. S. Long-term risk of colorectal cancer after excision of rectosigmoid adenomas / W. S. Atkin, B. C. Morson, J. Cuzick // N Engl J Med. - 1992. - Vol. 326. - P. 658-662.</mixed-citation><mixed-citation xml:lang="en">Atkin, W. S. Long-term risk of colorectal cancer after excision of rectosigmoid adenomas / W. S. Atkin, B. C. Morson, J. Cuzick // N Engl J Med. - 1992. - Vol. 326. - P. 658-662.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Winawer, S. J. Randomized comparison of surveillance intervals after colonoscopic removal of newly diagnosed adenomatous polyps / S. J. Winawer, A. G. Zauber, M. J. O’Brien // N Engl J Med. - 1993. - Vol. 328. - P. 901-906.</mixed-citation><mixed-citation xml:lang="en">Winawer, S. J. Randomized comparison of surveillance intervals after colonoscopic removal of newly diagnosed adenomatous polyps / S. J. Winawer, A. G. Zauber, M. J. O’Brien // N Engl J Med. - 1993. - Vol. 328. - P. 901-906.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Fenoglio, C. M. Distribution of human colonic lymphatics in normal, hyperplastic, and adenomatous tissue: Its relationship to metastasis from small carcinomas in pedunculated adenomas, with two case reports / C. M. Fenoglio, G. I. Kaye, N. Lane // Gastroenterology. - 1973. - Vol. 64. - P. 51-66.</mixed-citation><mixed-citation xml:lang="en">Fenoglio, C. M. Distribution of human colonic lymphatics in normal, hyperplastic, and adenomatous tissue: Its relationship to metastasis from small carcinomas in pedunculated adenomas, with two case reports / C. M. Fenoglio, G. I. Kaye, N. Lane // Gastroenterology. - 1973. - Vol. 64. - P. 51-66.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Haggitt, R. C. Prognostic factors in colorectal carcinomas arising in adenomas: Implications for lesions removed by endoscopic polypectomy / R. C. Haggitt, R. E. Glotzbach, E. E. Soffer // Gastroenterology. - 1985. - Vol. 89 - P. 328-336.</mixed-citation><mixed-citation xml:lang="en">Haggitt, R. C. Prognostic factors in colorectal carcinomas arising in adenomas: Implications for lesions removed by endoscopic polypectomy / R. C. Haggitt, R. E. Glotzbach, E. E. Soffer // Gastroenterology. - 1985. - Vol. 89 - P. 328-336.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Белоус, Т. А. Патоморфология предраковых состояний толстой кишки / Т. А. Белоус // Российский журнал гастроэнтерологии, гепатологии, колопроктологии. - 2002. - № 4. - С. 50-55.</mixed-citation><mixed-citation xml:lang="en">Белоус, Т. А. Патоморфология предраковых состояний толстой кишки / Т. А. Белоус // Российский журнал гастроэнтерологии, гепатологии, колопроктологии. - 2002. - № 4. - С. 50-55.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Wolff, W. I. Definitive treatment of «malignant» polyps of the colon / W. I. Wolff, H. Shinya // Ann Surg. - 1975. - Vol. 182 - P. 516-525.</mixed-citation><mixed-citation xml:lang="en">Wolff, W. I. Definitive treatment of «malignant» polyps of the colon / W. I. Wolff, H. Shinya // Ann Surg. - 1975. - Vol. 182 - P. 516-525.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Cranley, J. P. When is endoscopic polypectomy adequate therapy for colonic polyps containing invasive carcinoma? / J. P. Cranley, R. E. Petras, W. D. Carey // Gastroenterology. - 1986. - Vol. 91 - P. 419-427.</mixed-citation><mixed-citation xml:lang="en">Cranley, J. P. When is endoscopic polypectomy adequate therapy for colonic polyps containing invasive carcinoma? / J. P. Cranley, R. E. Petras, W. D. Carey // Gastroenterology. - 1986. - Vol. 91 - P. 419-427.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Williams, C. B. Practical aspects of endoscopic management of malignant polyps / C. B. Williams, J. E. Whiteway, J. R. Jass // Endoscopy. - 1987. - Vol. 19. - P. 31-37.</mixed-citation><mixed-citation xml:lang="en">Williams, C. B. Practical aspects of endoscopic management of malignant polyps / C. B. Williams, J. E. Whiteway, J. R. Jass // Endoscopy. - 1987. - Vol. 19. - P. 31-37.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Wilcox, G. M. Early invasive cancer in adenomatous colonic polyps («malignant polyps»): Evaluation of the therapeutic options by decision analysis / G. M. Wilcox, J. R. Beck // Gastroenterology. - 1987. - Vol. 92. - P. 1159-1168.</mixed-citation><mixed-citation xml:lang="en">Wilcox, G. M. Early invasive cancer in adenomatous colonic polyps («malignant polyps»): Evaluation of the therapeutic options by decision analysis / G. M. Wilcox, J. R. Beck // Gastroenterology. - 1987. - Vol. 92. - P. 1159-1168.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Ehrinpreis, M. N. Management of the malignant polyp / M. N. Ehrinpreis, J. L. Kinzie, R. Jaszewski // Gastroenterol Clin North Am. - 1988. - Vol. 17. - P. 837-850.</mixed-citation><mixed-citation xml:lang="en">Ehrinpreis, M. N. Management of the malignant polyp / M. N. Ehrinpreis, J. L. Kinzie, R. Jaszewski // Gastroenterol Clin North Am. - 1988. - Vol. 17. - P. 837-850.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
