The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- biochemical analysis of blood
- inflammation indicators (CRP, ESR)
- TSH-basal, fT3, fT4
- indicators of blood coagulation
- CT-planning of radiation therapy
- full course of radiation therapy
- individual plan of the chemotherapy
(the cost of medicines is included) - symptomatic treatment
- cost of essential medicines and materials
- nursing services
- control examinations
- consultations of related specialists
How program is carried out
During the first visit, the doctor will conduct a clinical examination and go through the results of previous laboratory tests and instrumental examinations. After that, you will undergo an additional examination, including complete blood count, laboratory assessment of liver and kidney function. Based on the received results, the physician will elaborate the chemotherapy regimen, conduct radiotherapy planning with the help of CT or MRI, make the permanent tattoo marks on the skin and conduct CT simulation in order to assess the accuracy of the rays and the radiation dose. If necessary, related medical specialists will be involved in the elaboration of a treatment regimen (tumor board).
Chemotherapy and radiation therapy are carried out as the day hospital procedure, without mandatory admission to the hospital. At each visit, the physician will assess your general condition and the marks on the skin. After that, you will be placed in a shielded radiation therapy room, on a special table.
Each radiation therapy session lasts less than half an hour (including preparation). All this time, doctors and nurses are monitoring your condition, you can communicate with them through a loudspeaker. The procedure is completely painless. Depending on the planned course of treatment, you will visit the hospital from 1 to 3-5 times a week.
During the chemotherapy session, after the placement of a venous catheter, you will stay in a comfortable ward. An infusion system will be connected to the catheter, through which the required drug or a drug combination will be administered. All drugs are administered by intravenous drip, slowly, so the total duration of the infusion can be up to several hours. All this time, doctors and nurses will monitor your health condition closely.
After the completion of the chemotherapy and radiation therapy course, you will undergo control examinations aimed at assessing your condition and efficacy of treatment. After that you will receive the medical report with detailed recommendations regarding further follow-up and treatment. In the future, you will be able to have a distant consultation with your attending physician and schedule the next course of treatment, if necessary.
Required documents
- Medical records
- MRI/CT scan (not older than 3 months)
- Biopsy results (if available)
Service
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About the department
The Department of Gastroenterology, Hepatology, Neurogastroenterology, Infectology, Hematology, Oncology and Palliative Care at the HELIOS Clinic Krefeld offers the full range of services in these medical fields. The department’s specialization covers the diagnosis and treatment of diseases of the gastrointestinal tract, liver, infectious, hematological and oncological diseases. The use of the most advanced medical technologies and many years of experience of the department's specialists allow them to successfully cope with the most difficult clinical cases. The department is headed by Dr. med. Ali Nuri Hunerliturkoglu.
In the field of gastroenterology, the department offers all modern diagnostic tests that provide the accurate diagnosis: video endoscopy, capsule endoscopy, cholangiography, endosonography, ultrasound dopplerography, elastography (fibroscan), puncture, drainage and many other diagnostic methods.
It is natural that patients suffering from gastrointestinal diseases have problems with nutrition. To solve these problems, the department employs a specially trained team of dietetics, which develops the necessary diet adapted to a specific clinical situation. In certain diseases, artificial feeding is required, for example, infusion therapy (parenteral nutrition) and feeding through a probe (enteral nutrition). All these forms of nutrition are available in the department.
In addition, the medical team of the department specializes in the diagnosis and treatment of digestive system diseases caused by nervous disorders (neurogastroenterology). Such pathologies include irritable bowel syndrome, irritable stomach syndrome, functional constipation, diarrhea, flatulence, unclear pain in the chest and abdomen, etc.
In the field of hepatology, there are provided both diagnostics and treatment of the entire spectrum of liver diseases, including liver cancer and liver metastases.
Of particular interest are the diagnosis and conservative treatment of malignant tumors, for example, gastrointestinal tumors, lung cancer, soft tissue tumors, bone tumors, female and male genital tumors, head and neck tumors, acute and chronic malignant blood diseases (leukemia) and diseases of the lymphatic system (lymphoma, CLL), diseases of the immune system and various blood diseases. The spectrum of services in the field of oncology is also complemented by the treatment of malignant diseases of the gastrointestinal tract.
Much attention is paid to palliative care for patients with progressive incurable diseases, such as cancer, AIDS or ALS, suffering from manifestations of pathology that impair their quality of life. Services in the field of palliative care are provided by an experienced specialized team of competent doctors.
In the field of infectology, there is offered an inpatient and outpatient treatment of all infectious diseases of the abdominal cavity, infections in patients with weakened immunity and infections, such as malaria, typhus. Patients with fever of unknown origin are treated here as well.
In addition, there is an advisory service, which provides consultations to patients from all departments of the clinic with severe infections, for example, patients with sepsis, bone infections, etc.
The range of medical services of the department includes:
- Diagnosis and treatment of diseases of the gastrointestinal tract
- Diagnosis and treatment of digestive system diseases caused by nervous disorders (neurogastroenterology)
- High-resolution esophageal manometry
- Long-term esophageal and stomach impedance-pH metry
- Oropharyngeal functional tests
- Anorectal manometry
- Small bowel manometry
- Anal surface electromyography
- Defecography (in collaboration with the Department of Radiology)
- Hilton test (in cooperation with the Department of Radiology)
- 13C-urea breath test for the diagnosis of Helicobacter pylori infection to determine liver function, gastric emptying and pancreatic function
- Hydrogen breath test
- Consultations on nutrition
- Artificial feeding (for example, infusion therapy, feeding through a probe)
- Diagnosis and treatment of liver diseases, including liver tumors and metastases
- Diagnosis and treatment of infectious diseases
- Diagnosis and conservative treatment of malignant diseases
- Conventional chemotherapy
- Neoadjuvant and adjuvant chemotherapy (in cooperation with the Department of Surgery)
- Immunotherapy
- Simultaneous radiochemotherapy (in cooperation with the Department of Radiotherapy)
- High-dose chemotherapy
- Autologous stem cell transplantation
- Supportive therapy (eg, administration of blood products)
- Palliative care
- Diagnosis and treatment of blood diseases (for example, leukemia)
- Other diagnostic and therapeutic services
Curriculum vitae
In January 2020, Dr. med. Ali Nuri Hunerliturkoglu headed the Department of Gastroenterology, Hepatology, Neurogastroenterology, Infectology, Hematology, Oncology and Palliative Care at the HELIOS Clinic Krefeld. The doctor began studying medicine at the Heinrich Heine University of Dusseldorf in 1988. The study was followed by an internship at the University Hospital Duesseldorf. After completing his doctorate in the molecular genetic characteristics of intestinal tumors in 1999 and further training as a specialist in internal medicine, Dr. Hunerliturkoglu served for ten years as a Senior Physician in the Stem Cell Transplant Unit at the University Hospital Duesseldorf. From 2006 to 2015, the doctor held the position of the Head of the Department of Oncology and Hematology, the Cancer Outpatient Clinic in the city of Neuss in Germany. From 2013 to 2015, he also worked here as the Medical Director of a large medical center.
Photo of the doctor: (c) Helios Klinikum Krefeld
About hospital
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. Having crossed the threshold of the clinic, you will feel the home-like cozy and modern atmosphere. Perhaps you will even forget that you are in the clinic.
As a maximum care medical center, the clinic covers practically all areas of medicine: cardiology, gastroenterology, oncology and hepatology, nephrology, diabetology and rheumatology, general, abdominal and minimally invasive surgery, dermatology and venereology, angiology, cardiac surgery and other medical fields.
Thanks to a continuous fruitful cooperation with the world’s leading universities, research and medical centers, the clinic provides the highest treatment standards.
The doctors of the clinic take up the treatment of the most severe cases, including serious spinal injuries and diseases related to the disorders of the central nervous system. The nursing staff of the clinic regularly undergoes both advanced and special trainings, which contributes to a high-quality, professional patient care at all stages of treatment.
The clinic adheres to a strict quality management system. Not only the patient care, but also the entire treatment process (including monitoring and patient care after the operation) are subject to the quality certification.
Photo: (c) depositphotos
Accommodation in hospital
Patients rooms
The patients of the HELIOS Clinic Krefeld live in comfortable single and double rooms. Each room has a bathroom with a toilet and shower. The room is furnished with a comfortable bed, bedside table, TV, radio and telephone. Each room has access to the Internet, which can be used at extra charge.
The clinic offers an excellent infrastructure: a beautiful park with playgrounds for children, a cafeteria, a chapel, which regularly hosts church services, a prayer room for Muslims, a beauty salon, a shop with a large selection of magazines, drinks and personal hygiene items, an ATM and a large parking lot.
Meals and Menus
The restaurant of the clinic offers three meals a day. For breakfast, lunch and dinner, it serves a large selection of dishes that will please even spoiled gourmets. Every day, the menu features vegetarian and dietary dishes. It is possible to order any dish without leaving the room. In addition, the clinic has a cafeteria where one can always have a cup of aromatic coffee, hot tea or enjoy an exquisite refreshing drink. Also, the cafeteria menu offers many tasty snacks and dishes.
Further details
Standard rooms include: