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<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">gnck</journal-id><journal-title-group><journal-title xml:lang="ru">Колопроктология</journal-title><trans-title-group xml:lang="en"><trans-title>Koloproktologia</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2073-7556</issn><issn pub-type="epub">2686-7303</issn><publisher><publisher-name>Russian Association of Coloproctology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33878/2073-7556-2025-24-2-60-66</article-id><article-id custom-type="elpub" pub-id-type="custom">gnck-2013</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>ОРИГИНАЛЬНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL ARTICLES</subject></subj-group></article-categories><title-group><article-title>Консенсус с применением метода Дельфи по вопросам подготовки толстой кишки к колоноскопии</article-title><trans-title-group xml:lang="en"><trans-title>Consensus by Delphi method on the bowel cleansing for colonoscopy</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6427-9790</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Восканян</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Voskanyan</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Восканян Анна Сергеевна — врач-методист научно-консультативной поликлиники.</p><p>Ул. Саляма Адиля, д. 2, г. Москва, 123423</p></bio><bio xml:lang="en"><p>Anna S. Voskanyan</p><p>Salyama Adilya st., 2, Moscow, 123423</p></bio><email xlink:type="simple">voskanyan_as@gnck.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/0000-0002-3399-0608</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хомяков</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Khomyakov</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Хомяков Евгений Александрович — к.м.н., научный сотрудник отдела онкопроктологии.</p><p>Ул. Саляма Адиля, д. 2, г. Москва, 123423</p></bio><bio xml:lang="en"><p>Evgeniy A. Khomyakov</p><p>Salyama Adilya st., 2, Moscow, 123423</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/0000-0003-4872-4481</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ваганов</surname><given-names>Ю. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Vaganov</surname><given-names>Yu. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ваганов Юрий Евгеньевич — д.м.н., заведующий отдела эндоскопической диагностики и хирургии.</p><p>Ул. Саляма Адиля, д. 2, г. Москва, 123423</p></bio><bio xml:lang="en"><p>Yuri E. Vaganov</p><p>Salyama Adilya st., 2, Moscow, 123423</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/0000-0001-5848-4050</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ликутов</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Likutov</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ликутов Алексей Александрович — к.м.н., руководитель отдела эндоскопической диагностики и хирургии.</p><p>Ул. Саляма Адиля, д. 2, г. Москва, 123423</p></bio><bio xml:lang="en"><p>Aleksey A. Likutov</p><p>Salyama Adilya st., 2, Moscow, 123423</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/0009-0008-2420-2770</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Савицкая</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Savitskaya</surname><given-names>T. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Савицкая Татьяна Александровна — младший научный сотрудник отдела эндоскопической диагностики и хирургии.</p><p>Ул. Саляма Адиля, д. 2, г. Москва, 123423</p></bio><bio xml:lang="en"><p>Tatyana A. Savitskaya</p><p>Salyama Adilya st., 2, Moscow, 123423</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Галяев</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Galyaev</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Галяев А.В. — врач-эндоскопист.</p><p>3-я Рощинская ул., д. 6, г. Москва, 115191</p></bio><bio xml:lang="en"><p>Anton V. Galyaev</p><p>3rd Roshchinskaya st., 6, Moscow, 115191</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/0000-0001-5082-0013</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лукашевич</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Lukashevich</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лукашевич Илона Викторовна — к.м.н., заместительного главного врача по клинико-экспертной работе.</p><p>Ул. Саляма Адиля, д. 2, г. Москва, 123423</p></bio><bio xml:lang="en"><p>Ilona V. Lukashevich</p><p>Salyama Adilya st., 2, Moscow, 123423</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/0000-0002-3919-9067</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рыбаков</surname><given-names>Е. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Rybakov</surname><given-names>E. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рыбаков Евгений Геннадиевич — д.м.н., профессор РАН, руководитель отдела онкопроктологии.</p><p>Ул. Саляма Адиля, д. 2, г. Москва, 123423</p></bio><bio xml:lang="en"><p>Evgeny G. Rybakov</p><p>Salyama Adilya st., 2, Moscow, 123423</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ колопроктологии имени А.Н. Рыжих» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ryzhikh National Medical Research Center of Coloproctology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Многопрофильная клиника ООО «Реал Транс Хаер Т»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Multidisciplinary clinic Real Trans Hair T LLC</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>17</day><month>05</month><year>2025</year></pub-date><volume>24</volume><issue>2</issue><fpage>60</fpage><lpage>66</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Восканян А.С., Хомяков Е.А., Ваганов Ю.Е., Ликутов А.А., Савицкая Т.А., Галяев А.В., Лукашевич И.В., Рыбаков Е.Г., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Восканян А.С., Хомяков Е.А., Ваганов Ю.Е., Ликутов А.А., Савицкая Т.А., Галяев А.В., Лукашевич И.В., Рыбаков Е.Г.</copyright-holder><copyright-holder xml:lang="en">Voskanyan A.S., Khomyakov E.A., Vaganov Y.E., Likutov A.A., Savitskaya T.A., Galyaev A.V., Lukashevich I.V., Rybakov 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://www.ruproctology.com/jour/article/view/2013">https://www.ruproctology.com/jour/article/view/2013</self-uri><abstract><sec><title>ЦЕЛЬ</title><p>ЦЕЛЬ: разработка и экспертная оценка стандартизированной схемы подготовки к эндоскопическому исследованию толстой кишки.</p></sec><sec><title>МАТЕРИАЛЫ И МЕТОДЫ</title><p>МАТЕРИАЛЫ И МЕТОДЫ: проведено поперечное исследование с применением Дельфийского метода. В анонимном голосовании приняло участие 12 экспертов. Были составлены 12 вопросов, посвященных подготовке толстой кишки к колоноскопии. На основании практического опыта рабочей группы и литературных данных сформулированы 10 утверждений. Рекомендации, не достигшие необходимого уровня согласия (80% и более), будут подвергнуты 2 раунду Дельфийского голосования.</p></sec><sec><title>РЕЗУЛЬТАТЫ</title><p>РЕЗУЛЬТАТЫ: голосование завершено по всем 10 отобранным тезисам, панель экспертов принимала участие в полном составе. Из 10 представленных для голосования положений, консенсус (80% и более) был достигнут по этапности подготовки, режиму питания и применению вспомогательных препаратов.</p></sec><sec><title>ЗАКЛЮЧЕНИЕ</title><p>ЗАКЛЮЧЕНИЕ: разработанная стандартизированная схема подготовки пациентов к колоноскопии признана наиболее оптимальной в клинической практике на основании экспертной оценки.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>AIM</title><p>AIM: to develop and evaluate standardized approach for bowel cleansing before colonoscopy.</p></sec><sec><title>MATERIALS AND METHODS</title><p>MATERIALS AND METHODS: a cross-sectional study using the Delphi method was used. Anonymous voting was done by 12 experts. Twelve questions were compiled on bowel cleansing before colonoscopy. Based on the practical experience of the working group, as well as literature data, ten statements were formulated. Recommendations that did not reach the required level of agreement (80% or more) will be subject to a 2nd round of Delphi voting.</p></sec><sec><title>RESULTS</title><p>RESULTS: voting was completed on all 10 selected theses, the expert panel participated in full. Of the 10 provisions submitted for voting, consensus (80% or more) was reached on the stages of cleansing, diet and the use of additional agents.</p></sec><sec><title>CONCLUSION</title><p>CONCLUSION: the developed standardized scheme of patient preparation for colonoscopy is recognized as the most optimal in clinical practice based on expert evaluation.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>колоноскопия</kwd><kwd>подготовка толстой кишки</kwd><kwd>метод Дельфи</kwd></kwd-group><kwd-group xml:lang="en"><kwd>colonoscopy</kwd><kwd>bowel preparation</kwd><kwd>Delphi method</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Выражаем признательность всем участникам, в особенности пациентам и рабочей группе. Отдельная благодарность экспертам, которыми являлись врачиКонсенсус с применением метода Дельфи по вопросам подготовки толс той кишки к колоноскопии Consensus by Delphi method on the bowel cleansing for colonoscopy отделения эндоскопической диагностики и хирургии ФГБУ «НМИЦ колопроктологии имени А.Н. Рыжих» Минздрава России, а также коллеги из других учреждений: д.м.н., проф. Веселову Виктору Владимировичу (ФГБУ «НМИЦ колопроктологии имени А.Н. Рыжих» Минздрава России), Дурдыклычеву Илье Худайназаровичу (ФГБУ «НМИЦ онкологии им. Н.Н. Блохина» Минздрава России), д.м.н. Пирогову Сергею Сергеевичу (МНИОИ им. П.А. Герцена — филиал ФГБУ «НМИЦ радиологии» Минздрава России), к.м.н. Сухину Дмитрию Гарриевичу (МНИОИ им. П.А. Герцена — филиал ФГБУ «НМИЦ радиологии» Минздрава России), к.м.н. Мтвралашвили Дмитрию Александровичу (ГБУЗ МКНЦ имени А.С. Логинова ДЗМ), Кирьянову Виталию Александровичу (ГБУЗ МКНЦ имени А.С. Логинова ДЗМ), Милицкому Михаилу Николаевичу (ГБУЗ НО БСМП г. 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