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Academic Hospital Brothers of Mercy Munich

location_on Munich, Germany
10/10 from 23 Votes

Department of Gastroenterology, Hepatology, Oncology and General Internal Medicine (579930)

Christian Rust

Prof. Dr. med.

Christian Rust

Specialized in: gastroenterology, hepatology, oncology, general internal medicine

About the department

The Department of Gastroenterology, Hepatology, Oncology and General Internal Medicine at the Academic Hospital Brothers of Mercy Munich offers the widest range of diagnostic and therapeutic services for patients with gastrointestinal, liver diseases, as well as oncological pathologies. Of particular interest is the treatment of diseases of the esophagus, stomach, small and large intestine, liver, gallbladder, biliary tract and pancreas. In addition, specialization covers the treatment of metabolic disorders and nutritional medicine. Medical care is provided in close cooperation with the Department of General and Abdominal Surgery, Department of Cardiology and Pulmonology. In the course of treatment, the doctors apply only the very latest functional and general diagnostic capabilities, as well as effective treatment methods adapted to the individual needs of each patient. The department is headed by Prof. Dr. med. Christian Rust.

In the field of gastroenterology, the department provides the prevention, diagnostics and treatment of all diseases of the gastrointestinal tract and related organs, such as liver, gallbladder and pancreas. The most common pathologies often dealt with by the department’s doctors include peptic ulcers, gastrointestinal tumors, liver diseases (for example, cirrhosis, hepatitis), pancreatic diseases (acute and chronic pancreatitis with functional disorders and complications), intestinal diseases (for example, chronic diarrhea, Crohn's disease, ulcerative colitis) and functional bowel disorders (functional dyspepsia, irritable bowel syndrome). Also, the service spectrum covers all benign and malignant neoplasms of these organs.

To make an accurate diagnosis, there are used modern methods of sonography and endoscopy. The patient’s medical history is also studied in detail. The department has four endoscopic rooms equipped with high-resolution video endoscopes with the cutting-edge Full HD technology. There is the possibility to conduct narrow band imaging and chromoendoscopy. With about 7,500 endoscopic procedures yearly, the department is one of the largest and most competent Endoscopy Centers in Munich. The department also offers excellent capabilities for ultrasound diagnostics (certification of the German Society of Ultrasound in Medicine). The ultrasound diagnostics is conducted using state-of-the-art and high-precision devices (about 16,000 general studies per year and more than 1,000 contrast-enhanced ultrasound studies).

Another department’s priority is hepatology. It offers patients the comprehensive diagnostics and treatment of liver diseases. In addition to the classical treatments for liver diseases, the department’s doctors perform a wide range of interventional procedures (in collaboration with the Department of Diagnostic and Interventional Radiology). For example, the therapeutic options include transarterial chemoembolization, radiofrequency and microwave ablation, etc.

The department’s team of experienced oncologists is engaged in the prevention, diagnostics, treatment and follow-up of patients with malignant diseases. The department operates a specialized Abdominal Cancer Center, which is certified by the German Cancer Society and is part of the Munich Cancer Center. Thanks to the active cooperation of all necessary specialists from various medical fields, the highest quality of treatment of oncopathologies is ensured. Treatment is based on an individual approach, so after an accurate diagnostics is made, each clinical case is reviewed at an interdisciplinary tumor board, during which doctors develop an optimal treatment regimen.

The service range of the department includes:

Gastroenterology

  • Endoscopic procedures
    • Gastroscopy
      • Installation of special probes for enteral nutrition (percutaneous endoscopic gastrostomy and percutaneous endoscopic jejunostomy)
      • Treatment of esophageal and gastric varices
      • Diagnostics, monitoring and differential treatment of all stages of Barrett's esophagus, including radiofrequency ablation
      • Diagnostics and removal of benign neoplasms and initial cancer forms using endoscopic mucosectomy or endoscopic submucosal dissection
      • Diagnostics and treatment of stenosis using bougienage and balloon dilatation
      • Treatment of stenosis in malignant and benign diseases using self-expandable metal stents
      • Hemostasis with the help of injection preparations, clipping, argon plasma coagulation, application of hemospray and protein glue
      • Treatment of Zenker's diverticulum using myotomy
    • Colonoscopy
      • Preventive screening
      • Diagnostics, monitoring and differential treatment of inflammatory bowel diseases (Crohn's disease and ulcerative colitis) and their specific complications
      • Diagnostics, monitoring and differential treatment of polyps (for example, familial adenomatous polyposis)
      • Diagnostics and removal of benign neoplasms and initial cancer forms using endoscopic mucosectomy or endoscopic submucosal dissection
      • Diagnostics and treatment of stenosis using bougienage and balloon dilatation
      • Treatment of stenosis in malignant and benign diseases using self-expandable metal stents
      • Hemostasis with the help of injection preparations, clipping, argon plasma coagulation, application of hemospray and protein glue
      • Endoscopic abdominal wall resection using the EFTR technique for treating recurrent neoplasms and tumors that are difficult to resect using classical methods
    • Proctoscopy and rectoscopy
      • Diagnostics and treatment of rectal, anal diseases
      • Hemorrhoid treatment using latex ligation
    • Endoscopic retrograde cholangiopancreatography
      • Diagnostics and treatment of bile duct stones and infections
      • Diagnostics and treatment of stenosis using bougienage and balloon dilatation
      • Placement of plastic or metal stents in the bile or pancreatic ducts
      • Treatment of malignant bile duct tumors using radiofrequency ablation
      • Direct endoscopy of the biliary tract (cholangioscopy) and pancreatic ducts (pancreatoscopy)
      • Treatment of severe inflammatory pancreatic diseases with stone fragmentation using electrohydraulic lithotripsy
      • Treatment of large biliary stones using electrohydraulic lithotripsy
    • Capsule endoscopy (small intestine diagnostics)
      • Non-invasive and sparing imaging of the entire small intestine using capsule endoscopy
      • Push intestinoscopy with an elongated and thin endoscope to detect and treat diseases of the upper small intestine
    • Endosonography
      • High-resolution imaging with radial or linear ultrasound (endoscopic access)
      • Diagnostics of benign or malignant diseases of the esophagus, stomach, pancreas, biliary tract, lymph nodes of the upper abdominal cavity, anal canal and rectum
      • Accurate staging of the malignant disease
      • Ultrasound-guided tissue sampling using a fine-needle biopsy for the further histological examination
      • Treatment of pseudocysts or other complications of severe pancreatitis using metal stents to improve the gland secretion outflow
      • Palliative care for malignant diseases of the biliary tract using plastic / metal stents inserted under ultrasound guidance
    • Ultrasound diagnostics
      • B-mode ultrasound
      • Doppler sonography and duplex sonography (blood vessel imaging)
      • Contrast-enhanced sonography
      • Ultrasound-guided abdominal puncture
      • Ultrasound-guided drainage placement
  • Other medical services

Hepatology

  • Diagnostics and treatment of acute and chronic viral hepatitis (for example, hepatitis A, B, C)
  • Diagnostics and treatment of autoimmune liver diseases, such as autoimmune hepatitis, primary sclerosing cholangitis, primary biliary cholangitis
  • Diagnostics and treatment of focal liver lesions (for example, adenomas, hemangiomas, abscesses, focal nodular hyperplasia)
  • Diagnostics and treatment of malignant liver diseases (for example, hepatocellular carcinoma and liver metastases)
  • Diagnostics and treatment of hemochromatosis, Wilson's disease
  • Diagnostics and treatment of liver metabolic disorders (for example, liver steatosis)
  • Diagnostics and treatment of alcoholic liver diseases
  • Diagnostics and treatment of cryptogenic liver diseases (diseases, in which the exact etiological factor is unknown)
  • Diagnostics and treatment of other liver diseases

Oncology

  • Diagnostic and treatment of colon and rectal cancer
  • Diagnostics and treatment of liver cancer (hepatocellular carcinoma)
  • Diagnostics and treatment of gastric cancer
  • Diagnostics and treatment of esophageal cancer
  • Diagnostics and treatment of pancreatic cancer
  • Diagnostics and treatment of gallbladder or bile duct cancer (cholangiocellular carcinoma)
  • Diagnostics and treatment of other oncological diseases

Curriculum vitae

Prof. Dr. med Christian Rust holds the position of the Head of the Department of Gastroenterology, Hepatology, Oncology and General Internal Medicine at the Academic Hospital Brothers of Mercy Munich. Prior to this, Prof. worked as a Senior Physician in the Department of Internal Medicine II at the University Hospital Grosshadern. He received his medical education at the Universities of Munich and Freiburg. In 1995, he received admission to medical practice. In 1997, he also passed the State American Exam (USMLE, 1 and 2 part). In 2003, Prof. Rust underwent professional certification in Internal Medicine, and two years later followed his specialization in Gastroenterology. In 2006, he also got specialization in Internal Intensive Care. In 2007, the doctor had his habilitation at Maximilian Ludwig University of Munich.

Photo of the doctor: (c) Barmherzige Brüder Krankenhaus München

Department of Gastroenterology, Hepatology, Oncology and General Internal Medicine.
Academic Hospital Brothers of Mercy Munich:

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