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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">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/2078-5631-2024-35-79-88</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-4137</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>Серотонин и кишечная недостаточность в периоперационном периоде. Систематический обзор</article-title><trans-title-group xml:lang="en"><trans-title>Serotonin and intestinal insufficiency in the perioperative period</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1444-701X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Еремич</surname><given-names>Д. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Eremich</surname><given-names>D. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Еремич Дарья Геннадиевна, врач анестезиолог-реаниматолог отделения реанимации и интенсивной терапии</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Eremich Darya G., anesthesiologist-resuscitator at Resuscitation and Intensive Care Dept</p><p>Saint-Petersburg</p></bio><email xlink:type="simple">daria.eremich@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/0000-0002-2537-0142</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Симутис</surname><given-names>И. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Simutis</surname><given-names>I. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Симутис Ионас Стасио, д. м. н., зав. отделения реанимации и интенсивной терапии;</p><p>доцент кафедры</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Simutis Ionas S., DM Sci (habil.), head of Resuscitation and Intensive Care Dept;</p><p>associate professor</p><p>Saint-Petersburg</p></bio><email xlink:type="simple">simutis@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5961-7433</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Данилов</surname><given-names>М. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Danilov</surname><given-names>M. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Данилов Марк Самуилович, к. м. н., врач анестезиолог-реаниматолог отделения реанимации и интенсивной терапии;</p><p>ассистент кафедры</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Danilov Mark S., PhD Me, anesthesiologist-resuscitator at Resuscitation and Intensive Care Dept;</p><p>assistant professor</p><p>Saint-Petersburg</p></bio><email xlink:type="simple">markdani@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4750-847X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Салыгина</surname><given-names>Д. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Salygina</surname><given-names>D. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Салыгина Дарья Сергеевна, врач анестезиолог-реаниматолог отделения реанимации и интенсивной терапии</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Salygina Daria S., anesthesiologist-resuscitator at Resuscitation and Intensive Care Dept</p><p>Saint-Petersburg</p></bio><email xlink:type="simple">ds.salygina@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/0000-0002-9645-8408</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ратников</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ratnikov</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ратников Вячеслав Альбертович, заместитель генерального директора – медицинский директор;</p><p>д. м. н., профессор, главный внештатный специалист ФМБА России по лучевой диагностике, профессор Научно-клинического образовательного центра «Лучевая диагностика и ядерная медицина» Института высоких медицинских технологий медицинского факультета</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Ratnikov Vyacheslav A., deputy general director – medical director;</p><p>DM Sci (habil.), professor, chief specialist of the Federal Medical and Biological Agency of Russia in Radiation Diagnostics, professor at Scientific and Clinical Educational Center "Radiation Diagnostics and Nuclear Medicine" of Institute of High Medical Technologies of the Faculty of Medicine</p><p>Saint-Petersburg</p></bio><email xlink:type="simple">daria.eremich@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «Северо-Западный окружной научно-клинический центр имени Л. Г. Соколова Федерального медико-биологического агентства России»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>North-Western district scientific and clinical center named after L. G. Sokolov Federal Medical and Biological Agency</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ «Северо-Западный окружной научно-клинический центр имени Л. Г. Соколова Федерального медико-биологического агентства России»;&#13;
Кафедра анестезиологии и реаниматологии им. В. Л. Ваневского ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И. И. Мечникова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>North-Western district scientific and clinical center named after L. G. Sokolov Federal Medical and Biological Agency;&#13;
North-Western State Medical University named after I. I. Mechnikov</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБУ «Северо-Западный окружной научно-клинический центр имени Л. Г. Соколова Федерального медико-биологического агентства России»;&#13;
ФГБОУ ВО «Санкт-Петербургский государственный университет»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>North-Western district scientific and clinical center named after L. G. Sokolov Federal Medical and Biological Agency;&#13;
Saint Petersburg State University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>23</day><month>01</month><year>2025</year></pub-date><volume>0</volume><issue>35</issue><issue-title>Кардиология. Неотложная медицина (4)</issue-title><fpage>79</fpage><lpage>88</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Еремич Д.Г., Симутис И.С., Данилов М.С., Салыгина Д.С., Ратников В.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Еремич Д.Г., Симутис И.С., Данилов М.С., Салыгина Д.С., Ратников В.А.</copyright-holder><copyright-holder xml:lang="en">Eremich D.G., Simutis I.S., Danilov M.S., Salygina D.S., Ratnikov V.A.</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.med-alphabet.com/jour/article/view/4137">https://www.med-alphabet.com/jour/article/view/4137</self-uri><abstract><p>Обзор посвящен проблеме послеоперационной кишечной недостаточности: рассматривается одна из вероятных патофизиологических основ данного состояния – серотониновая недостаточность. Подробно рассмотрены проблемы кишечной недостаточности с точки зрения функциональных и структурных нарушений кишечника, проанализирована связь данного состояния с синтезом и обменом серотонина. Особое внимание уделено накопленному клиническому опыту в терапии кишечной недостаточности посредством донации парентеральных препаратов серотонина, подробно рассмотрены плюсы и побочные эффекты такой терапии, а также возможные осложнения. В этой связи сделаны акценты на наиболее рациональных и эффективных подходах к коррекции серотониновой недостаточности в рамках лечения функциональной кишечной недостаточности периоперационного периода.</p></abstract><trans-abstract xml:lang="en"><p>The review is devoted to the problem of postoperative intestinal insufficiency: one of the probable pathophysiological bases of this condition, serotonin deficiency, is considered. The problems of intestinal insufficiency from the point of view of functional and structural disorders of the intestine are considered in detail, the relationship of this condition with the synthesis and metabolism of serotonin is analyzed. Special attention is paid to the accumulated clinical experience in the treatment of intestinal insufficiency through the donation of parenteral serotonin preparations, the advantages and side effects of such therapy, as well as possible complications, are considered in detail. In this regard, emphasis is placed on the most rational and effective approaches to the correction of serotonin deficiency in the treatment of functional intestinal insufficiency of the perioperative period.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>серотонин</kwd><kwd>кишечная недостаточность</kwd><kwd>микробиота</kwd></kwd-group><kwd-group xml:lang="en"><kwd>serotonin</kwd><kwd>intestinal failure</kwd><kwd>microbiota</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">Moon J. H., Oh C. M., Kim H. Serotonin in the regulation of systemic energy metabolism. J Diabetes Investig. 2022 Oct;13(10):1639–1645. doi: 10.1111/jdi.13879. Epub 2022 Jul 23. PMID: 35762288; PMCID: PMC 9533050</mixed-citation><mixed-citation xml:lang="en">Moon J. H., Oh C. M., Kim H. Serotonin in the regulation of systemic energy metabolism. 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