vspВопросы современной педиатрииCurrent Pediatrics1682-55271682-5535Издательство «ПедиатрЪ»10.15690/vsp.v15i4.1592vsp-1659Research ArticleКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCLINICAL OBSERVATIONSКлинический пример эффективности мультидисциплинарного подхода при ведении пациента с болезнью Крона с перианальным поражениемClinical Example of Efficiency of the Multidisciplinary Approach to the Management of a Patient with Crohn's Disease Complicated by Perianal Lesionshttps://orcid.org/0000-0002-7931-2263ГабрусскаяТ. В.GabrusskayaTatyana V.

врач-гастроэнтеролог, ассистент кафедры гастроэнтерологии факультета переподготовки и дополнительного постдипломного образования СПбГПМУ Адрес: 194100, Санкт-Петербург, ул. Литовская, д. 2, тел.: +7 (812) 542-93-29

tatyanagabrusskaya@yandex.ruУлановаН. Б.UlanovaNatalia B.ФилипповД. В.PhilippovDmitryi V.ЩербаковаО. В.ScherbakovaOlga V.ВепреваЕ. Г.VeprevaEkaterina G.Санкт-Петербургский государственный педиатрический медицинский университет, Санкт-Петербург, Россий ская ФедерацияРоссияSt. Petersburg State Pediatric Medical University, St. Petersburg, Russian FederationRussian FederationМорозовская детская городская клиническая больница, Москва, Россий ская ФедерацияРоссияMorozov Children's City Clinical Hospital, Moscow, Russian FederationRussian FederationЦентр воспалительных заболеваний кишечника на базе городской клинической больницы № 31, Санкт-Петербург, Российская ФедерацияРоссияInflammatory Bowel Disease Center, City Clinical Hospital No. 31, St. Petersburg, Russian FederationRussian Federation201616092016154396400Copyright © Габрусская Т.В., Уланова Н.Б., Филиппов Д.В., Щербакова О.В., Вепрева Е.Г., 20162016Габрусская Т.В., Уланова Н.Б., Филиппов Д.В., Щербакова О.В., Вепрева Е.Г.Gabrusskaya T.V., Ulanova N.B., Philippov D.V., Scherbakova O.V., Vepreva E.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vsp.spr-journal.ru/jour/article/view/1659

Болезнь Крона представляет собой тяжелое рецидивирующее заболевание, что требует скоординированной работы врачей различных специальностей — гастроэнтерологов, хирургов, рентгенологов, эндоскопистов. Стратегия мультидисциплинарной команды является экономически и клинически целесообразной. Основными принципами работы в рамках мультидисциплинарной команды являются осознанная необходимость и доступность специалистов друг для друга, регулярность совместных встреч, наличие локальных стандартов и общих подходов. Совместная работа специалистов помогает разработать индивидуальный план ведения пациентов с учетом тяжести и формы заболевания, предотвратить развитие осложнений и новых рецидивов. В статье представлен клинический пример ведения пациента с болезнью Крона с перианальным поражением. Реализация концепции мультидисциплинарной команды позволила предотвратить инвалидизацию ребенка.

Crohn's disease is a severe relapsing disease that requires the coordinated work of doctors of various specialties — gastroenterologists, surgeons, radiologists, and endoscopists. The strategy of a multidisciplinary team is economically and clinically viable. The main principles of work in the multidisciplinary team are a recognized need and availability of specialists for each other, regular joint meetings, and presence of local standards and common approaches. The joint work of experts helps to develop an individual plan for the management of patients according to the severity and form of the disease, as well as to prevent complications and new relapses. The article presents a clinical example of the management of a patient with Crohn's disease complicated by perianal lesions. The implementation of the multidisciplinary team concept has prevented the disability of the child.

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The authors declare that there are no conflicts of interest present.