Diagnosis and treatment of cancer of the bile duct with bile duct obstruction by ERCP and bougienage in Brothers of Mercy Hospital Munich
Brothers of Mercy Hospital Munich
Munich, Germany
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Program id #
582516
Prof. Dr. med. Christian Rust
Department of Gastroenterology, Hepatology and Oncology
Specialized in: gastroenterology, hepatology, oncology The program includes:
- Initial presentation in the clinic
- clinical history taking
- physical examination
- review of medical records
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical analysis of blood
- TSH-basal, fT3, fT4
- tumor markers (AFP, CEA, СА-19-9, CA 72-4)
- indicators of inflammation (CRP, ESR)
- indicators blood coagulation
- abdominal ultrasound
- gastroscopy with biopsy
- CT/MRI abdomen
- ERCP, stenting and bougienage
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- nutrition recommendations
- full hospital accommodation
- explanation of future recommendations
Required documents
- Medical records
- MRI/CT scan (not older than 3 months)
- Biopsy results (if available)
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About the department
The Department of Gastroenterology, Hepatology and Oncology at the Brothers of Mercy Hospital Munich provides the broadest range of preventive, diagnostic and therapeutic services in these medical fields. The medical facility admits patients with diseases of the stomach, small and large intestines, esophagus, pancreas, liver, gallbladder and biliary tract. Of particular interest to the department's specialists is the treatment of malignant pathologies of the gastrointestinal tract and hepatopancreatobiliary area. The doctors of the medical facility cooperate closely with the Department of General and Abdominal Surgery and the Department of Cardiology and Pulmonology. In the course of treatment, the latest functional and general diagnostics options are used, and effective treatment methods are adapted to the patient's individual needs. The department has state-of-the-art equipment for endoscopic examinations and therapeutic procedures. Doctors and nursing staff always show a humane attitude towards their patients, striving to support them on their way to recovery. The department is headed by Prof. Dr. med. Christian Rust.
Gastroenterology offers prevention, diagnostics and treatment of all gastrointestinal diseases. The most common pathologies in the practice of the department's doctors are gastric and duodenal ulcers, gastrointestinal tumors, pancreatic diseases (acute and chronic pancreatitis with functional disorders and complications), bowel diseases (for example, chronic diarrhea, Crohn's disease, and ulcerative colitis) and functional gastrointestinal disorders (functional dyspepsia and irritable bowel syndrome). The service range also includes the treatment of benign and malignant neoplasms of these organs.
Modern methods of sonography and endoscopy are used for making an accurate diagnosis, and the patient's medical history is also studied in detail. The department has four endoscopy rooms with state-of-the-art high-resolution video endoscopes with Full HD technology. Patients can undergo precise endoscopy and chromoendoscopy. With approximately 7,500 endoscopic procedures annually, the department ranks among Munich's largest and most competent endoscopy centers. The department also offers excellent opportunities for ultrasound diagnostics (certification from the German Society for Ultrasound in Medicine). Ultrasound diagnostics is carried out on advanced and high-precision devices. The medical facility conducts about 16,000 general examinations annually and more than 1,000 contrast-enhanced ultrasound scans.
Hepatology is another priority area of the department's work. Patients can undergo comprehensive diagnostics and treatment of liver diseases: viral hepatitis, autoimmune liver diseases, hemochromatosis, Wilson's disease, fatty liver disease, alcohol-related liver disease, etc. In addition to classical treatment methods, the department's doctors use various interventional procedures (in cooperation with the Department of Interventional Radiology). For example, therapeutic options include transarterial chemoembolization, radiofrequency and microwave ablation, and so on.
The team of the department's experienced oncologists is engaged in the prevention, diagnostics, treatment and follow-up monitoring of patients with malignant diseases. There is a specialized Abdominal Cancer Center in the department, which is certified by the German Cancer Society and is part of the Cancer Center Munich. Thanks to the active cooperation of specialists from various medical fields, the highest quality of cancer therapy is ensured. Treatment is based on an individual approach, and therefore after establishing a diagnosis, each clinical case is considered at an interdisciplinary tumor board, during which doctors develop an optimal therapy regimen. The department's specialization in oncology includes colorectal, liver, stomach, esophageal, pancreatic, gallbladder and bile duct cancers. Specialized surgeons are responsible for surgical resection of the tumor, and the department's oncologists provide conservative treatment with chemotherapy, radiation therapy, hormone therapy, targeted therapy, antibody therapy and other systemic treatments.
The department's range of medical services includes:
- Gastroenterology and hepatology
- Gastroscopy
- Enteral feeding tube placement (percutaneous endoscopic gastrostomy and percutaneous endoscopic jejunostomy)
- Diagnostics and 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 early forms of cancer using endoscopic mucosectomy or endoscopic submucosal dissection
- Diagnostics and treatment of stenosis with bougienage and balloon dilatation
- Diagnostics and treatment of stenosis in malignant and benign diseases using self-expandable metallic stents
- Hemostasis with injectables, clipping, argon plasma coagulation, hemospray, and protein glue
- Diagnostics and treatment of Zenker's diverticulum by 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 early forms of cancer using endoscopic mucosectomy or endoscopic submucosal dissection
- Diagnostics and treatment of stenosis with bougienage and balloon dilatation
- Diagnostics and treatment of stenosis in malignant and benign diseases using self-expandable metallic stents
- Hemostasis with injectables, clipping, argon plasma coagulation, hemospray, and protein glue
- Endoscopic resection of the abdominal wall using the EFTR technique for the treatment of recurrent neoplasms and tumors that are difficult to resect using classical methods
- Proctoscopy and rectoscopy
- Diagnostics and treatment of rectal and anal diseases
- Treatment of hemorrhoids with latex ligation
- Small bowel capsule endoscopy
- Non-invasive and sparing imaging of the small intestine with capsule endoscopy
- Push intestinoscopy using an elongated and thin endoscope for the diagnostics and treatment of diseases of the upper small intestine
- Endosonography
- High-resolution images with radial or linear ultrasound scans (endoscopic access)
- Diagnostics of benign and malignant diseases of the esophagus, stomach, pancreas, biliary tract, lymph nodes of the upper abdomen, anal canal and rectum
- Precise determination of the stage of a malignant disease
- Tissue sampling using ultrasound guided fine-needle aspiration biopsy for further histological examination
- Treatment of pseudocysts or other complications of pancreatitis using metal stents to improve the outflow of pancreatic secretions
- Palliative treatment of bile duct malignancies with plastic/metal stents placed under ultrasound guidance
- Endoscopic retrograde cholangiopancreatography
- Diagnostics and treatment of stones and bile duct infections
- Diagnostics and treatment of stenosis with bougienage and balloon dilatation
- Placement of plastic or metal stents in the bile duct or pancreatic duct
- Treatment of bile duct malignancies using radiofrequency ablation
- Direct endoscopy of the biliary tract (cholangioscopy) and pancreatic duct (pancreatoscopy)
- Treatment of inflammatory pancreatic diseases with stone fragmentation by electrohydraulic lithotripsy
- Removal of large bile duct stones by electrohydraulic lithotripsy
- Transarterial chemoembolization, radiofrequency and microwave ablation (in collaboration with the Department of Interventional Radiology)
- Gastroscopy
- Oncology
- Surgical resection of malignant gastrointestinal and hepatopancreatobiliary tumors (in collaboration with general and abdominal surgeons)
- Chemotherapy
- Radiation therapy
- Hormone therapy
- Targeted therapy
- Antibody therapy
- Transarterial chemoembolization, radiofrequency and microwave ablation (in collaboration with the Department of Interventional Radiology)
- Other diagnostic and therapeutic options
Curriculum vitae
Prof. Dr. med. Christian Rust holds the position of the Head of the Department of Gastroenterology, Hepatology and Oncology at the Brothers of Mercy Hospital Munich. Before 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 his admission to medical practice. In 1997, he also passed the State American Exam (USMLE, part 1 and 2). In 2003, Prof. Rust had his board 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
About hospital
According to the Focus magazine, the Brothers of Mercy Hospital Munich ranks among the top German hospitals in the Federal State of Bavaria!
The hospital is a modern medical facility with the highest level of medical care and long traditions. The hospital operates on the basis of the Technical University of Munich and the German Academy of Nutrition, which contributes to the introduction of progressive diagnostic techniques and therapeutic innovations into clinical practice. The history of the medical facility has more than 100 years, and throughout this time, the specialists of the hospital manage not only to keep abreast of the very latest advances in medicine, but also remain true to the principles of charity and human compassion.
With more than 1,100 employees, the department's competent medical team admits about 18,300 inpatients and more than 31,500 outpatients every year. The hospital employs about 200 specialized physicians who work for the benefit of their patients and provide them with the best quality of treatment, but, at the same time, pay due attention to the patient's emotional state, try to support him in every possible way, and tune him to a positive treatment outcome.
The hospital's main focuses include general and abdominal surgery, gastroenterology, hepatology, oncology, urology, cardiology and pulmonology, orthopedics and traumatology, palliative care, diagnostic and interventional radiology, and others. The hospital regularly demonstrates high treatment success rates in all areas of its specialization, thanks to which it has gained an excellent reputation not only in Germany, but also in the European medical arena.
Many hospital's departments are awarded with prestigious quality certificates, including the endoCert certificate in joint replacement surgery from the German Society for Orthopedics and Orthopedic Surgery (DGOOC), the certificate of the German Hernia Society (DHG), the certificate of the German Cardiac Society (DGK), the certificates of the German Cancer Society (DKG) in bowel and liver cancer treatment. Patients can be sure that they trust their health to the best professionals who successfully cope with clinical tasks of any complexity.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Brothers of Mercy Hospital Munich live in comfortable, spacious single and double rooms with bright colors. The standard room furnishing includes an automatically adjustable bed, a bedside table, a wardrobe, a telephone, a TV and a radio. Single rooms also have a mini-fridge and a safe. There is also a table and chairs for receiving visitors. The hospital offers access to Wi-Fi. Each patient room has an ensuite bathroom with a shower and a toilet. The bathroom has a cosmetic mirror, a hair dryer and toiletries, towels, etc.
Meals and Menus
The patients of the hospital are offered healthy and tasty three meals a day: breakfast, lunch and dinner. The menu also features vegetarian dishes. If you do not eat all the food for any reason, you will be provided with an individual menu.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Religion
There is a small chapel on the territory of the hospital, where worship is regularly held. The chapel is also open for independent visits and prayers.
Accompanying person
Your accompanying person may stay with you in your patient room or at the hotel of your choice during the inpatient program.
Hotel
You may stay at the hotel of your choice during the outpatient program. Our managers will support you for selecting the best option.
