Новости доказательной медицины и разборы клинических случаев, переводы исследований, обновления клин.рекомендаций.
ИД Медмедиа idmedmedia.ru
Связь с редакцией и по вопросам сотрудничества @id_medmedia
Заявление в РКН 8030025008
Created
Between 1 October 2022 and 30 September 2023 — estimated from Telegram’s id allocation, not measured. How this range is calculated.
Health & wellness — a classification, not a measurement. An on-box language model (Qwen3.6-35B-A3B-FP8, prompt version 1) read this channel’s own recent posts on 11 September 2026 and assigned it the closest of 31 fixed categories, at 95% confidence. This is a model’s judgement about what the channel is likely to be about, not a fact this register measured the way a subscriber count or a view count is measured — it can be revised on a later pass, and it carries no weight anywhere else on this page. How this classification works, and the other topics.
Growth
62 measurements spanning 97 days, net +276. Dots are measurements; the straight line between them is drawn to join them, not to claim we know the path taken in between — snapshots are recorded only when a count changes, so gaps mean “no change observed”, never “interpolated”. The vertical axis spans 12,247–12,609 and does not start at zero.
Measurement log — every subscribers count we have recorded, most recent 20 of 62
Measured (UTC)
Subscribers
Change
12 Nov 2026, 06:59
12,567
+8
10 Nov 2026, 02:27
12,559
+5
8 Nov 2026, 16:56
12,554
+5
7 Nov 2026, 07:46
12,549
+4
6 Nov 2026, 04:01
12,545
+2
5 Nov 2026, 02:07
12,543
-1
4 Nov 2026, 03:27
12,544
+2
3 Nov 2026, 04:55
12,542
+4
2 Nov 2026, 06:47
12,538
+3
1 Nov 2026, 06:20
12,535
+6
31 Oct 2026, 05:18
12,529
+2
30 Oct 2026, 02:09
12,527
+1
28 Oct 2026, 23:05
12,526
-1
27 Oct 2026, 22:31
12,527
+10
26 Oct 2026, 22:08
12,517
+4
25 Oct 2026, 23:20
12,513
+1
25 Oct 2026, 02:30
12,512
+6
24 Oct 2026, 03:56
12,506
+3
23 Oct 2026, 04:29
12,503
+1
22 Oct 2026, 06:07
12,502
first reading
Engagement
34 posts held, back to 4 May 2026 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 68 pages of Telegram’s post history, 20 posts per page.
ERR · 30 days
25.1%
avg views ÷ 12,567 subscribers
Avg views / post
3,150
9 posts measured
Reaction rate
0.734%
reactions ÷ views · ER floor
Posts in window
9
of 34 held
ERR is average views per post over the last 30 days divided by subscribers, the definition TGStat uses, so this figure is comparable with the one you will see elsewhere. It falls structurally as a channel grows: a high ERR on a small channel and a low one on a large channel describe reach mathematics, not quality. We publish the figure and the sample it came from and pass no verdict on it.
ER is defined industry-wide as (forwards + reactions + comments) ÷ views — note the denominator is views, not subscribers. Telegram’s public web preview carries views and reactions but not forward or comment counts, so the reaction rate above is the reactions term only and is therefore a floor: the true ER for this channel is higher by an amount we have not measured and will not estimate.
What these figures were computed from
Window
Rolling 30 days · latest post in window 12 November 2026
Posts held
34 (4 May 2026 – 12 November 2026)
Views total
28,340
Reactions total
208
Forwards / comments
not exposed by the public surface — not measured, not estimated
Readings taken
13 Nov 2026, 09:11 UTC
Views are a single reading per post, taken at the time above. A post published in the last day or two is still accumulating views, which pulls the 30-day average down slightly. That is a property of the standard definition rather than a fault in it, so we keep the definition rather than “correcting” the number into something nobody can reproduce.
Precision. Telegram publishes view counts on its public widget in short form — 8.12K, 3.7M — so any reading at or above 1,000 reaches us rounded to three significant figures, and only counts below 1,000 are exact. Averages and rates derived from them are shown to the same precision rather than to the unit: a figure like 3,701,250 would assert digits nobody measured.
Reaction counts are published per emoji and rounded the same way, so a total below 1,000 is exact and a larger one is a sum that may carry a rounded component from each emoji above 1,000. Because it is a sum, it does not look rounded — read a large reaction total as three significant figures per contributing emoji rather than as the figure it prints.
What this channel posts
Photos
≈640
Videos
≈156
Links
≈2,620
Lifetime counters from Telegram’s own channel header, read 13 November 2026 — not the date at the top of this page, which is when the subscriber count was last read. A count marked ≈ was rounded by Telegram before we ever saw it — t.me prints these counters in full below 1,000 and to three significant figures above, so ≈142,000 means somewhere between 141,500 and 142,499.
Video runtime
1m 14s
Average length
37s
Measured directly from 2 videos with a duration reading, out of the posts we hold for this channel — not this channel’s whole posting history, only the sample this register has actually read. An exact reading to the second, taken from the post itself rather than from Telegram’s own rounded chrome, so it carries no ≈ mark.
Reaction mix
878 reactions across 34 posts, in 10 distinct kinds. The most used accounts for 37.4% of them.
Every reaction kind recorded on the sample, most used first
Reaction
Count
Share
Share, drawn
❤
328
37.4%
👍
273
31.1%
🔥
245
27.9%
⚡
13
1.48%
❤🔥
5
0.569%
🙏
5
0.569%
👏
4
0.456%
🤯
3
0.342%
👌
1
0.114%
🤔
1
0.114%
No sentiment is inferred, and none should be read in. This table is ordered by count and by nothing else. Emoji do not carry stable meaning across languages or communities — 🙏 is thanks in one channel and mourning in another — so we publish which ones were pressed and how often, and pass no judgement on what an audience meant by them.
Precision. Telegram publishes reaction counts per emoji and short-forms each one — 4.34K, 1.2M — so any single kind at or above 1,000 reaches us at three significant figures, and only counts below 1,000 are exact. The shares above are ratios of those figures and carry the same error. This is also why the total here can differ slightly from a reaction total printed elsewhere on the page: both are sums of the same rounded parts, taken over samples with different edges.
Coverage. Reactions were read on 34 of the 34 sampled posts in this sample. Summed by Telegram’s own count on each post — not by adding up the per-emoji breakdown above — those same posts carry 878 reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 34 most recent posts we hold, published 4 May 2026 to 12 November 2026, using the newest reading held for each. Telegram Stars are excluded: they are a payment, not a reaction, and they have their own section.
Recent posts
Telegram’s own ‘edited’ marker: 2 of 9 posts held from the last 30 days (22.2%) carried it when this register last read them. The marker says a post was changed after publishing, not what it said before — this register holds the earlier wording only where an edit fell between two of its own reads (see the edit ledger and how it is measured).
🤔 Полип толстой кишки: можно ли по эндоскопическому изображению заподозрить рак?
Два образования могут выглядеть почти одинаково при осмотре в белом свете, но заметно различаться по сосудистому и поверхностному рисунку в режиме NBI.
Эти различия лежат в основе классификаций NICE и JNET, которые помогают оценивать характер поверхностных эпителиальных новообразований толстой кишки и выявлять признаки возможной подсли…
🩺 СРК больше не диагноз исключения? Что изменилось в Римских критериях V
Пациент годами жалуется на боль в животе, вздутие и нарушения стула. Анализы без существенных отклонений, обследования не выявляют органической патологии. Но прежде чем поставить диагноз синдрома раздражённого кишечника, врач назначает очередное исследование — на всякий случай.
Насколько оправдан такой подход?
В 2026 году опубликованы Римские …
💉 Семаглутид и шок: как переполненный желудок едва не остановил кровообращение
35-летний мужчина поступил в отделение неотложной помощи после внезапной потери сознания. За три дня до этого он самостоятельно возобновил приём семаглутида для лечения ожирения.
Пациент сделал инъекцию высокой поддерживающей дозы 2,4 мг, возобновлённой без повторной титрации после четырёхмесячного перерыва.
Вскоре появились выраженная то…
💊Тошнота, диарея, запор: а если причина не в заболевании ЖКТ, а в лекарствах?
Пациент жалуется на тошноту после еды, вздутие или нарушение стула. Мы оцениваем симптомы, собираем анамнез, планируем обследование. Но иногда ключ к диагнозу находится в списке препаратов, которые пациент принимает ежедневно.
Причём не обязательно по поводу гастроэнтерологического заболевания.
🔎 Какие лекарственные причины важно учитыва…
Восемь гвоздей в слепой кишке: можно ли извлечь их без операции?
В сентябрьском номере BMJ Case Reports гастроэнтерологи описали случай, который вполне мог закончиться хирургическим вмешательством: пациентка преднамеренно проглотила восемь металлических гвоздей. Через несколько дней все они оказались в области илеоцекального клапана.
И самое интересное — врачам удалось извлечь их колоноскопом.
🔬 Как развивались со…
Первичный билиарный холангит: что изменилось во второй линии терапии?
Урсодезоксихолевая кислота по-прежнему остаётся основой лечения первичного билиарного холангита. Но у части пациентов ответ на терапию остаётся неполным — и именно здесь в 2026 году произошли важные изменения.
Обетихолевая кислота, которую ещё недавно рассматривали как ключевой вариант второй линии, фактически ушла со сцены. Причина — не только в…
Болезнь Крона: значение терминального илеита и раннего старта таргетной терапии
Илеоцекальная область — одна из наиболее частых локализаций болезни Крона. Поражение подвздошной кишки имеет особое клиническое значение: оно ассоциировано с риском формирования стриктур и может оставаться недооценённым при стандартном эндоскопическом обследовании.
📌 Диагностический минимум:
– Фекальный кальпротектин: уровень менее 50 м…
🔬 Ответ к гастроразминке: почему нормальная эндоскопия не исключает колит?
✅ Правильный ответ — микроскопический колит.
В опубликованном клиническом случае у 20-летнего пациента при ректороманоскопии не обнаружили видимых воспалительных изменений слизистой оболочки.
Однако гистологическое исследование биоптатов из нисходящей и сигмовидной ободочной кишки выявило утолщение субэпителиального коллагенового слоя с включ…
💦 Гастроразминка: хроническая диарея при нормальной эндоскопической картине
Мужчина 20 лет обратился к гастроэнтерологу с жалобами на жидкий стул 3–4 раза в сутки, примесь слизи и периодические схваткообразные боли в животе.
Симптомы сохраняются на протяжении 3 месяцев. Лихорадку, кровь в стуле и значимое снижение массы тела пациент отрицает.
Из анамнеза: периодически принимает омепразол 40 мг по поводу диспепсии.…
«Синдром автопивоварни»: когда кишечник сам варит алкоголь
Представьте пациента, которого останавливает автоинспекция и фиксирует алкогольное опьянение. При этом человек утверждает, что не пил ни капли спиртного — лишь съел тарелку пасты или несколько кусочков хлеба.
Звучит невероятно, но в медицинской литературе описаны подобные случаи. Причиной может быть редкое состояние — синдром автопивоварни (Auto-Brewery Syn…
Синдром раздражённого кишечника (СРК) поражает 10–15% населения. Годами применяемые спазмолитики и элиминационные диеты часто не спасают от рецидивов. Согласно Римским критериям IV пересмотра, СРК классифицируется как расстройство взаимодействия оси «мозг–кишечник» (DGBI — Disorders of Gut-Brain Interaction).
📌 Роль центральных нейромодуляторов:
▪️ Висцеральная гипералгезия: порог чувствительности рецепторов кишечн…
СИБР: когда дыхательный тест реально показан?
Синдром избыточного бактериального роста (СИБР) — одна из самых часто как гипо-, так и гипердиагностируемых патологий тонкой кишки. Ключевой подход — не тестировать всех пациентов с функциональной диспепсией подряд, а искать лиц с подтвержденными факторами риска (анатомические изменения и операции, гипохлоргидрия на фоне длительного приёма ИПП, нарушения моторики, гипоти…
🔥14👍7❤3
Showing the 12 most recent of 34 posts we hold for @profgastroenterologist. View and reaction counts are the latest single reading for each post, not a live figure, and a recent post is still accumulating both. A view count marked ≈ was rounded by Telegram before we ever saw it — t.me prints views in full below 1,000 and to three significant figures above, so ≈1,200,000 means somewhere between 1,150,000 and 1,249,999. Unmarked counts are exact. Text is reproduced from the public post preview and truncated for length.
Forward network
Republished by
Channels on the register that have forwarded this channel's posts into their own feed.
Built only from forwarded posts we have actually read, on both sides. Coverage is early and deliberately incomplete: a missing link means we have not read the post that would prove it, never that the relationship does not exist. Counts are distinct forwarded posts observed, so they only ever go up as we read more.
Mentions
Named by 1 registered channel — every channel on the register whose own posts have named this one, by its current username or any other username it currently holds, merged from two separately captured readings of the same fact so a namer caught by only one of them is not missed and a namer both caught is not counted twice. A username this channel has since dropped is not matched — that handle may belong to someone else now, and crediting today’s namer to yesterday’s owner would misattribute it.
Named by
Channels on the register whose posts name this channel's handle.
A mention is a weaker signal than a forward and is counted separately for that reason — naming a channel is not republishing it, and a handle in a post body is easy to place deliberately. The post counts beside each row below are distinct posts in which the handle appeared, from posts we have read on both sides — the “Named by N registered channels” figure above is a different count, of distinct NAMING CHANNELS rather than posts, and is not the sum of the rows under it.
Appears in Telegram’s recommendations for other channels
The reverse of the list above, and a different kind of signal. This does not require this channel to have ever been asked about directly — each row below is a channel we DID ask Telegram about, whose Telegram-generated list happened to include this one. A channel can appear here with an empty list above it, because being named by someone else’s query is independent of having been queried itself.
Профессия – педиатр @profpediatrician · 19,657 Telegram ranks this channel #1 of 98 here — alongside 97 others — read 1 October 2026
Профессия – эндокринолог @profendocrinologist · 21,291 Telegram ranks this channel #4 of 97 here — alongside 96 others — read 24 September 2026
Доктор Вялов @doctorvyalov · 40,445 Telegram ranks this channel #5 of 88 here — alongside 87 others — read 30 August 2026
Профессия – кардиолог @profcardiologist · 20,937 Telegram ranks this channel #10 of 95 here — alongside 94 others — read 26 September 2026
Dr.Anshina @DrAnshina · 392,232 Telegram ranks this channel #19 of 71 here — alongside 70 others — read 12 August 2026
Гастроэнтеролог Лопатина М.В. @gastrogram · 36,876 Telegram ranks this channel #21 of 99 here — alongside 98 others — read 1 September 2026
Гастроэнтеролог & Терапевт @doctor_sitkina · 42,025 Telegram ranks this channel #21 of 96 here — alongside 95 others — read 29 August 2026
Гастроэнтеролог ХАРИТОНОВ Андрей Геннадьевич @ag_kharitonov · 58,836 Telegram ranks this channel #21 of 99 here — alongside 98 others — read 22 August 2026
Газовый гигант (ibs.doc)🪐 @ibs_doc · 21,762 Telegram ranks this channel #23 of 100 here — alongside 99 others — read 23 September 2026
Повестка @povestka_ru · 26,649 Telegram ranks this channel #38 of 90 here — alongside 89 others — read 12 September 2026
ПроПром @ruproprom · 39,550 Telegram ranks this channel #45 of 93 here — alongside 92 others — read 30 August 2026
Каплина О.Ю., гинеколог, гемостазиолог & dr.gemogyn @dr_gemogyn · 21,864 Telegram ranks this channel #47 of 98 here — alongside 97 others — read 23 September 2026
Справочник педиатра @pediatrhelp · 19,272 Telegram ranks this channel #51 of 92 here — alongside 91 others — read 2 October 2026
Архипелаг БИГТЕХ @arhbigtech · 23,954 Telegram ranks this channel #53 of 97 here — alongside 96 others — read 17 September 2026
ТеZис @tethis · 42,163 Telegram ranks this channel #69 of 95 here — alongside 94 others — read 29 August 2026
Фестивальный @festivalny · 24,149 Telegram ranks this channel #77 of 93 here — alongside 92 others — read 17 September 2026
Без рецепта @bezrec · 32,029 Telegram ranks this channel #77 of 98 here — alongside 97 others — read 5 September 2026
Страна возможностей @strana_vozmozhnostei · 24,323 Telegram ranks this channel #78 of 95 here — alongside 94 others — read 16 September 2026
Хайлайт | Новости @h1ghl1ghts · 68,793 Telegram ranks this channel #86 of 96 here — alongside 95 others — read 22 August 2026
ЮЖНЫЙ КРАЙ | ДОНБАСС, НОВОРОССИЯ @uzh_kraj · 50,633 Telegram ranks this channel #89 of 93 here — alongside 92 others — read 25 August 2026
This channel appears in 20 seed channels' Telegram-generated recommendation lists in total. Each is Telegram’s list for THAT channel, not this one — see how this is measured.
Cite this entry
A live page changes as we take new readings, so a citation should name the measurement it is based on, not just the URL. The line below cites the subscriber count as measured 12 November 2026 — this
entry's latest reading, not the date you are reading this.
“Профессия – гастроэнтеролог” (@profgastroenterologist), 12,567 subscribers as measured 12 November 2026. Telegram Register, tgregister.com/channel/profgastroenterologist.
Full measurement history, CC BY 4.0. Every reading this register holds for this entry, not just the latest one, as a dated, downloadable record: CSV · JSON. Free to use with attribution to tgregister.com. Each file carries its own generation timestamp, which is the figure to cite for exactly when the data was retrieved.