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University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

The Rechts der Isar Hospital is the University Hospital of the Technical University of Munich. There is intensive cooperation between the research facilities of the TU and the hospital in numbers of areas.

Bile duct cancer diagnosis
6945
Diagnosis and treatment of cancer of the bile duct with bile duct obstructionby ERCP and bougienage
12363
Diagnosis and treatment of cancer of the bile duct with partial hepatectomy
31247
Diagnosis and treatment of сancer of the bile duct with chemotherapy
7056
location_onCountry: Germany
location_searchingCity: Munich
certificatecertificatecertificate

Academic Hospital Sachsenhausen at the Goethe University Frankfurt

10/10 from 23 Votes

The Academic Hospital Sachsenhausen at the Goethe University Frankfurt was founded in 1985 by the world-famous professor Dr. Carl von Noorden and Dr. Edouard Lampe. At that time it was Germany's first medical institution specializing in the treatment of diabetes.

Bile duct cancer diagnosis
5731
Diagnosis and treatment of cancer of the bile duct with bile duct obstructionby ERCP and bougienage
9198
Diagnosis and treatment of cancer of the bile duct with partial hepatectomy
27221
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes

The Neuperlach Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Bile duct cancer diagnosis
5883
Diagnosis and treatment of cancer of the bile duct with bile duct obstructionby ERCP and bougienage
9576
Diagnosis and treatment of cancer of the bile duct with partial hepatectomy
36073
Diagnosis and treatment of сancer of the bile duct with chemotherapy
6958
location_onCountry: Germany
location_searchingCity: Munich
certificatecertificate

HELIOS Clinic Krefeld

9.7/10 from 38 Votes

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently.

Diagnosis and treatment of cancer of the bile duct with partial hepatectomy
31244
location_onCountry: Germany
location_searchingCity: Krefeld

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

The Schwabing Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Diagnosis and treatment of cancer of the bile duct with partial hepatectomy
29366
Diagnosis and treatment of сancer of the bile duct with chemotherapy
7119
location_onCountry: Germany
location_searchingCity: Munich
certificatecertificate

University Hospital Cologne

9.8/10 from 82 Votes

The University Hospital Cologne is included in the Focus magazine rating of top German hospitals 2017 and offers patients first-class medical care meeting the latest medical advancements.

Bile duct cancer diagnosis
5567
Diagnosis and treatment of cancer of the bile duct with bile duct obstructionby ERCP and bougienage
9337
Diagnosis and treatment of cancer of the bile duct with partial hepatectomy
27015
Diagnosis and treatment of сancer of the bile duct with chemotherapy
7075
location_onCountry: Germany
location_searchingCity: Cologne
certificatecertificatecertificate

University Hospital Muenster

9.8/10 from 78 Votes

The University Hospital Muenster is one of the most respected multi-field medical centers in Germany. It consists of more than 30 departments and numerous research institutes and centers. Every year over 58,000 inpatients are treated here and nearly 475,000 patients receive medical care on the outpatient basis.

Bile duct cancer diagnosis
6327
Diagnosis and treatment of cancer of the bile duct with bile duct obstructionby ERCP and bougienage
10373
Diagnosis and treatment of cancer of the bile duct with partial hepatectomy
31499
Diagnosis and treatment of сancer of the bile duct with chemotherapy
7021
location_onCountry: Germany
location_searchingCity: Muenster
certificatecertificatecertificatecertificatecertificate

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

With more than 36,000 patients annually and 1,000 beds, the Academic Hospital Bogenhausen is one of the largest clinics in Munich.

Bile duct cancer diagnosis
6244
Diagnosis and treatment of cancer of the bile duct with bile duct obstructionby ERCP and bougienage
10456
Diagnosis and treatment of cancer of the bile duct with partial hepatectomy
31441
location_onCountry: Germany
location_searchingCity: Munich

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

As an Academic Hospital of the University of Hamburg, the Asklepios Barmbek Hospital offers a wide range of medical services in the field of conservative and surgical treatment. The hospital was opened in 2005 and today it is one of the best and modern medical centers in Europe.

Bile duct cancer diagnosis
6306
Diagnosis and treatment of cancer of the bile duct with bile duct obstructionby ERCP and bougienage
10437
Diagnosis and treatment of cancer of the bile duct with partial hepatectomy
31304
Diagnosis and treatment of сancer of the bile duct with chemotherapy
7032
location_onCountry: Germany
location_searchingCity: Hamburg

University Hospital Frankfurt am Main

10/10 from 97 Votes

The University Hospital Frankfurt is part of the Johann Wolfgang Goethe University Frankfurt am Main. The hospital was founded in 1914 and today it is a famous German medical institution with rich traditions. The hospital treats about 49,000 inpatients and 220,000 outpatients every year.

Bile duct cancer diagnosis
6360
Diagnosis and treatment of cancer of the bile duct with bile duct obstructionby ERCP and bougienage
10131
Diagnosis and treatment of cancer of the bile duct with partial hepatectomy
31022
Diagnosis and treatment of сancer of the bile duct with chemotherapy
8541
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
certificatecertificatecertificatecertificate

Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes

An academic clinic of the university medical complex Charité, the Vivantes Humboldt Hospital is one of the largest specialized medical institutions in Berlin.

Bile duct cancer diagnosis
6977
Diagnosis and treatment of cancer of the bile duct with bile duct obstructionby ERCP and bougienage
12485
Diagnosis and treatment of сancer of the bile duct with chemotherapy
9239
location_onCountry: Germany
location_searchingCity: Berlin

Hospital St. Elisabeth Grevenbroich

10/10 from 23 Votes

The Hospital St. Elisabeth Grevenbroich offers a wide range of medical services. Special focuses include gastroenterology, oncology, general, abdominal and vascular surgery.

Diagnosis and treatment of cancer of the bile duct with partial hepatectomy
31243
location_onCountry: Germany
location_searchingCity: Grevenbroich
certificate

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

The Vivantes Neukölln Hospital is the maximum care hospital and one of the largest healthcare facilities in Berlin.   There are more than 20 specialized departments and centers, including pediatric departments. In total, the hospital has 1,200 beds.

Bile duct cancer diagnosis
6874
Diagnosis and treatment of cancer of the bile duct with bile duct obstructionby ERCP and bougienage
12216
Diagnosis and treatment of cancer of the bile duct with partial hepatectomy
35955
Diagnosis and treatment of сancer of the bile duct with chemotherapy
9447
location_onCountry: Germany
location_searchingCity: Berlin

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

The Tel Aviv Sourasky Medical Center (Ichilov) is the second largest and one of the most advanced healthcare and research institutions in Israel. Founded in 1961, it still enjoys popularity among the local population and draws thousands of international patients.

Bile duct cancer diagnosis
0.00
Diagnosis and treatment of cancer of the bile duct with bile duct obstructionby ERCP and bougienage
0.00
Diagnosis and treatment of cancer of the bile duct with partial hepatectomy
0.00
Diagnosis and treatment of сancer of the bile duct with chemotherapy
0.00
location_onCountry: Israel
location_searchingCity: Tel Aviv

Hannover Medical School

9.8/10 from 43 Votes

The Hannover Medical School (MHH) is one of the most efficient medical universities in Germany, treating more than 63,000 inpatients and 460,000 outpatients annually.

Bile duct cancer diagnosis
6338
Diagnosis and treatment of cancer of the bile duct with bile duct obstructionby ERCP and bougienage
10098
Diagnosis and treatment of cancer of the bile duct with partial hepatectomy
31045
Diagnosis and treatment of сancer of the bile duct with chemotherapy
7387
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Marienhaus Hospital St. Elisabeth Neuwied

9.8/10 from 23 Votes

The Marienhaus Klinikum St. Elisabeth Neuwied has 13 Departments and is one of the largest hospitals in the north of Rhineland-Palatinate. With 429 beds, the Marienhaus Klinikum St.

Bile duct cancer diagnosis
6040
Diagnosis and treatment of cancer of the bile duct with bile duct obstructionby ERCP and bougienage
9808
Diagnosis and treatment of cancer of the bile duct with partial hepatectomy
29413
location_onCountry: Germany
location_searchingCity: Neuwied

About the disease

Cancer of the bile duct originates in the bile ducts themselves. They are the thin tubes that connect the liver to the small intestines. These tubes are responsible for transporting bile from the liver to the small intestines, therefore helping a person to digest food better. The main role of bile is to break down fats, which we consume in our food.

There are three different types of bile cancer, depending on where the cancer starts to grow. Since the bile ducts connect the liver and small intestines, cancer can originate closely to these organs and, if not treated, metastize there in future. Usually, cancer of the bile is accompanied by bile duct obstruction. A blockage here can be quite dangerous and can damage the liver.

Cancer of the bile duct can be caused by stones in the bile, liver infections, smoking, genetic predisposition, cirrhosis, hepatitis B and C. This cancer usually develops in people older than 60.

According to the American Cancer Society, the 5-year survival rate for localized cancer of the bile approximates 15% for intrahepatic cancer, which originates close to or inside the liver and 30% for extrahepatic cancer, which originates outside the liver. For localized cancer, the survival rate is 6% and 24% respectively and for cancers that have developed elsewhere [is there a better medical term for this? Regional/distant sound like countrywide] the survival rate is only 2% for both types of bile cancer because it has reached other organs. These statistics apply only for patients who did not undergo surgery in time. For those who had survey, the survival rate can reach 25-50%.

Symptoms 

  • Pain in the upper area of the abdomen
  • Indigestion
  • Nausea
  • Dark urine
  • Weight loss
  • Fever
  • Jaundice

Diagnosis

It is difficult to diagnose cancer of the bile duct in its early stages, as it rarely manifests itself.

  • Blood tests can show an increased level of liver enzymes, which can be caused by bile obstruction - the first indicator of cancer of the bile duct.
  • Cholangiography is a special X-Ray of bile ducts that can show abnormalities in their structure.
  • Imaging tests, such as MRI and ultrasonography, are the most reliable diagnostic measures because they show precise images of the bile ducts. 
  • An Endoscopy can also be performed. A special tube equipped with a camera can be fed into a small incision in the body, in order to inspect the bile ducts at close range.

Treatment

  • Endoscopic bougienage and stent implantation is a procedure where a surgeon widens the bile duct with a special cylinder and places a stent inside to keep it open and retain its function.
  • Chemotherapy is used to kill cancerous cells with special agents.
  • Partial hepatectomy is a partial resection of the liver. This procedure is used to prevent cancer of the bile duct from spreading further. It can be performed if this type of cancer originated in the liver.
  • Surgical reconstruction of the bile ducts involves extensive dissection of the bile duct, after which a surgeon connects the small intestine to the liver and then makes a loop. This type of surgery is extremely complicated to perform and can be done only by a professional in the field of bile duct surgeries. A surgeon may also resect a small part of the liver, in order to make the right connection.

Overall, these procedures can considerably prolong your life expectancy and help you lead a normal life. 




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