Academic Hospital Cologne-Merheim
Department of Nephrology, Transplantation Medicine and Internal Intensive Care (274436)
Specialized in: nephrology, transplantation medicine, internal intensive care
About the department
The Department of Nephrology, Transplantation Medicine and Internal Intensive Care at the Academic Hospital Cologne-Merheim offers the full range of modern diagnostic and therapeutic interventions for patients with kidney diseases, including kidney lesions caused by hypertension and autoimmune diseases (systemic lupus erythematosus, Wegener's granulomatosis, etc.). The department's specialists conduct all types of renal replacement therapy. The department has 80 beds for inpatient treatment. The transplant program of the department involves close cooperation with the Transplant Center Cologne, which in turn cooperates with the University Hospital Cologne. The center is one of the largest German medical facilities, which actively perform kidney transplantations. When performing transplantations, the department's specialists cooperate with experts from the Department of Abdominal, Vascular and Transplant Surgery. The Chief Physician of the department is Prof. Dr. med. Achim Jörres.
For many years, the department has enjoyed a reputation as the Competence Center for Kidney Diseases in the Cologne region. The department's doctors annually treat more than 2,500 inpatients with acute and chronic kidney disease. The department's medical team is proud of its successful experience in the treatment of primary kidney diseases (for example, glomerulonephritis) and secondary kidney pathologies (for example, diabetic nephropathy). In addition, the doctors specialize in the treatment of rare kidney diseases, such as hereditary nephropathies (Alport syndrome, autosomal dominant polycystic kidney disease), vasculitis (Goodpasture syndrome, Wegener's granulomatosis), lupus nephritis, nephropathy caused by hantavirus infection.
The department has been conducting renal replacement therapy since 1996, whereas the quality of medical care in this field remains consistently high. The dialysis procedures are carried out within modern section with 24 beds. The department annually performs about 10,000 dialysis procedures, including about 2,000 ones in critically ill patients in the Intensive Care Units. The patients with infectious diseases (for example, hepatitis B, staphylococcus aureus) undergo dialysis in a special isolated room.
In the field of transplant medicine, the department cooperates closely with the Department of Abdominal, Vascular and Transplant Surgery. The patients can undergo the comprehensive preparation for kidney transplant and receive proper postoperative care after surgery. The specialists from the Institute for Transfusion Medicine are involved in the immunological tests, which are necessary for the preparation for transplantation. The doctors make their final decision on the necessity of kidney transplant during interdisciplinary boards.
The service range is complemented by internal intensive care. The key attention is paid to intensive care in patients with diseases of the gastrointestinal tract, cardiovascular system and kidneys.
The department's main clinical focuses include:
- Diagnostics and treatment of kidney disease (primary and secondary)
- Renal replacement therapy
- Continuous venovenous hemofiltration
- High cut-off dialysis
- Continuous ambulatory peritoneal dialysis
- Dialysis access formation (in collaboration with the Departments of Surgery and Radiology)
- Placement of a permanent dialysis catheter
- Duplex ultrasound as preoperative diagnostics and assessment of shunt patency
- Angiography for the assessment of the state of the great vessels
- Balloon dilation and stent implantation for dialysis shunt stenosis
- Comprehensive preparation for kidney transplant and thorough postoperative care
- Intensive care in patients with diseases of the gastrointestinal tract, heart and kidneys
- Other medical services
Prof. Dr. med. Achim Jörres received his medical education at the Free University of Berlin. After graduation, he worked as Research Fellow. In 1989, the doctor defended his doctoral thesis, and in 1997 he had his habilitation in Internal Medicine at the Charite Faculty of Medicine. He worked as Senior Physician in the Department of Nephrology and Internal Intensive Care at the Charite University Hospital Berlin. In 2003, he was appointed as Professor of Nephrology and Renal Replacement Therapy in Charite, and a year later he was appointed as Senior Physician and Deputy Head of the Department of Nephrology and Intensive Care in Charite. From 2009 to 2016, Prof. Achim Jörres worked as Acting Head of the Department of Nephrology and Internal Intensive Care at the Charite University Hospital Berlin. Since April 2016, the doctor has been heading the Department of Nephrology, Transplantation Medicine and Internal Intensive Care at the Academic Hospital Cologne-Merheim.
Photo of the doctor: (c) Kliniken der Stadt Köln gGmbH
Department of Nephrology, Transplantation Medicine and Internal Intensive Care.
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