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Treatment of Hepatitis

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

Diagnosis of Hepatitis A
1141
Diagnosis of Hepatitis D
1140
Diagnosis of Hepatitis E
1296

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
Diagnosis of Hepatitis A
3081
Diagnosis of Hepatitis D
3141
Diagnosis of Hepatitis E
2992

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
Diagnosis of Hepatitis A
3041
Diagnosis of Hepatitis D
3044
Diagnosis of Hepatitis E
3084

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
Diagnosis of Hepatitis A
2985
Diagnosis of Hepatitis D
2964
Diagnosis of Hepatitis E
3022

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Gastroenterology, Hepatology and Infectology

According to the 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 field
Diagnosis of Hepatitis A
0
Diagnosis of Hepatitis D
0
Diagnosis of Hepatitis E
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
Diagnosis of Hepatitis A
3115
Diagnosis of Hepatitis D
3046
Diagnosis of Hepatitis E
3155

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
Diagnosis of Hepatitis A
0.00
Diagnosis of Hepatitis D
0.00
Diagnosis of Hepatitis E
0.00

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Gastroenterology and Hepatology

According to the prestigious Focus magazine, the University Hospital Carl Gustav Carus Dresden is among the top three hospitals in Germany! The hospital is the embodiment of the standards of modern high-quality medicine. Since the hospital positions itself as a maximum care medical facility, it represents all medical fields. The
Diagnosis of Hepatitis A
0.00
Diagnosis of Hepatitis D
0.00
Diagnosis of Hepatitis E
0.00

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Gastroenterology, Hepatology, Endocrinology, Diabetology and Infectology

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Diagnosis of Hepatitis A
0.00
Diagnosis of Hepatitis D
0.00
Diagnosis of Hepatitis E
0.00

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
Diagnosis of Hepatitis A
3150
Diagnosis of Hepatitis D
3082
Diagnosis of Hepatitis E
3046

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
Diagnosis of Hepatitis A
3004
Diagnosis of Hepatitis D
3010
Diagnosis of Hepatitis E
2932

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
Diagnosis of Hepatitis A
0.00
Diagnosis of Hepatitis D
0.00
Diagnosis of Hepatitis E
0.00

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
Diagnosis of Hepatitis A
0.00
Diagnosis of Hepatitis D
0.00
Diagnosis of Hepatitis E
0.00

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
Diagnosis of Hepatitis A
0.00
Diagnosis of Hepatitis D
0.00
Diagnosis of Hepatitis E
0.00

Memorial Sisli Hospital Istanbul

9.2/10
location_onTurkey, Istanbul

Department of Gastroenterology and Hepatology

The Memorial Sisli Hospital Istanbul is the largest and leading medical complex in Turkey, which meets the highest standards of medical care when providing the advanced diagnostics and treatment using the very latest methods. The hospital is part of the Memorial Health Group – it was the first project of this provider of m
Diagnosis of Hepatitis A
2426
Diagnosis of Hepatitis D
2398
Diagnosis of Hepatitis E
2383

Primus Super Speciality Hospital New Delhi

9/10
location_onIndia, New Delhi

Department of Gastroenterology and Hepatology

The Primus Super Speciality Hospital New Delhi is a modern medical facility, which is distinguished by extremely high quality and standards of medical service. The hospital is located in the heart of New Delhi, in the capital of India. During its design and construction, the most advanced medical technologies from around the wor
Diagnosis of Hepatitis A
2389
Diagnosis of Hepatitis D
2325
Diagnosis of Hepatitis E
2492

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
Diagnosis of Hepatitis A
2756
Diagnosis of Hepatitis D
2813
Diagnosis of Hepatitis E
2747
| from Booking Health GmbH

Content

  1. Exploring types of the hepatitis
  2. Drug treatment with regard to the hepatitis virus type
  3. Symptomatic treatment is indicated to each patient
  4. Liver transplantation
  5. Leading hospitals and cost of treatment
  6. Booking Health offers making diagnosis and receiving treatment abroad

 

The medical term "hepatitis" refers to the inflammation of the liver. The causes of the disease include viral infections, autoimmune processes, as well as negative influence of alcohol, medicines, illicit drugs, toxins, etc. Most often people with hepatitis are infected with the hepatitis virus. Thus, treatment of hepatitis depends greatly on the etiology of the condition. Departments of Gastroenterology and Hepatology in specialized healthcare facilities offer preventive vaccines, antiviral medical agents, detoxification and symptoms alleviation. In the most severe cases, liver transplant is the only suitable therapeutic option.

Exploring types of the hepatitis

 

Efficient therapy of hepatitis is impossible without determining the hepatitis virus type. There are 5 hepatitis viruses. Each of them has its own clinical course and treatment approaches.

The hepatitis virus A (HVA) is the acute intestinal infection. It is highly contagious and is transmitted by consuming contaminated food or water. "Contaminated" means that it contains feces of a person with hepatitis virus A who has symptoms or may feel healthy. Thus, if one of the family members is diagnosed with hepatitis virus A, other family members must practice good hygiene. Fortunately, recovery without therapy is possible.

The hepatitis virus B (HVB) is the widespread chronic infectious pathology. According to the Centers for Disease Control and Prevention (USA), about 350 million people worldwide have this medical condition. Transmission of hepatitis B requires direct contact with the infected body fluids, such as semen or vaginal secretions, blood. People with hepatitis B have to take antiviral drugs lifelong, regardless of their health state, as the virus persists in the organism causing unpleasant symptoms.

The hepatitis virus C (HVC) has the same ways of transmission as the hepatitis B. Hepatitis C is one of the most widespread bloodborne infections. Despite slow progression and mild disease course, this virus often leads to the hepatic insufficiency and liver failure. Considering high prevalence of virus and high incidence of disease, novel treatments for hepatitis C are under constant development.

The hepatitis virus D (HVD) is the rare pathology that may complicate the hepatitis B clinical course. It is impossible to be diagnosed with HVD only, as this virus is not able to survive without HVB. The infection is bloodborne, as well.

The hepatitis virus E (HVE) is the waterborne infection. HVE is mainly found in regions with poor sanitary conditions, where water supply may be contaminated with fecal masses. Only about 15% of infected people experience symptoms. HVE does not have any specific treatment and can be prevented with the help of vaccine (it is currently available in China).

The hepatitis can also be noninfectious. These are autoimmune and alcoholic hepatitis.

Drug treatment with regard to the hepatitis virus type

 

The hepatitis virus B has four possible clinical forms:

  1. Asymptomatic – may do not cause symptoms at all or cause mild symptoms
  2. Icteric – cause jaundice, fever, nausea, fatigue
  3. Fulminant – are a life-threatening condition due to the development of acute liver failure
  4. Chronic – may lead to the hepatocellular carcinoma or liver cirrhosis development

First two forms require no more than symptomatic therapy. Fulminant forms require admitting to hospital, often – to the intensive care unit. Chronic hepatitis requires lifelong therapy aimed at suppressing the virus multiplication and improving health condition.

Antiviral medications are the basis of the therapeutic regimen. A doctor may administer one of the following drugs: tenofovir, entecavir, lamivudine, telbivudine, and adefovir. Antiviral medications are usually taken by mouth. Another treatment option is injections of interferon. Peginterferon alfa 2-a is suitable for patients with mild symptoms and preserved liver function. It makes the patient's immune system more powerful, so that it has another chance to take control over the virus.

The hepatitis virus C has the same clinical forms. When talking about chronic form, a doctor selects drugs based on the hepatitis C genotype (there are genotypes 1, 2, 3, 4, 5, 6) and presence or absence of liver cirrhosis. Precise diagnosis making is essential in hepatitis C, as different genotypes of the virus are sensitive to different medicines. In most cases, sofosbuvir, velpatasvir, and daclatasvir are used (antiviral medications). Pregnancy and breastfeeding are contraindications to their usage.

Treatment of the hepatitis virus D is added to the treatment for hepatitis B. It includes administration of peginterferon alfa 2-a for at least 48 weeks.

Symptomatic treatment is indicated to each patient

 

Hepatitis virus A affects function of the liver by causing inflammation and damaging it. Patients with mild forms of the disease do not require any therapy at all. Typically, they restore their health completely during several weeks and have no permanent liver damage according to the results of follow-up tests. If the course of the disease is more severe, therapy for symptoms management is required. However, fulminant forms of HVA are diagnosed in 0.2-0.4% of patients. People who are at risk of acquiring hepatitis A may have the protective vaccine.

Hepatitis virus E does not have a preventive vaccine and can lead to death in 20% of pregnant women. However, in most people it either causes no symptoms or requires symptomatic therapy only.

Treatment for symptoms management includes administration of the following medications:

  1. OTC antipyretics, such as acetaminophen, ibuprofen, etc.
  2. Medications against vomiting (antiemetics)
  3. Antidiarrheals, such as metoclopramide
  4. Saline solutions and detoxification therapy
  5. Individual medications, such as hypotensive, hypoglycemic, etc.

Liver transplantation

 

Liver transplantation is not a treatment for the virus of hepatitis. It is indicated to patients with chronic forms of the disease that has led to the development of liver cirrhosis and liver failure. Chronic forms are typical for:

  • The hepatitis virus B – up to 10% of cases (and up to 90% of cases in children under 1 year of age)
  • The hepatitis virus C – up to 50% of cases, with the risk of developing cirrhosis of 10-25%
  • The hepatitis virus D – over 90% of cases, with rapid cirrhosis development

To undergo liver transplantation, patients who do not have donors are put on a waiting list. The waiting list considers a health condition (severity of state), body size and blood type. In addition, each patient receives an individual priority score according to the levels of creatinine, bilirubin and INR. A patient may receive liver from a living or a deceased donor.

The surgery may last up to 12 hours, as a liver is connected to large blood vessels (they include hepatic artery, hepatic veins, portal vein, and inferior vena cava). Total duration of hospital stay is individual, but it is better to have a vacation for 3 weeks or more. After the liver transplant, a patient needs to take immunosuppressants lifelong, so that the donor liver is not rejected and performs its function well.

Leading hospitals and cost of treatment

 

People with hepatitis may need different medical services, such as getting hepatitis A or B vaccine, checking the hepatitis C genetics, receiving systemic therapies or finding a donor for liver transplant. The following hospitals in different countries offer comprehensive management of hepatitis:

  1. University Hospital Duesseldorf, Department of Gastroenterology, Hepatology and Infectology, Germany
  2. University Hospital of Ludwig Maximilian University of Munich, Department of Gastroenterology and Hepatology, Germany
  3. Memorial Sisli Hospital Istanbul, Department of Gastroenterology and Hepatology, Turkey
  4. University Hospital Ulm, Department of Gastroenterology and Hepatology, Germany
  5. Rambam Health Care Campus Haifa, Department of Gastroenterology, Israel

Treatment of hepatitis may become the financial challenge. Patients without health insurance usually want to know the cost of treatment course. Prices for the diagnostic procedures and elaboration of the initial treatment plan are as follows:

  1. Diagnostics and conservative treatment of hepatitis virus A – from 1,141 EUR
  2. Diagnostics and conservative treatment of hepatitis virus B – from 1,193 EUR
  3. Diagnostics and conservative treatment of hepatitis virus C – from 1,283 EUR
  4. Diagnostics and conservative treatment of hepatitis virus D – from 1,140 EUR
  5. Diagnostics and conservative treatment of hepatitis virus E – from 1,296 EUR

This cost of treatment is approximate, as prices depend on the healthcare facility, type of treatment, presence of the concomitant health conditions, and other factors. It should also be noted that therapy for chronic hepatitis B and C is lifelong in most cases. Patients should discuss this with their healthcare providers and insurance companies.

Booking Health offers making diagnosis and receiving treatment abroad

 

People who are diagnosed with hepatitis are often not satisfied with local treatment protocols. Unfortunately, countries with poorly developed healthcare systems cannot offer target therapy aimed at preserving healthy hepatocytes and maintaining liver function. Those patients who want to receive more than simple symptoms management often choose travelling abroad as medical tourists.

Booking Health offers services that make visiting foreign hospitals easier. Having over 10 years of experience in the field of medical tourism, the company considers peculiarities of countries' legislation, wishes of patients and success rates of clinics all over the world.

Services of Booking Health include:

  • Comparing and selecting the healthcare institution for getting the preventive vaccine, making diagnosis, receiving therapy or undergoing rehabilitation
  • Establishing communication with the hospital and doctor
  • Examining the existing medical records, preparing and explaining the basic medical program
  • Controlling prices for the health services, so that clinics do not apply additional coefficients for foreigners (saving up to 50%)
  • Making the appointment without long waiting
  • Giving professional advice during all stages of medical program
  • Help in buying medicines for basic therapy and symptoms management
  • Communication with the clinic after the discharge, receiving and translating medical records
  • Organization of additional health services, if necessary
  • Booking accommodation, choosing plane tickets, transfer
  • Services of medical coordinator (24/7) and interpreter

The quality of Booking Health work is confirmed by the international quality control certificate ISO 9001:2015. The company works under German legislation. To start planning treatment of hepatitis, leave your request on the website of Booking Health.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko

To check for the Hepatitis you can submit a request on BookingHealth and our managers will find the best hospital that is specialized in Hepatitis to fulfill your needs



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