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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">mossj</journal-id><journal-title-group><journal-title xml:lang="ru">Московский хирургический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Moscow Surgical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-3180</issn><publisher><publisher-name>ООО «ПРОФИЛЬ – 2С»</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">mossj-24</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>Статьи</subject></subj-group></article-categories><title-group><article-title>ТЯЖЕЛОЕ ЖЕЛУДОЧНО-КИШЕЧНОЕ КРОВОТЕЧЕНИЕ КАК ПРОЯВЛЕНИЕ ГРАНУЛЕМАТОЗНОГО ПОЛИАНГИИТА (ГРАНУЛЕМАТОЗА ВЕГЕНЕРА)</article-title><trans-title-group xml:lang="en"><trans-title></trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фролова</surname><given-names>Н. Ф.</given-names></name></name-alternatives><email xlink:type="simple">nadiya.frolova@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ветшева</surname><given-names>М. С.</given-names></name></name-alternatives><email xlink:type="simple">rimsho@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лосс</surname><given-names>К. Э.</given-names></name></name-alternatives><email xlink:type="simple">karina1512@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Подкорытова</surname><given-names>О. Л.</given-names></name></name-alternatives><email xlink:type="simple">o-podkorytova@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Волгина</surname><given-names>Г. В.</given-names></name></name-alternatives><email xlink:type="simple">volginagv@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Брацун</surname><given-names>О. И.</given-names></name></name-alternatives><email xlink:type="simple">olga090764@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воронова</surname><given-names>Н. Е.</given-names></name></name-alternatives><email xlink:type="simple">nataljavrnva@rambler.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Назарова</surname><given-names>И. Н.</given-names></name></name-alternatives><email xlink:type="simple">angrydoctor1108@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>ГБУЗ «ГКБ № 52 ДЗМ»</institution><country>Russian Federation</country></aff><aff xml:lang="ru" id="aff-2"><institution>ГБОУ ВПО Первый МГМУ им. И.М. Сеченова МЗ РФ</institution><country>Russian Federation</country></aff><aff xml:lang="ru" id="aff-3"><institution>3МГМСУ им. А. И. Евдокимова</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>31</day><month>07</month><year>2020</year></pub-date><volume>0</volume><issue>3</issue><fpage>34</fpage><lpage>39</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Фролова Н.Ф., Ветшева М.С., Лосс К.Э., Подкорытова О.Л., Волгина Г.В., Брацун О.И., Воронова Н.Е., Назарова И.Н., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Фролова Н.Ф., Ветшева М.С., Лосс К.Э., Подкорытова О.Л., Волгина Г.В., Брацун О.И., Воронова Н.Е., Назарова И.Н.</copyright-holder><copyright-holder xml:lang="en">Фролова Н.Ф., Ветшева М.С., Лосс К.Э., Подкорытова О.Л., Волгина Г.В., Брацун О.И., Воронова Н.Е., Назарова И.Н.</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.mossj.ru/jour/article/view/24">https://www.mossj.ru/jour/article/view/24</self-uri><abstract><p>Гранулематоз с полиангиитом (гранулематоз Вегенера) (ГПА) представляет собой первичный васкулит неизвестного этиологии, характеризу- ющийся гранулематозным некротизирующим воспалением мелких артерий и вен. Консенсус Chapel Hill классифицировал ГПА как васкулит с по- ражением небольших сосудов антинейтрофильными цитоплазматическими антителами (cANCA). Классическое проявление болезни, описанное Вегенером в 1936 году, включает в себя поражение верхних и нижних дыхательных путей и гломерулонефрит, оно может влиять на любой другой орган. Это приводит к неоднородности клинических проявлений. Хотя участие желудочно-кишечного тракта встречается редко, но поражается не только толстая, но и тонкая кишка, что вызывает серьезное осложнение ГПА.</p></abstract><trans-abstract xml:lang="en"><p>Granulomatosis with polyangiitis (Wegener’s granulomatosis) (GPA) is a primary vasculitis of unknown origin characterised by granulomatous necrotising inflammation of small arteries and veins. The Chapel Hill Consensus classified GPA as small-vessel vasculitis with the presence of anti-neutrophil cytoplasmic antibodies (cANCA). Classical manifestation of the disease described by Wegener in 1936 includes upper and lower respiratory tract involvement and glomerulonephritis, it can affect every other organ. This results in heterogeneity of clinical manifestations. Although gastrointestinal tract involvement is rare, both the small and the large bowel may be involved, thus causing a serious complication of GPA</p></trans-abstract><kwd-group xml:lang="ru"><kwd>гранулематоз с полиангиитом</kwd><kwd>кровотечение из желудочно-кишечного тракта</kwd></kwd-group><kwd-group xml:lang="en"><kwd>granulomatosis with polyangiitis</kwd><kwd>gastrointestinal tract bleeding</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">Jennette J.C., Falk R.J., Bacon P.A. et al. 2012 revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides - Arthritis Rheum. - 65 (1): 2013; 1-11</mixed-citation><mixed-citation xml:lang="en">Jennette J.C., Falk R.J., Bacon P.A. et al. 2012 revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides - Arthritis Rheum. - 65 (1): 2013; 1-11</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Nadeau SE. 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