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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">ssmu</journal-id><journal-title-group><journal-title xml:lang="ru">Бюллетень сибирской медицины</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of Siberian Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-0363</issn><issn pub-type="epub">1819-3684</issn><publisher><publisher-name>Siberian State Medical University, the Ministry of Healthcare of the Russian Federation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.20538/1682-0363-2020-1-150-159</article-id><article-id custom-type="elpub" pub-id-type="custom">ssmu-2695</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>ОБЗОРЫ И ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Анализ эпидемиологических исследований взаимосвязи холангиокарциномы и печеночных трематодозов</article-title><trans-title-group xml:lang="en"><trans-title>Association between cholangiocarcinoma and liver flukes: review of epidemiological studies</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6116-8323</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ковширина</surname><given-names>А. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Kovshirina</surname><given-names>A. E.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2962-1076</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Федорова</surname><given-names>О. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Fedorova</surname><given-names>O. S.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"><p>2, Mosсow Trakt, Tomsk, 634050, Russian Federation</p></bio><email xlink:type="simple">olga.sergeevna.fedorova@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6818-9792</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ковширина</surname><given-names>Ю. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kovshirina</surname><given-names>Y. V.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2013-7587</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Онищенко</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Onishchenko</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"><p>1, Lenin Av., Surgut, 628403, Russian Federation</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/0000-0002-2514-4188</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Таслицкий</surname><given-names>С. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Taslicki</surname><given-names>S. S.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3959-8391</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Катанахова</surname><given-names>Л. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Katanakhova</surname><given-names>L. L.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"><p>1, Lenin Av., Surgut, 628403, Russian Federation</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/0000-0002-3764-5182</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чижиков</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Chizhikov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"><p>40, Mira Str., Khanty-Mansiysk, 628011, Russian Federation</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/0000-0003-2127-9496</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Татауров</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Tataurov</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"><p>40, Kalinina Str., Khanty-Mansiysk, 628012, Russian Federation</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2962-1076</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Огородова</surname><given-names>Л. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Ororodova</surname><given-names>L. M.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"/><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Сибирский государственный медицинский университет (СибГМУ)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Siberian State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Сургутский государственный университет (СурГУ)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Surgut State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Сургутская окружная клиническая больница</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Surgut Regional Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Ханты-Мансийская государственная медицинская академия</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Khanty-Mansiysk Medical Academy</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Окружная клиническая больница</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Regional Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>16</day><month>04</month><year>2020</year></pub-date><volume>19</volume><issue>1</issue><fpage>150</fpage><lpage>159</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ковширина А.Е., Федорова О.С., Ковширина Ю.В., Онищенко С.В., Таслицкий С.С., Катанахова Л.Л., Чижиков А.В., Татауров И.А., Огородова Л.М., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Ковширина А.Е., Федорова О.С., Ковширина Ю.В., Онищенко С.В., Таслицкий С.С., Катанахова Л.Л., Чижиков А.В., Татауров И.А., Огородова Л.М.</copyright-holder><copyright-holder xml:lang="en">Kovshirina A.E., Fedorova O.S., Kovshirina Y.V., Onishchenko S.V., Taslicki S.S., Katanakhova L.L., Chizhikov A.V., Tataurov I.A., Ororodova L.M.</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://bulletin.ssmu.ru/jour/article/view/2695">https://bulletin.ssmu.ru/jour/article/view/2695</self-uri><abstract><p>Согласно официальной медицинской статистике, случаи инвазии, вызываемые печеночными трематодами Opisthorchis felineus, Opisthorchis viverrini и Clonorchis sinensis, ежегодно регистрируются как в регионах Юго-Восточной Азии, так и в европейских странах, в Российской Федерации, являясь причиной заболеваний органов пищеварительной системы у населения эндемичных регионов.</p><p>Цель обзора – анализ результатов эпидемиологических исследований, посвященных оценке взаимосвязи злокачественных новообразований гепатобилиарной системы и печеночных трематодозов, вызванных гельминтами семейства Opisthorchiidae.</p><p>Изучены оригинальные исследования, опубликованные за период 1974–2019 гг. и размещенные в базах данных MEDLINE и научной электронной библиотеки eLIBRARY. Проведенные исследования свидетельствуют, что холангиокарцинома является значимой медико-социальной проблемой в эндемичных по трематодозам регионах Юго-Восточной Азии ввиду отсутствия специфических симптомов, длительного бессимптомного течения, резистентности к терапии и высокой смертности пациентов. Длительная персистенция в организме печеночных трематод Opisthorchis viverrini и Clonorchis sinensis ассоциирована со значительным риском развития холангиоцеллюлярного рака. Требуется проведение эпидемиологического многоцентрового исследования для установления взаимосвязи инвазии Opisthorchis felineus и холангиокарциномы у населения эндемичных регионов Российской Федерации.</p></abstract><trans-abstract xml:lang="en"><p>According to official medical statistics, liver fluke infections caused by Opisthorchis felineus, Opisthorchis viverrini and Clonorchis sinensis, are reported annually in the Southeast Asia, European countries and the Russian Federation. These infections are the main cause of digestive system diseases in the population of endemic regions. </p><p>The aim of the review is to analyze the findings of epidemiological studies and to assess the relationship between liver and bile duct cancer and Opisthorchiidae liver fluke infections.</p><sec><title>Materials and methods</title><p>Materials and methods. The authors reviewed original studies published in 1974–2019 via the MEDLINE databases and the eLIBRARY scientific digital library.</p></sec><sec><title>Results</title><p>Results. The studies have shown that cholangiocarcinoma is a significant medical and social problem in the trematode-endemic areas of Southeast Asia due to the absence of specific symptoms, long asymptomatic course, resistance to therapy and high mortality of patients. Long-term infection caused by trematodes Opisthorchis viverrini and Clonorchis sinensis is associated with a significant risk of developing cholangiocellular cancer. An epidemiological multicenter study is required to establish the relationship between the Opisthorchis felineus infection and cholangiocarcinoma in the population of endemic regions in the Russian Federation. </p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>Opisthorchis viverrini</kwd><kwd>Clonorchis sinensis</kwd><kwd>Opisthorchis felineus</kwd><kwd>рак печени</kwd><kwd>обзор</kwd><kwd>эпидемиологическое исследование</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cholangiocarcinoma</kwd><kwd>Opisthorchis viverrini</kwd><kwd>Clonorchis sinensis</kwd><kwd>Opisthorchis felineus</kwd><kwd>liver&#13;
cancer</kwd><kwd>review</kwd><kwd>epidemiological study</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование выполнено при поддержке Российского фонда фундаментальных исследований, грант «Разработка алгоритма ранней диагностики злокачественных новообразований гепатобилиарного тракта, ассоциированных с инвазией Opisthorchis felineus, у населения эндемичных регионов», договор от 22.04.2019, № 19-415-703013\19.</funding-statement><funding-statement xml:lang="en">The study was supported by the Russian Foundation for Basic Research grant No. 19-415-703013\19 (22.04.2019) «Development of preclinical diagnostic tools of hepatobiliary tumors associated with Opisthorchis felineus infection in population of endemic regions».</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">London School of Hygiene &amp; Tropical Medicine. 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