Russian MedicineRussian Medicine0869-21062412-9100Eco-Vector4255210.18821/0869-2106-2020-26-2-104-113Review ArticleAssessment of persistent digestive system dysfunctions in sociomedical examinationStolovS. V.<p>MD, PhD, DSc, Professor</p>sv100lov@gmail.comhttps://orcid.org/0000-0002-3431-1224UglevaE. M.<p>MD, PhD</p>uglevaem@mail.ruhttps://orcid.org/0000-0002-1130-5913YamshchikovaT. Yu.<p>MD, PhD</p>tania@tirn.spb.ruhttps://orcid.org/0000-0001-6800-4823MakarovaO. V.<p>MD, PhD</p>olgamak2012@mail.ruSaint Petersburg Postgraduate Institute of Medical ЕxpertsI.I. Mechnikov North-Western State Medical University1908202026210411319082020Copyright © 2020, Eco-Vector2020<p>Based on data in the literature, this article provides criteria for assessing persistent digestive system dysfunction. This issue must be considered when referring or conducting a sociomedical examination of patients with gastrointestinal tract pathology to establish a disability group, taking into account the aspects of the existing Order No. 585 of the Ministry of Labor of Russia, On classifications and criteria used in the implementation of sociomedical examination of citizens by federal state institutions of sociomedical examination.</p>reviewsociomedical examinationdisabilitypathology of the gastrointestinal tractdigestive system pathologyhepatic cirrhosisimpaired liver functionpersistent digestive system dysfunctionsобзормедико-социальная экспертизаинвалидностьпатология желудочно-кишечного трактапатология пищеварительной системыцирроз печенинарушение функции печенистойкие нарушения функций пищеварительной системы организма[Parfenov A.I. Indigestion syndrome. Eksp Klin Gastroenterol. 2008; (7): 76–81. (in Russian)][Ivashkin V.T., Lapina T.L., eds. Gastroenterology. National Guideline. [Gastroenterologiya. Natsional'noe rukovodstvo]. Moscow: GEOTAR-Media; 2018. (in Russian)][Zakharova I.N., Zaydenvarg G.E., Dmitrieva Yu.A., Kasatkina E.N. Exocrine pancreatic insufficiency: diagnostic capabilities and correction methods. RMZh. 2012; 20(33): 1604-9. (in Russian)][Polunina T.E. Chronic pancreatitis: exocrine insufficiency and its correction. Practitioner. 2018; (6): 71-6. (in Russian)][Baranovskiy A.Yu., Pal'gova L.K., Kondrashina E.A., Raykhel'son K.L., Marchenko N.V., Nazarenko L., eds. Dietetology. Guideline. [Dietologiya. Rukovodstvo]. 5th ed. St. Petersburg: Piter; 2019. 1104 p. (in Russian)][Khubutiya M.Sh., Popova T.S., Saltanov A.I., eds. Parenteral and Enteral Nutrition: A National Guide. [Parenteral'noe i enteral'noe pitanie: natsional'noe rukovodstvo]. Moscow: GEOTAR-Media; 2015. (in Russian)][Borisov A.E., Kashchenko V.A. Cirrhosis and Portal Hypertension [Tsirroz pecheni i portal'naya gipertenziya]. Moscow: GEOTAR-Media; 2012. (in Russian)][Stolov S.V., Shvartsmana Z.D., eds. Medical and social examination for internal diseases and respiratory tuberculosis: a guide for doctors. [Mediko-sotsial'naya ekspertiza pri vnutrennikh boleznyakh i tuberkuleze organov dykhaniya: rukovodstvo dlya vrachey]. St. Petersburg: TsIATsAN; 2017. 840 p. (in Russian)][Rukavitsyn O.A. Anemia. A Practitioner's Guide. [Anemii. Kratkoe rukovodstvo dlya prakticheskikh vrachey vsekh spetsial'nostey]. Moscow: GEOTAR-Media; 2018. 176 p. (in Russian)][Khoroshilov I.E. Enteral nutrition as a method of prevention and treatment of malnutrition. Gastroenterologiya. Prilozhenie k zhurnalu Consultum Medicum. 2008; (2): 49-51. (in Russian)]