The paper presents the All-Russian consensus on the diagnosis and treatment of celiac disease in children and adults, which has been elaborated by leading experts, such as gastroenterologists and pediatricians of Russia on the basis of the existing Russian and international guidelines. The consensus approved at the 42nd Annual Scientific Session of the Central Research Institute of Gastroenterology on Principles of Evidence-Based Medicine into Clinical Practice (March 2-3, 2016). The consensus is intended for practitioners engaged in the management and treatment of patients with celiac disease. Evidence for the main provisions of the consensus was sought in electronic databases. In making recommendations, the main source was the publications included in the Cochrane Library, EMBASE, MEDLINE, and PubMed. The search depth was 10 years. Recommendations in the preliminary version were reviewed by independent experts. Voting was done by the Delphic polling system.

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Клинические рекомендации по диагностике и лечению функциональных нарушений органов пищеварения у детей подготовлены группой экспертов, ведущих отечественных специалистов в области детской гастроэнтерологии, которые обобщили зарубежные рекомендации и отечественный опыт, предложив тактику действий врача-педиатра в условиях повседневной практики. Во второй части рекомендаций обсуждаются функциональные нарушения, сопровождающиеся абдоминальной болью: функциональная тошнота и рвота, функциональная диспепсия, синдром раздраженного кишечника, функциональная абдоминальная боль. Уточнены определения, классификация и критерии диагностики функциональной диспепсии и синдрома раздраженного кишечника с позиции современных представлений. Кроме того, определены актуальные принципы терапии. Диагнозы функциональной тошноты и рвотаы, а также функциональной абдоминальной боли редко устанавливаются в отечественной педиатрической практике, в связи с чем представленная подробная информация об этих заболеваниях имеет особое значение для практического врача.

The clinical guidelines for the diagnosis and treatment of the3 functional disorders of the digestive system in children were prepared by a Group of Experts, domestic leading specialists in the field of the pediatric gastroenterology, who generalized the foreign guidelines and domestic experience, suggesting the tactics for the pediatrician actions in the everyday practice. Part 3 of the Guidelines discusses the billiard tract dysfunctions and functional constipations. There are no biliary tract dysfunctions in the Pediatric Sections of Rome Consensus IV; however, the Russian pediatric school of thought has always considered them as important in terms of one of the causes for abdominal pain in children. This attitude was supported by the experts, and it is maintained in these Guidelines. The functional constipations are common in the children of different ages, and they present not only a medical problem, but also a serious social one for both children and their parents. That is why the considerable attention has been paid to this pathology considering the psychosocial aspects of the correction.

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