therapeuticЮжно-Российский журнал терапевтической практикиSouth Russian Journal of Therapeutic Practice2712-81563033-8344РостГМУ10.21886/2712-8156-2026-7-3-82-91therapeutic-770Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL RESEARCHОбновлённая классификация OLGA (Operative Link on Gastritis Assessment)Updated OLGA (Operative Link on Gastritis Assessment) classificationhttps://orcid.org/0000-0003-4915-6869КотелевецС. М.KotelevetsS. M.

Котелевец Сергей Михайлович, д. м. н., проф., заведующий кафедрой пропедевтики внутренних болезней

Черкесск

Sergey M. Kotelevets, Dr. Sci. (Med.), Professor, Head of the Department of Propaedeutics of Internal Diseases

Cherkessk

smkotelevets@mail.ruhttps://orcid.org/0000-0003-2586-3542ЧехС. А.CzechS. A.

Чех Сергей Анатольевич, старший преподаватель кафедры математики

Черкесск

Sergey A. Chekh, Senior Lecturer at the Department of Mathematics

Cherkessk

chekh-sergey@yandex.ruhttps://orcid.org/0000-0001-6074-4229ЧуковС. З.ChukovS. Z.

Чуков Сергей Залимович, д. м. н., проф., заведующий кафедрой патологической анатомии

Ставрополь

Sergey Z. Chukov, Dr. Sci. (Med.), Professor, Head of the Department of Pathological Anatomy

Stavropol

chukov@mail.ruhttps://orcid.org/0009-0008-0695-1102МостововА. Н.MostovovA. N.

Мостовов Александр Николаевич, к. м. н., доцент кафедры пропедевтики внутренних болезней

Черкесск

Alexander N. Mostovov, PhD, Associate Professor of the Department of Propaedeutics of Internal Diseases

Cherkessk

amostovov@mail.ruhttps://orcid.org/0009-0007-8082-4489БорлаковаФ. А.BorlakovaF. A.

Борлакова Фатима Аубекировна, старший преподаватель кафедры пропедевтики внутренних болезней

Черкесск

Fatima A. Borlakova, Senior Lecturer at the Department of Propaedeutics of Internal Diseases

Cherkessk

borlakova82@bk.ruhttps://orcid.org/0009-0004-5206-3713АйбазоваД. И.AybazovaD. I.

Айбазова Диана Ибрагимовна, ассистент кафедры пропедевтики внутренних болезней

Черкесск

Diana I. Aybazova, Assistant of the Department of Propaedeutics of Internal Diseases

Cherkessk

aybazova96@gmail.comФГБОУ ВО «Северо-Кавказская государственная академия» Минобрнауки РоссииРоссияNorth Caucasian State Academy of the Ministry of Education and Science of the Russian FederationRussian FederationФГБОУ ВО «Ставропольский государственный медицинский университет» Минздрава РоссииРоссияStavropol State Medical University of the Ministry of Health of the Russian FederationRussian Federation202627092026738291Copyright © Котелевец С.М., Чех С.А., Чуков С.З., Мостовов А.Н., Борлакова Ф.А., Айбазова Д.И., 20262026Котелевец С.М., Чех С.А., Чуков С.З., Мостовов А.Н., Борлакова Ф.А., Айбазова Д.И.Kotelevets S.M., Czech S.A., Chukov S.Z., Mostovov A.N., Borlakova F.A., Aybazova D.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therapeutic-j.ru/jour/article/view/770

В настоящее время значительное распространение получила система стратификации риска развития рака желудка OLGA (Operative Link on Gastritis Assessment). Данная классификация основана на морфологических характеристиках, полученных гастробиоптатов по традиционной методике в рамках обновлённой Сиднейской системы. Наряду с OLGA активно используется эндоскопическая классификация атрофического гастрита Kimura – Takemoto, в основе которой действует топографический принцип оценки атрофии слизистой оболочки антрального отдела и корпуса желудка. Авторы настоящего исследования разработали обновлённую классификацию OLGA, которая представляет собой интегральную систему оценки риска рака желудка, объединяющую преимущества обеих классификаций. При этом оценка кумулятивного риска с помощью обновлённой классификации OLGA позволит повысить результативность профилактических мероприятий относительно рака желудка.

The OLGA (Operative Link on Gastritis Assessment) gastric cancer risk stratification system has become widely used. This classification is based on the morphological characteristics of gastric biopsies obtained using the traditional method within the updated Sydney system. Along with OLGA, the Kimura-Takemoto endoscopic classification of atrophic gastritis, which relies on the topographic principle of assessing atrophy of the antral and corpus mucosa, is widely used. The authors of this study developed an updated OLGA classification, which represents an integrated gastric cancer risk assessment system that combines the advantages of both classifications. Furthermore, assessing cumulative risk using the updated OLGA classification will improve the effectiveness of gastric cancer preventive measures.

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The authors declare that there are no conflicts of interest present.