Treatment of reflux esophagitis with fundoplication in Regio Hospital Pinneberg
Regio Hospital Pinneberg
Pinneberg, Germany
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Program id #
652190
PD Dr. med. Hamid Mofid
Department for Gastroesophageal Reflux Disease
Specialized in: gastroesophageal reflux disease 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
- indicators of inflammation (CRP, ESR)
- indicators blood coagulation
- abdominal ultrasound
- gastroscopy with biopsy
- analysis of hp (helicobacter pylori)
- CT/MRI abdomen
- preoperative care
- fundoplication
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- nutrition recommendations
- full hospital accommodation
- explanation of future recommendations
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About the department
The Department for Gastroesophageal Reflux Disease at the Regio Hospital Pinneberg offers all the options of modern medicine for the elimination of this disease. The department's specialists give preference to an individualized treatment approach, and therefore they comprehensively assess each clinical case and select the necessary complex of therapeutic measures for each patient. Whenever possible, the doctors use conservative methods, but patients with advanced stages of gastroesophageal reflux disease (GERD) require surgery. The team of the department's surgeons has excellent skills in Nissen fundoplication and LINX Reflux Management System implantation, which are the most effective for GERD treatment. In most cases, the department's surgeons perform interventions using sparing minimally invasive techniques, which require only a few skin incisions to form a surgical access. Such progressive operations contribute to the speedy recovery of the patient after surgery, and also minimize the risks of developing severe bleeding and infections. The Head Physician of the department is PD Dr. med. Hamid Mofid.
Gastroesophageal reflux disease (GERD) is one of the most common esophageal diseases. The pathology is characterized by the reflux of stomach contents into the esophagus, which occurs due to the weakening of the lower esophageal sphincter. The main symptoms of the disease are heartburn, belching and persistent coughing. The most common cause of the development of the disease is a hiatal hernia. Without timely treatment, chronic GERD can lead to the development of esophageal cancer.
The first stage in the treatment of gastroesophageal reflux disease is a comprehensive diagnostic examination, which allows the doctor to detect the pathology, assess its stage, and exclude or confirm the presence of esophageal malignancies. When conducting the diagnostics, the attending physician studies the patient's anamnesis, carries out endoscopic examination of the esophagus and stomach, 24-hour esophageal pH monitoring, necessary laboratory blood and urine tests. The diagnostic results serve as the basis for the development of an individual treatment regimen for the patient. Diet therapy is obligatory for the patient. The experienced department's nutritionists develop the proper diet, which involves the exclusion of fatty foods, carbonated and alcoholic drinks, chocolate, etc. from the ration. The patient should also eat small portions and avoid overeating. Since the reflux of the stomach contents into the esophagus increases in a horizontal position, it is recommended not to eat 2 hours before sleep. Diet therapy is complemented by drug therapy, which involves intake of antacids for neutralizing gastric acid, drugs for reducing hydrochloric acid, as well as prokinetics for strengthening the lower esophageal sphincter. The combination of drugs and their dosage is determined according to the particular clinical indications of the patient.
In the case of diet therapy and drug therapy ineffectiveness, surgery is the only treatment option. The department's doctors specialize in Nissen fundoplication and LINX Reflux Management System implantation. These operations help achieve the best results in the case of severe types of GERD. The department's surgeons perform them using minimally invasive surgical techniques. The essence of Nissen fundoplication is that the upper part of the stomach is wrapped around the esophagus, thus creating a cuff, which prevents the reflux of gastric contents into the esophagus. The operation is performed laparoscopically, through two small punctures in the abdomen. If the patient also has hiatal hernia, it is repaired immediately during the Nissen fundoplication. When performing the LINX Reflux Management System implantation, the surgeons install a special device, which is a small flexible ring of bound titanium balls with magnetic cores. The magnetic attraction between the balls keeps the sphincter closed, thereby preventing reflux of gastric contents into the esophagus. The LINX system is located around the esophagus directly above the stomach. The LINX Reflux Management System implantation is carried out using laparoscopic surgical techniques, through small holes in the patient's body, so the postoperative recovery of the patient occurs as soon as possible.
The department's range of diagnostic and therapeutic services includes:
- Diagnostics of the gastroesophageal reflux disease (GERD)
- Clinical examination
- Study of the anamnesis
- Endoscopic examination of the esophagus and stomach
- 24-hour pH monitoring
- Laboratory blood and urine tests
- Treatment of gastroesophageal reflux disease (GERD)
- Conservative treatment
- Diet therapy
- Drug therapy with antacids, prokinetics, etc.
- Surgical treatment (in most cases laparoscopic surgery)
- Nissen fundoplications
- LINX Reflux Management System implantation
- Conservative treatment
- Other diagnostic and therapeutic options
Curriculum vitae
Since October 1, 2015, the Department for Gastroesophageal Reflux Disease at the Regio Hospital Pinneberg has been headed by PD Dr. med. Hamid Mofid. Prior to this, the specialist worked at the Asklepios Hospital Bad Oldesloe, where he headed the Department of Surgery. Before his senior position, Dr. Mofid worked for 14 years at the Israelitische Krankenhaus in Hamburg, 7 years of which he worked as a Senior Physician in the Department of General and Abdominal Surgery. The doctor also worked at the Marienkrankenhaus in Hamburg and the Prince of Wales Hospital in Sydney. In 2014, Dr. Hamid Mofid had his habilitation at the University of Hamburg.
Of particular interest to the specialist is the surgical treatment of abdominal cancers, including colon and rectal cancer. He also has special competence in the field of surgical treatment of inflammatory bowel disease, gastroesophageal reflux disease, inguinal hernias and cholelithiasis. In most cases, the surgeon uses minimally invasive surgical techniques in order to significantly reduce the period of the patient's postoperative recovery.
Photo of the doctor: (c) Regio Klinikum
About hospital
The Regio Hospital Pinneberg is part of the Sana Hospital Group, which has 52 medical centers with various medical specializations, located throughout Germany. In addition, the medical facility is an academic hospital of the University Hospital Hamburg-Eppendorf, thanks to which it has access to the very latest medical achievements, which are available only in the best German medical centers with a powerful research base. The hospital opened its doors to patients for the first time in 2004 and has been a well-known provider of high-quality medical services of the European standard since then.
The hospital provides treatment both on an inpatient and outpatient basis. In addition, the hospital's competence includes outpatient rehabilitation and palliative care. The hospital has 900 beds for patient hospitalization. It employs a large and highly qualified team of doctors and nursing staff, which treat more than 90,000 inpatients and outpatients annually.
The hospital has 19 specialized departments, including the Department of General, Abdominal and Vascular Surgery, the Department of Gastroenterology, the Department of Internal Medicine, the Department of Orthopedics and Traumatology, the Department of Pulmonology and Thoracic Surgery, the Department of Urology and Urogynecology, and others. In addition, the hospitals include highly specialized certified centers, such as the Breast Center, the Bowel Center, the Center for Gastroesophageal Reflux Disease, the Stroke Unit, etc. Each medical field is represented by a highly competent team of experienced doctors, for whom the health of their patients is the main value.
Despite the high-tech equipment of the hospital, the patient with his needs and wishes always comes first. The clinical activities of the medical team are based on an individual approach to each clinical case, which guarantees the best treatment results. During the entire therapeutic process, the doctors show understanding and humane attitude towards their patients, surround them with care and make every effort to achieve a cure even for the most complex diseases.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Regio Hospital Pinneberg live in comfortable single and double rooms with modern design. Each patient room has an ensuite bathroom with shower and toilet. The patient room furnishings include a comfortable automatically adjustable bed, a bedside table, a wardrobe, a TV, a telephone and a radio. All patient rooms have Wi-Fi. The hospital also offers accommodation in enhanced-comfort patient rooms with upholstered furniture, toiletries, hairdryer, safe and minibar with soft drinks.
Meals and Menus
The patient and the accompanying person are offered a daily choice of three menus. If you are on a specific diet for any reason, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Religion
The religious services can be provided upon request.
Accompanying person
During the inpatient program, an accompanying person may stay with the patient in the room or at a hotel. Our managers will help you choose the most suitable option.
Hotel
During the outpatient program, the patient may stay at the hotel. Our managers will help you choose the most suitable option.
