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Treatment of Liver Cirrhosis in Germany

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Liver cirrhosis diagnosis
942
Diagnosis and conservative treatment for liver cirrhosis
2335
Stem cell therapy for liver cirrhosis (fibrosis)
17950

University Hospital Duesseldorf

8.5/10
location_onGermany, Duesseldorf

Department of Gastroenterology, Hepatology and Infectology

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Liver cirrhosis diagnosis
3658
Diagnosis and conservative treatment for liver cirrhosis
8563

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Gastroenterology and Hepatology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Liver cirrhosis diagnosis
3660
Diagnosis and conservative treatment for liver cirrhosis
8693

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Gastroenterology and Hepatology

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Liver cirrhosis diagnosis
3479
Diagnosis and conservative treatment for liver cirrhosis
8149

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Gastroenterology, Hepatology and Infectology

According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
Liver cirrhosis diagnosis
0
Diagnosis and conservative treatment for liver cirrhosis
0

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Gastroenterology, Hepatology, Nephrology, Infectology, Endocrinology and Diabetology

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Liver cirrhosis diagnosis
3616
Diagnosis and conservative treatment for liver cirrhosis
8810

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Gastroenterology and Hepatology

According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
Liver cirrhosis diagnosis
4210
Diagnosis and conservative treatment for liver cirrhosis
9674

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Hepatology and Gastroenterology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Liver cirrhosis diagnosis
4641
Diagnosis and conservative treatment for liver cirrhosis
11082

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Gastroenterology, Hepatology and Infectology

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Liver cirrhosis diagnosis
3629
Diagnosis and conservative treatment for liver cirrhosis
8698

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Gastroenterology, Hepatology, Endocrinology and Infectology

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
Liver cirrhosis diagnosis
3565
Diagnosis and conservative treatment for liver cirrhosis
8865

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Gastroenterology, Hepatology and Infectology

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Liver cirrhosis diagnosis
3470
Diagnosis and conservative treatment for liver cirrhosis
8385

University Hospital Essen

9.6/10
location_onGermany, Essen

Department of Gastroenterology and Hepatology

According to the authoritative Focus magazine the University Hospital Essen ranks among the top German hospitals! With 27 specialized departments and 24 institutes, the hospital in Germany is a maximum care medical facility. The hospital has 1,300 beds for inpatient treatment. A highly qualified medical team of more than 6,000 e
Liver cirrhosis diagnosis
3231
Diagnosis and conservative treatment for liver cirrhosis
7873

HELIOS University Hospital Wuppertal

9.8/10
location_onGermany, Wuppertal

Department of Gastroenterology, Hepatology and Endocrinology

According to the prestigious Focus magazine, the HELIOS University Hospital Wuppertal ranks among the top medical facilities in Germany! The hospital rightfully enjoys the status of the maximum care medical facility and provides its high-quality services in all modern fields of medicine. The hospital operates on the basis of the
Liver cirrhosis diagnosis
3273
Diagnosis and conservative treatment for liver cirrhosis
7859

University Hospital Saarland Homburg

9.8/10
location_onGermany, Homburg

Department of Gastroenterology, Hepatology, Endocrinology, Diabetology and Nutritional Medicine

The University Hospital Saarland is the largest hospital in the city of Homburg and the most important medical facility in the region. The hospital, which currently has 30 specialized departments and 20 institutes, was founded in 1947 and operates on the basis of the Saarland University. The hospital plays a leading role in medi
Liver cirrhosis diagnosis
3259
Diagnosis and conservative treatment for liver cirrhosis
7430

Academic Municipal Hospital Karlsruhe

9.8/10
location_onGermany, Karlsruhe

Department of Gastroenterology, Hepatology and Diabetology

According to the prestigious Focus magazine, the Academic Municipal Hospital Karlsruhe ranks among the top German hospitals! The hospital positions itself as a modern maximum care medical facility, which combines long traditions and progressive achievements of modern medicine. The hospital operates on the basis of the University
Liver cirrhosis diagnosis
3103
Diagnosis and conservative treatment for liver cirrhosis
7506

Hannover Medical School (MHH)

9.8/10
location_onGermany, Hannover

Department of Gastroenterology, Hepatology and Endocrinology

The Hannover Medical School has the status of a leading German medical facility. The advanced medical technologies, highly qualified specialists, as well as productive research activities form a solid basis for top-class medical service of the world standard. The hospital is proud of its outstanding achievements in the treatment
Liver cirrhosis diagnosis
3610
Diagnosis and conservative treatment for liver cirrhosis
8858

Hospital Nordwest Frankfurt am Main

8.8/10
location_onGermany, Frankfurt am Main

Department of Gastroenterology, Hepatology, Cardiology and Pulmonology

According to the reputable Focus magazine, the Hospital Nordwest Frankfurt am Main ranks among the top German medical facilities! The hospital has a reputation of a modern multidisciplinary medical center with excellent quality of services. The medical complex is an academic hospital of the Goethe University Frankfurt, thanks t
Liver cirrhosis diagnosis
3700
Diagnosis and conservative treatment for liver cirrhosis
8830
| from Booking Health GmbH

Content

  1. About liver cirrhosis
  2. What changes occurring with liver cirrhosis
  3. What are the complications of liver cirrhosis?
  4. Causes of liver cirrhosis
  5. Liver cirrhosis symptoms
  6. Diagnostics
  7. How liver cirrhosis is treated in Germany
  8. Methods of liver cirrhosis treatment in Germany
  9. Prevention and prognosis for liver cirrhosis
  10. Cost of treatment in Germany
  11. Why undergo treatment in Germany for liver cirrhosis?

 

Liver cirrhosis is a general term describing irreversible changes in the liver, characterized by the death of liver cells and the formation of abnormal blood vessels. Liver cirrhosis is considered the final stage in the course of many diseases and pathologies of the liver and nearby digestive organs (gallbladder, biliary tract, pancreas).

About liver cirrhosis

 

Liver cirrhosis is a serious disease that requires complex treatment. Various factors that can be controlled and, accordingly, modified lead to the development of the pathology. Inflammatory processes are constantly progressing, as a result of which hepatocytes massively degenerate into fibrous tissue.

Hepatocytes are cellular structures of the liver that perform important functions. When they change, metabolic processes and secretory activity are disrupted; toxins and other harmful substances are not removed from the blood. That is, the liver no longer performs its functions in full. Therefore, such changes are very dangerous because they ultimately affect the whole body.

What changes occurring with liver cirrhosis

 

Changes in the structure of the organ and the degeneration of normal liver cells lead to the fact that the liver is unable to perform its functions. In particular:

  • The synthesis of blood plasma proteins (albumin and globulins) is disrupted
  • The synthesis of proteins necessary for normal blood clotting is disrupted
  • The liver is unable to remove toxins from the blood

Besides, an increase in pressure in the portal vein due to compression of small vessels of the liver by overgrown tissue occurs. As a result, the blood begins to "bypass" the liver. Hence dilated hemorrhoidal veins, veins around the navel, as well as veins in the esophagus, are prone to excessive bleeding.

What are the complications of liver cirrhosis?

 

One of the life-threatening complications of liver cirrhosis is liver failure. Acute liver failure is a terminal condition that requires urgent treatment. Chronic liver failure leads to severe disorders of the nervous system. If untreated, liver failure can lead to the development of a hepatic coma (mortality in patients in a hepatic coma is about 80%).

In the vast majority of cases, progressive liver cirrhosis is complicated by ascites and portal hypertension. Ascites is an accumulation of fluid in the abdominal cavity that manifests itself with an increase in the size of the abdomen. Portal hypertension is the stagnation of blood in the portal vein, characterized by increased bypass venous outflow. As a result, varicose veins of the esophagus, stomach, rectum are formed; ruptures of their walls and bleeding occur.

In addition to the above, liver cirrhosis can be complicated by additional infections, the occurrence of liver cancer, and the possibility of developing renal failure.

Causes of liver cirrhosis

 

The two most important causes of liver cirrhosis are chronic hepatitis (primarily hepatitis B and C) and alcohol abuse. Together, they cause at least 80% of all liver cirrhosis cases.

The following factors contribute to the development of liver disease:

  • Autoimmune hepatitis (this disease is associated with malfunctioning of the immune system: the body begins to produce substances that damage the liver)
  • Long-term cholestasis (a violation of bile outflow associated with blockage of the intrahepatic or extrahepatic biliary tract)
  • Poisoning with toxic substances
  • Chronic liver diseases (so-called cryptogenic cirrhosis is diagnosed in about 20% of cases)

Liver cirrhosis symptoms

 

Unfortunately, liver cirrhosis does not always manifest itself clinically. Following symptoms often appear at the advanced stages:

  • Jaundice
  • An increase in the volume of the abdomen, liver enlargement
  • Bleeding gums
  • Drowsiness during the day and insomnia at night

With cirrhosis, the pathology often does not manifest itself with liver-related clinical signs. Although, other symptoms can be observed:

  • Heaviness in the right hypochondrium (may be the result of gradual enlargement of the liver)
  • Stool disorders (the appearance of loose stools black in color may indicate gastrointestinal bleeding, one of the causes of which may be cirrhosis)
  • Bloating in cirrhosis (may actually be fluid accumulation – ascites, which indicates the progression of the liver disease)

Signs of liver cirrhosis in men and women do not differ fundamentally.

Diagnostics

 

In a general blood test in cirrhosis of the liver, anemia, leukopenia, and thrombocytopenia can be noted.

Biochemical blood tests reveal an increase in the activity of liver enzymes, an increase in the blood levels of bilirubin, potassium, and sodium, a decrease in urea and creatinine, and the level of albumin. German doctors also carry out tests to detect antibodies to hepatitis viruses and their antigens.

Ultrasound scan of the abdominal organs reveals changes in the size and shape of the liver, as well as the signs of portal hypertension and changes in the spleen.

CT scan of the abdominal cavity allows even more detailed visualization of the liver, blood vessels, and bile ducts. If necessary, an MRI of the liver is performed.

A liver biopsy allows doctors to assess the nature of morphological changes and make an assumption about the causes of liver cirrhosis.

How liver cirrhosis is treated in Germany

 

Treatment for patients with liver cirrhosis in Germany is comprehensive and includes the following aspects:

  • Lifestyle modification, taking into account the stage of cirrhosis and the presence of complications (specific recommendations are given by the doctor individually to each patient)
  • Elimination of the cause of the disease that has led to the development of cirrhosis (with viral etiology of cirrhosis, the selection of effective antiviral therapy; with alcoholic cirrhosis, a complete refusal of alcohol; with autoimmune diseases, immunosuppressive therapy)
  • Correction of liver dysfunctions
  • Treatment of liver cirrhosis complications

If the process continues to progress despite the whole range of measures taken, the question of placing the patient on the waiting list for liver transplantation with its subsequent carrying out is resolved.

Liver transplantation is a last resort when all possible treatments have been used. However, in many cases, with timely and proper treatment it is possible to slow down the rate of progression of liver cirrhosis or even reverse it. Close communication between the patient and the doctor, regular monitoring, and strict adherence to the recommendations and prescriptions of the attending physician are of no small importance.

Methods of liver cirrhosis treatment in Germany

 

Germany is a country with advanced medicine and advanced hepatology in particular. It is characterized by high rates of effectiveness of the treatment of many liver diseases, including liver cirrhosis. Therefore, statistically, it is highly probable to achieve a stable remission of liver cirrhosis with treatment in Germany.

Treatment in Germany for patients with liver cirrhosis is prescribed individually and includes recommendations for diet and lifestyle, as well as medical measures.The medical measures are aimed at eliminating the etiological factor, alleviating manifestations of liver failure, and improving the functions of the remaining cells of the liver.

Liver cirrhosis treatment includes various methods, such as conservative treatment, stem cell transplant, detoxification therapy, and liver transplantation.

In conservative treatment, German doctors use high-quality medications. The basis of therapy includes drugs that eliminate inflammation and trigger regeneration processes in the liver.

After stem cell transplant, stem cells replace the affected hepatocytes, restoring liver function. The high efficiency of this innovative method has been already observed in the treatment of cancer processes and liver cirrhosis.

The detoxification therapy method consists of the elimination of toxic substances from the blood. After detox procedures, there is a significant improvement in the patient's well-being. Sometimes doctors cancel drugs as a result of an improvement in the activity of the hepatobiliary system. Of particular importance in the treatment of liver diseases is diet therapy, which is selected for each patient individually, depending on the patient's tolerances and preferences.

Surgical intervention for liver cirrhosis is carried out in the absence of a positive result of conservative treatment. If all of these methods are ineffective, liver transplantation is performed.

Prevention and prognosis for liver cirrhosis

 

Alcoholic cirrhosis with continued alcohol consumption is prone to rapid decompensation and the development of dangerous complications. Patients with ascites have a survival prognosis of about 3-5 years. When bleeding from varicose veins occurs, mortality is about 30-50%. The development of hepatic coma is fatal for the vast majority of patients (80-100%).

With early detection of the disease, successful eradication of the etiological factor, and adherence to dietary and lifestyle recommendations, the prognosis of survival is favorable.

Prevention of liver cirrhosis consists of limiting alcohol intake, timely and sufficient treatment of viral hepatitis and other diseases that contribute to the development of cirrhosis. A healthy balanced diet and an active lifestyle are also recommended.

Cost of treatment in Germany

 

The important thing in treatment of liver cirrhosis is to find qualified specialists who know how to slow down the disease progression and bring it into remission.

German specialists use all developments and the latest technologies for the prevention, diagnostics, and treatment of liver cirrhosis in Germany, which allows achieving the successful results in each case.

Prices for liver cirrhosis treatment in Germany do not differ much from the prices in other countries with developed medicine. The cost of treatment and diagnosis in Germany starts at 7,430 EUR, where the cost of treatment without diagnostics is about 4,000 EUR. The cost of treatment with stem cell therapy is about 17,050 EUR.

If liver cancer was detected as the concomitant pathology, then the price will increase depending on the choice of treatment method for cancer. Keep in mind that the final cost of treatment is calculated after the exact procedures involved in treatment are known.

Why undergo treatment in Germany for liver cirrhosis?

 

Firstly, quite often, local doctors find it difficult to identify the causes of the disease and choose a proper treatment. Secondly, hepatology is one of the most developed fields of German medicine, and the area of expertise of brilliant German surgeons, diagnosticians, and gastroenterologists. Finally, Germany has modern medicines that may not be available in other countries.

The Booking Health team will help patients with liver cirrhosis who are interested in treatment in Germany. Medical advisors from Booking Health will provide information about clinics in Germany that specialize in the treatment of liver cirrhosis and will help you find the best medical facility for you, so that the experience of treatment in Germany with Booking Health will be as comfortable as possible.

Just leave a request on the Booking Health website, and a medical advisor will contact you shortly.

Authors: Dr. Nadezhda Ivanisova, Dr. Sergey Pashchenko




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