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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">vsp</journal-id><journal-title-group><journal-title xml:lang="ru">Вопросы современной педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Current Pediatrics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-5527</issn><issn pub-type="epub">1682-5535</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15690/vsp.v24i3.2918</article-id><article-id custom-type="elpub" pub-id-type="custom">vsp-3777</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>ОБЗОР ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Язвенный колит и болезнь Крона в детском возрасте: актуальные вопросы и решения</article-title><trans-title-group xml:lang="en"><trans-title>Ucerative Colitis and Crohn’s Disease in Childhood: Topical Issues and Solutions</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6837-9753</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аракелян</surname><given-names>А. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Arakelyan</surname><given-names>Anna L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Аракелян Анна Левоновна - врач-гастроэнтеролог отделения гастроэнтерологии для детей, научный сотрудник отдела научных основ детской гастроэнтерологии, гепатологии и метаболических нарушений.</p><p>117593, Москва, Литовский бул., д. 1А</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">doc.arakelyan@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/0000-0002-3697-4283</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сурков</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Surkov</surname><given-names>Andrey N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5549-857X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бессонов</surname><given-names>Е. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Bessonov</surname><given-names>Evgeny E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6152-5693</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сытьков</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Sytkov</surname><given-names>Valentin V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-1751-1293</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гетманов</surname><given-names>С. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Getmanov</surname><given-names>Stanislav D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-0449-2053</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фатуллаев</surname><given-names>С. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Fatullaev</surname><given-names>Sadig T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-8188-9589</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Изотова</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Izotova</surname><given-names>Nataly A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-4114-8236</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Малякина</surname><given-names>А. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Malyakina</surname><given-names>Alina D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-5551-8576</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Власова</surname><given-names>З. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Vlasova</surname><given-names>Zlata E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0007-8349-4286</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ильяшенко</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Il’yashenko</surname><given-names>Elizaveta N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»; Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute of Pediatrics and Children’s Health in Petrovsky National Research Centre of Surgery; Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Российский Университет Медицины; Федеральный научно-клинический центр детей и подростков</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian University of Medicine; Federal Clinical Research Centre of Children and Adolescents</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>21</day><month>07</month><year>2025</year></pub-date><volume>24</volume><issue>3</issue><fpage>146</fpage><lpage>156</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Аракелян А.Л., Сурков А.Н., Бессонов Е.Е., Сытьков В.В., Гетманов С.Д., Фатуллаев С.Т., Изотова Н.А., Малякина А.Д., Власова З.Е., Ильяшенко Е.Н., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Аракелян А.Л., Сурков А.Н., Бессонов Е.Е., Сытьков В.В., Гетманов С.Д., Фатуллаев С.Т., Изотова Н.А., Малякина А.Д., Власова З.Е., Ильяшенко Е.Н.</copyright-holder><copyright-holder xml:lang="en">Arakelyan A.L., Surkov A.N., Bessonov E.E., Sytkov V.V., Getmanov S.D., Fatullaev S.T., Izotova N.A., Malyakina A.D., Vlasova Z.E., Il’yashenko E.N.</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://vsp.spr-journal.ru/jour/article/view/3777">https://vsp.spr-journal.ru/jour/article/view/3777</self-uri><abstract><p>Воспалительные заболевания кишечника (ВЗК) у детей представляют собой гетерогенную группу хронических заболеваний, характеризующихся рецидивирующим воспалением различных отделов желудочно-кишечного тракта. В последние десятилетия отмечается неуклонный рост заболеваемости ВЗК в педиатрической популяции. Наиболее распространенными формами ВЗК являются болезнь Крона и язвенный колит. Диагностика ВЗК у детей представляет значительные трудности в связи с неспецифичностью клинических проявлений и необходимостью проведения комплексного обследования, включающего эндоскопические, гистологические и лучевые методы. Современные подходы к лечению ВЗК у детей направлены на достижение и поддержание ремиссии, предотвращение осложнений и повышение качества жизни пациентов. Однако, несмотря на значительные успехи в диагностике и терапии ВЗК у детей, проблема остается актуальной. В обзоре представлены современные данные об эпидемиологии, течении и результатах применения терапевтических и хирургических стратегий в лечении ВЗК у детей.</p></abstract><trans-abstract xml:lang="en"><p>Inflammatory bowel disease (IBD) in children is a heterogeneous group of chronic diseases characterized by recurrent inflammation of various parts of gastrointestinal tract. Steady increase in the IBD incidence in pediatric population has been noted in recent decades. The most common forms of IBD are Crohn’s disease and ulcerative colitis. IBD diagnosis in children is challenging due to non-specific clinical signs and need for comprehensive examination, including endoscopic, histological, and imaging methods. Modern approaches to IBD management in children are focused on achieving and maintaining remission, preventing complications, and improving patients quality of life. However, despite significant advances in IBD diagnosis and treatment in children, the problem remains topical. This review presents current data on epidemiology, course, and outcomes of therapeutic and surgical strategies in IBD management in children.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>воспалительные заболевания кишечника</kwd><kwd>язвенный колит</kwd><kwd>болезнь Крона</kwd><kwd>диагностика</kwd><kwd>терапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>inflammatory bowel disease</kwd><kwd>ucerative colitis</kwd><kwd>Crohn’s disease</kwd><kwd>diagnosis</kwd><kwd>management</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">Bruner LP, White AM, Proksell S. Inflammatory Bowel Disease. Prim Care. 2023;50(3):411-427. doi: https://doi.org/10.1016/j.pop.2023.03.009</mixed-citation><mixed-citation xml:lang="en">Bruner LP, White AM, Proksell S. Inflammatory Bowel Disease. 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