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PECULIARITIES OF REPLACEMENT ENZYME THERAPY IN CHILDREN WITH CYSTIC FIBROSIS: BENEFITS OF HIGH-TECH ENZYMES

Abstract

In the past years we have gained enormous success not only in the field of understanding of pathologic basis and genetics of cystic fibrosis, but we have also developed new therapeutic approach to this disease. Enzyme therapy is one of the main parts of a complex treatment of cystic fibrosis. Correct therapeutic decision upon medication and treatment regimen allows to reach dramatic amelioration o patient’s condition, and significantly decrease the risk of complications of the disease itself and side-effects of the treatment given. This article contains guidelines of enzyme therapy in cystic fibrosis and clinical mistakes analysis that occur while deciding upon therapy.
Key words: chronic pancreatic failure, replacement enzyme therapy, kreon, cystic fibrosis, children.
(Voprosy sovremennoi pediatrii — Current Pediatrics. — 2011; 10 (5): 152–156.)

About the Authors

O.I. Simonova
Scientifc Center of Children’s Health RAMS, Moscow Sechenov First Moscow State Medical University


E.A. Roslavtseva
Scientifc Center of Children’s Health RAMS, Moscow


References

1. Капранов Н.И., Каширская Н.Ю., Петрова Н.В. Муковисцидоз. Достижения и проблемы на современном этапе. Медицинская генетика. 2004; 9: 398–412.

2. Каширская Н.Ю., Капранов Н.И. Коррекция экзокринной недостаточности поджелудочной железы микрогранулированными панкреатическими ферментными препаратами у больных муковисцидозом. Вопросы современной педиатрии. 2002; 1 (5): 74–78.

3. Симонова О.И. Комплексная терапия детей с муковисцидозом: рекомендации для педиатра. Педиатрическая фармакология. 2006; 3 (6): 44–50.

4. Хрущев С.В., Симонова О.И. Физическая культура детей с заболеваниями органов дыхания: учебное пособие для студентов высших учебных заведений. М.: Издательский дом «Академия». 2006. 304 с.

5. Баранов А.А., Боровик Т.Э., Рославцева Е.А. и др. Диетотерапия в комплексном лечении муковисцидоза. Пособие для врачей. М. 2005. 94 с.

6. Рославцева Е.А., Боровик Т.Э., Симонова О.И., Игнатова А.С. Особенности питания детей раннего возраста, больных муковисцидозом. Вопросы современной педиатрии. 2010; 9 (1): 162–167.

7. Стандарты терапии больных муковисцидозом: Европейский консенсус. J. of cystic fibrosis. 2005; 4: 7–26.

8. Domínguez–Muñoz J.E., Iglesias–García J., Iglesias–Rey M. et al. Effect of the administration schedule on the therapeutic efficacy of oral pancreatic enzyme supplements in patients with exocrine pancreatic insufficiency: a randomized, three-way crossover study. Aliment Pharmacol Ther. 2005; 21: 993–1000.

9. Kuhn R.J., Gelrud A., Munck A., Caras S. CREON (Pancrelipase Delayed Release Capsules) for the treatment of exocrine pancreatic insufficiency. Adv. Ther. 2010; 27 (12): 895–916. [Epub 2010 Nov 15].

10. Löhr J.M., Hummel F.M., Pirilis K.T. et al. Properties of different pancreatin preparations used in pancreatic exocrine insufficiency. Eur. J. Gastroenterol. Hepatol. 2009; 21: 1024–1031.

11. Meyer J.H., Elashoff J., Porter–Fink V. et al. Human postprandial gastric emptying of 1–3 mm spheres. Gastroenterology. 1988; 94: 1315–1325.

12. Adler G., Mundlos S., Kühnelt P. et al. Dreyer New methods for assessment of enzyme activity: do they help to optimize enzyme treatment? Digestion. 1993; 54 (Suppl. 2): 3–9.

13. Lippold B.C. What is the ideal size for enteric coated pancreatin preparations? Drugs made in Germany. 1998; 41 (2): 52–56.

14. Erlanson-Albertsson С., Wisen О. Enzyme substitution in pancreatic disease: Is colipase activity sufficient? Scand. J. Gastroenterol. 1992; 27: 108–110.

15. Sternby B., Nilsson A. Carboxyl ester lipase (bile-salt stimulated lipase), colipase, lipase and phospholipase A2 levels in pancreatic enzyme supplements. Scand. J. Gastroenterol. 1997; 32: 261–267.

16. Mundlos S., Kühnelt P., Adler G. Monitoring enzyme replacement treatment in exocrine pancreatic insufficiency using the cholesteryl octanoate breath test. Gut. 1991; 31: 1324–1328.

17. Hüwel S., Behrens R., Spener F. Pankreasenzyme: Praparate im Verglekh (Pancreatic enzymes: Comparison of preparations). PZ. 1996; 37: 33–42.

18. Sinaasappel M., Stern M., Littlewood J. et al. Nutrition in patients with cystic fibrosis: a European Consensus. J. Cyst. Fibrosis. 2002; 1: 51–75.

19. Губергриц Н.Б. Нравственные проблемы панкреатологии в Украине. Сучасна Гастроентерологія. 2007; 2 (34): 81.

20. Каширская Н.Ю., Капранов Н.И. Поражение системы пищеварения при муковисцидозе. Ремедиум. 2009; 5: 22–23.

21. Каширская Н.Ю., Капранов Н.И., Рославцева Е.А., Боровик Т.Э. Вопросы нутрициологии при муковисцидозе. Пульмонология. 2006; 17–21.


Review

For citations:


Simonova O., Roslavtseva E. PECULIARITIES OF REPLACEMENT ENZYME THERAPY IN CHILDREN WITH CYSTIC FIBROSIS: BENEFITS OF HIGH-TECH ENZYMES. Current Pediatrics. 2011;10(5):152-156.

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