Modern enterosorbents in pediatric practice: new therapy possibilities
DOI: 10.32364/2618-8430-2025-8-1-11
P.V. Berezhansky1–4
1I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
2RUDN University, Moscow, Russian Federation
3Morozov Children's City Clinical Hospital, Moscow, Russian Federation
4Scientific and Research Clinical Institute of Childhood of the Ministry of Health of the Moscow Region, Moscow, Russian Federation
Enterosorbents are one of the most commonly used groups of drugs in pediatric practice with sorption and detoxification properties. The efficacy of this group of drugs is due to the ability of enterosorbents not to break down in the gastrointestinal tract, to bind and remove exogenous and endogenous substances, various metabolic products, microorganisms and their toxins from the body, which allows them to be used in various nosologies. The article presents current data on enterosorbents, their classification by dosage form and field of application, and provides examples of pathogenetic activity in therapy for various diseases in children, including food allergies, the prevalence of which in children varies from 3 to 35% in various age groups. According to international statistics, the highest prevalence of food allergies is observed in children of early and preschool age. In most preschool children, atopic dermatitis is a consequence of food allergies, hypersensitivity to various proteins, and the first stage in the start of the atopic march (atopic dermatitis — allergic rhinitis — bronchial asthma). The use of modern enterosorbents in groups of patients with various types of food sensitization is the main part of effective complex therapy and prevention of complications in allergic diseases. The article discusses the pathophysiological mechanisms of the formation of disorders and the possibility of effective use of enterosorbents in endogenous intoxication, taking into account the anatomical and physiological characteristics of childhood.
Keywords: enterosorption, food allergy, endogenous intoxication, enterosorbent, Solosorb, inflammation.
For citation: Berezhansky P.V. Modern enterosorbents in pediatric practice: new therapy possibilities. Russian Journal of Woman and Child Health. 2025;8(1):72–78 (in Russ.). DOI: 10.32364/2618-8430-2025-8-1-11
About the author:
Pavel V. Berezhansky — C. Sc. (Med.), Associate Professor of the Department of Children's Diseases, N.F. Filatov Clinical Institute of Children's Health, I.M. Sechenov First Moscow State Medical University (Sechenov University); 8, Build. 2, Trubetskaya str., Moscow, 119991, Russian Federation; Assistant Professor of Clinical Immunology and Allergology, RUDN University; 6, Miklukho-Maklaya str., Moscow, 117198, Russian Federation; pulmonologist, Morozov Children's City Clinical Hospital; 1/9, 4th Dobryninskiy pass., Moscow, 119049, Russian Federation; Senior Researcher of the Department of Pediatrics, Research Clinical Institute of Childhood of the Moscow Region; 62, Bolshaya Serpukhovskaya str., Moscow, 115093, Russian Federation; ORCID iD 0000-0001-5235-5303
Contact information: Pavel V. Berezhansky, e-mail: p.berezhanskiy@mail.ru
Financial Disclosure: the author has no a financial or property interest in any material or method mentioned.
There is no conflict of interest.
Received 24.11.2024.
Revised 17.12.2024.
Accepted 09.01.2025.
2. Захаренко С.М. Энтеросорбция в практике инфекциониста. РМЖ. 2010;30:1829.Zakharenko S.M. Enterosorption in the practice of an infectious disease specialist. RMJ. 2010;30:1829 (in Russ.).
3. Вершинин А.С., Попилов А.Н. Энтеросорбция в практике семейного врача. РМЖ. 2008;4:166–169.Vershinin A.S., Popilov A.N. Enterosorption in the practice of a family doctor. RMJ. 2008;4:166–169 (in Russ.).
4. Токмалаев А.К. Применение энтеросорбентов в лечении острых кишечных инфекций. РМЖ. 2011;19(32):2096–2101.Tokmalaev A.K. The use of enterosorbents in the treatment of acute intestinal infections. RMJ. 2011;19(32):2096–2101 (in Russ.).
5. Старченко В. Энтеросорбционные технологии в медицине. Новая аптека. Аптечный ассортимент. 2011;3:90–91.Starchenko V. Enterosorption technologies in medicine. Novaya apteka. Aptechnyi assortiment. 2011;3:90–91 (in Russ.).
6. Jandosov J., Alavijeh М., Sultakhan S. et al. Activated Carbon/Pectin Composite Enterosorbent for Human Protection from Intoxication with Xenobiotics Pb(II) and Sodium Diclofenac. Molecules. 2022;27(7):2296. DOI: 10.3390/molecules27072296
7. Воинов В.А. Эфферентная терапия. Мембранный плазмаферез. М.: ОАО «Новости»; 2010.Voinov V.A. Efferent therapy. Membrane plasmapheresis. Moscow: OAO Novosti; 2010 (in Russ.).
8. Хотимченко Ю.С., Кропотов А.В. Применение энтеросорбентов в медицине. Тихоокеанский медицинский журнал. 1999;2:84–89.Khotimchenko Yu.S., Kropotov A.V. The use of enterosorbents in medicine. Pacific Medical Journal. 1999;2:84–89 (in Russ.).
9. Авдошенкова О.Г., Иванов Р.В., Максвитис Р.Й. Применение препарата Энтеродез® в терапии интоксикационного синдрома инфекционной этиологии. Фармация. 2010;2(21):50–53.Avdoshenkova O.G., Ivanov R.V., Maksvitis R.J. The use of Enterodez® in the treatment of intoxication syndrome of infectious etiology. Pharmacy. 2010;2(21):50–53 (in Russ.).
10. Щербаков П.Л., Петухов В.А. Сравнительная эффективность энтеросорбентов при диарее у детей. Вопросы современной педиатрии. 2005;4(4):85–89.Sherbakov P.L., Petukhov V.A. Comparative efficacy of enterosorbents in children with diarrhea. Voprosy Sovremennoi Pediatrii. 2005;4(4):85–89 (in Russ.).
11. Панфилова В.Н., Таранушенко Т.Е. Применение энтеросорбентов в клинической практике. Педиатрическая фармакология. 2012;9(6):34–39.Panfilova V.N., Taranushenko T.E. Application of enterosorbents in clinical practice. Pediatric pharmacology. 2012;9(6):34–39 (in Russ.).
12. Файзуллина Р.М. Сорбенты в педиатрической практике: дифференцированный подход к назначению. Педиатрия и неонатология. 2016;4(4):24–29.Fayzullina R.A. Sorbents in pediatric practice: differentiated approach to prescription. Pediatrics and neonatology. 2016;4(4):24–29 (in Russ.).
13. Fatullayeva S., Tagiyev D., Zeynalov N. A review on enterosorbents and their application in clinical practice: Removal of toxic metals. Colloids and Interface Science Communications. 2021;45:100545. DOI: 10.1016/j.colcom.2021.100545
14. Фомичев А.В., Сосюкин А.Е., Малышева Е.В. и др. Настоящее и будущее применения энтеросорбентов в профилактике и лечении неблагоприятного воздействия соединений тяжелых металлов. Токсикологический вестник. 2020;2:41–46. DOI: 10.36946/0869-7922-2020-2-41-46Fomichev A.V., Sosyukin A.E., Malysheva E.V. et al. Present and future applications of enterosorbents in the prevention and treatment of adverse effects of heavy metal compounds. Toxicological Review. 2020;(2):41–46 (in Russ.). DOI: 10.36946/0869-7922-2020-2-41-46
15. Trebicka J., Macnaughtan J., Schnabl B. et al. The microbiota in cirrhosis and its role in hepatic decompensation. J Hepatol. 2021;75(1):67–81. DOI: 10.1016/j.jhep.2020.11.013
16. Garbuzenko D. Therapeutic possibilities of gut microbiota modulation in acute decompensation of liver cirrhosis. World J Hepatol. 2023;15(4):525–537. DOI: 10.4254/wjh.v15.i4.525
17. Sarnatskaya V.V., Sakhno L., Paziuk L.M. et al. Highly activated carbon enterosorbent mediates the suppression of paraneoplastic syndrome associated with Lewis lung carcinoma in mice. Exp Oncol. 2018;40(1):33–41.
18. Shevchuk О., Snezhkova Е., Sarnatskaya V. et al. Effect of Primary and Secondary Beads of Carbon Enterosorbent on Haematological Parameters and Oxidative Stress Development Caused by Melphalan in Rats. Medicina (Kaunas). 2019;55(9):557. DOI: 10.3390/medicina55090557
19. Селиванова Г.Б., Потешкина Н.Г. Место энтеросорбентов в клинической практике. Лечебное дело. 2024;1:76–84. DOI: 10.24412/2071-5315-2024-13089Selivanova G.B., Poteshkina N.G. The Place of Enterosorbents in Clinical Practice. Lechebnoe delo. 2024;1:76–84 (in Russ.). DOI: 10.24412/2071-5315-2024-13089
20. Учайкин В.Ф., Новокшонов А.А., Соколова Н.В., Бережкова Т.В. Энтеросорбция — роль энтеросорбентов в комплексной терапии острой и хронической гастроэнтерологической патологии: Пособие для врачей. М.; 2008.Uchaykin V.F., Novokshonov A.A., Sokolova N.V., Berezhkova T.V. Enterosorption — the role of enterosorbents in the complex therapy of acute and chronic gastroenterological pathology: A manual for doctors. Moscow; 2008 (in Russ.).
21. Shichkin V.P., Kurchenko O.V., Okhotnikova E.N. et al. Enterosorbents in complex therapy of food allergies: a focus on digestive disorders and systemic toxicity in children. Front Immunol. 2023;13(14):1210481. DOI: 10.3389/fimmu.2023.1210481
22. Ansotegui I.J., Melioli G., Canonica G.W. et al. IgE allergy diagnostics and other relevant tests in allergy, a World Allergy Organization position paper. World Allergy Organ J. 2020;13(2):100080. DOI: 10.1016/j.waojou.2019.100080
23. Ревякина В.А. Энтеросорбенты в комплексной терапии атопического дерматита у детей. Эффективная фармакотерапия. 2010;8:14–17.Revyakina V.A. Enterosorbents in the complex therapy of atopic dermatitis in children. Effective pharmacotherapy. 2010;8:14–17 (in Russ.).
24. Wong G.W-K. Food allergies around the world. Front Nutr. 2024;11:1373110. DOI: 10.3389/fnut.2024.1373110
25. Akdis M., Aab A., Altunbulakli C. et al. Interleukins (from IL-1 to IL-38), interferons, transforming growth factor b, and TNF-a: Receptors, functions, and roles in diseases. J Allergy Clin Immunol. 2016;38:984–910. DOI: 10.1016/j.jaci.2016.06.033
26. Seth D., Poowutikul P., Pansare M., Kamat D. Food allergy: A review. Pediatr Ann. 2020;49(1):e50–58. DOI: 10.3928/19382359-20191206-01
27. Zysk W., Mesjasz A., Trzeciak M. et al. Gastrointestinal Comorbidities Associated with Atopic Dermatitis — A Narrative Review. Int J Mol Sci. 2024;25(2):1194. DOI: 10.3390/ijms25021194
28. Смолкин Ю.С., Масальский С.С., Чебуркин А.А., Горланов И.А. Роль пищевой аллергии в развитии атопического дерматита. Позиционная статья Ассоциации детских аллергологов и иммунологов России. Педиатрия. Consilium Medicum. 2020;1:26–35. DOI: 10.26442/26586630.2020.1.200019Smolkin Yu.S., Masalskiy S.S., Cheburkin A.A., Gorlanov I.A. The role of food allergy in the development of atopic dermatitis. Position paper of the Association of Children's Allergists and Immunologists of Russia. Pediatrics. Consilium Medicum. 2020;1:26–35. DOI: 10.26442/26586630.2020.1.200019
29. Tsakok T., Marrs T., Mohsin M. et al. Does atopic dermatitis cause food allergy? A systematic review. J Allergy Clin Immunol. 2016;137(4):1071–1078. DOI: 10.1016/j.jaci.2015.10.049
30. Bawany F., Beck L.A., Järvinen K.M. Halting the March: Primary Prevention of Atopic Dermatitis and Food Allergies. J Allergy Clin Immunol Pract. 2020;8(3):860–875. DOI: 10.1016/j.jaip.2019.12.005
31. Tieroshyn V., Moroz L., Prishliak O. et al. Colloidal silicon dioxide in tablet form (Carbowhite) efficacy in patients with acute diarrhea: results of randomized, double-blind, placebo-controlled, multi-center study. Sci Rep. 2020;10(1):6344. DOI: 10.1038/s41598-020-62386-0
32. Markovinović L., Knezović I., Kniewald T. et al. Enteroadsorbent Polymethylsiloxane Polyhydrate vs. Probiotic Lactobacillus reuteri DSM 17938 in the Treatment of Rotaviral Gastroenteritis in Infants and Toddlers, a Randomized Controlled Trial. Front Pediatr. 2020;8:553960. DOI: 10.3389/fped.2020.553960
33. Bobyr V.V., Stechenko L.O., Shirobokov V.P. et al. The role of sorbents and probiotics in prevention of structural and morphological disorders in the small intestine of animals developing in dysbiosis. Rep Morphol. 2020;26(2):45–50. DOI: 10.31393/morphology-journal-2020-26(2)-07
34. Lototska C.B. Justification of the use of enterosorbents in the treatment of endogenous intoxication syndrome in various diseases (literature review). Bukovyns'kyy Medychnyy Visnyk. 2015;19(1):222–226.
35. Меньшикова С.В., Кетова Г.Г., Попилов М.А. Применение энтеросорбента полисорб МП (кремний диоксида коллоидного) в комплексной терапии различных патологических состояний у детей. Современные проблемы в науке и образовании. 2016;6. (Электронный ресурс.) URL: http://www.science-education.ru/ru/article/view?id=25791 (дата обращения: 31.01.2025).Menshikova S.V., Ketova H.G., Popylov M.A. Use of enterosorbent Polysorb MP (colloidal silicon dioxide) in complex therapy of various pathological conditions in children. Sovremennyye problemy nauki i obrazovaniya. 2016;6. (Electronic resource.) URL: http://www.science-education.ru/ru/article/view?id=25791 (access date: 31.01.2025).
36. Федорова О.В., Федулова Э.Н., Тутина О.А. и др. Патогенетическая сорбционная терапия эндогенной интоксикации воспалительных заболеваний кишечника у детей. Педиатрическая фармакология. 2009;6(5):34–38.Fedorova O.V., Fedulova E.N., Tutina O.A. et al. Sorption рathogenetic therapy of endogenous intoxication of pediatric chronic inflammatory bowel diseases. Pediatric Pharmacology. 2009;6(5):34–38 (in Russ.).
37. Баранов А.А., Намазова-Баранова Л.С., Боровик Т.Е., Макарова С.Г. Пищевая аллергия: Руководство для врачей. М.: Педиатр; 2013.Baranov A.A., Namazova-Baranova L.S., Borovik T.E., Makarova S.G. Food allergy. A Guide for Physicians. Moscow: Pediatr; 2013 (in Russ.).
38. Яблокова Е.А., Джабарова А.К., Лохматов М.М. и др. Внекишечные проявления воспалительных заболеваний кишечника у детей. Экспериментальная и клиническая гастроэнтерология. 2023;1(1):165–177. DOI: 10.31146/1682-8658-ecg-209-1-165-177Yablokova E.A., Dzhabarova A.K., Lokhmatov M.M. et al. Extraintestinal manifestations in infl ammatory bowel diseases in children, a modern view of the problem. Experimental and Clinical Gastroenterology. 2023;1(1):165–177 (in Russ.). DOI: 10.31146/1682-8658-ecg-209-1-165-177

This work is licensed under a Creative Commons «Attribution» 4.0 License.
















