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Diagnosis of duodenal stenosis (program ID: 262057)

Hirslanden Clinic Aarau

location_on Aarau, Switzerland
9.3/10 from 15 Votes
Specialized hospital
Ralf Thomas Kurz

Head Physician
Dr. med.

Ralf Thomas Kurz

Specialized in: gastroenterology

Department of Gastroenterology

Program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • inflammation markers (CRP, ESR)
    • blood coagulation analysis (aPTT, PT, INR)
    • tumor markers (CEA, CA19-9, AFP)
  • ultrasound of the abdomen
  • gastroscopy
  • biopsy with histological examination
  • CT/MRI of the abdomen
    (if indicated clinically, additional cost is 650/1200€)
  • barium passage
  • nursing services
  • nutrition recommendations
  • consultation of related specialists
  • treatment by chief physician and all leading experts
  • explanation of individual treatment plan

Required documents

  • Medical records
  • Esophagogastroduodenoscopy (EGD) (if available)
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About the department

The Department of Gastroenterology at the Hirslanden Clinic Aarau offers the full range of medical services for patients with diseases of the gastrointestinal tract, including the esophagus, stomach, intestines, pancreas, liver and biliary tract. One of the important focuses of the department is the screening of colon cancer with the aim of preventing its development and early diagnostics. The department is fitted out with state-of-the-art equipment for ultrasound, colonoscopy, gastroscopy and other examinations. The department’s specialists work in close cooperation with abdominal surgeons for surgical treatment of gastroenterological pathologies. The Chief Physician of the department is Dr. med. Ralf Thomas Kurz.

The department specializes in the diagnostics and treatment of the following diseases:

  • Stomach diseases
  • Bowel disease (focus on bowel cancer)
  • Liver diseases
  • Pancreatic disease
  • Gastroesophageal reflux disease
  • Hemorrhoids
  • Food intolerance
  • Other diseases of the gastrointestinal tract

The department’s range of medical services includes:

  •  Ileocolonoscopy to diagnose
    • Colon cancer
    • Chronic inflammatory bowel disease
    • Diverticulitis
    • Stenosis
    • Angiodysplasia posing a high risk of bleeding
    • Intestinal ischemic syndrome
    • Pathological changes caused by drugs
    • Chronic diarrhea
      • Therapeutic procedures during ileocolonoscopy
        • Biopsy for suspected pathological changes in the mucous membrane
        • Removal of polyps (cancer precursors)
        • Dilatation for stenosis (stenting)
        • Argon laser treatment for angiodysplasia
        • Tumor labeling for colon cancer
  • Esophagoscopy, gastroscopy and duodenoscopy to diagnose
    • Esophageal cancer
    • Stomach cancer/lymphoma
    • Esophageal varicose veins
    • Stenosis due to tumors, inflammatory processes or external compression
    • Angiodysplasia posing a high risk of bleeding
    • Helicobacter -associated gastritis
    • Foreign bodies
      • Therapeutic procedures during esophagoscopy, gastroscopy and duodenoscopy
        • Biopsy for suspected pathological changes in the mucous membrane
        • Ligation for esophageal varices
        • Removal of polyps (cancer precursors)
        • Dilatation for stenosis (stenting)
        • Argon laser treatment for angiodysplasia
        • Tumor labeling for the detection of stomach and esophageal cancers
  • Enteroscopy to diagnose
    • Crohn's disease
    • Small intestine cancer or gastrointestinal stromal tumor
    • Stenosis due to tumors, inflammatory processes or external compression
    • Angiodysplasia posing a high risk of bleeding
      • Therapeutic procedures during enteroscopy
        • Biopsy for suspected pathological changes in the mucous membrane
        • Removal of polyps (cancer precursors)
        • Dilatation for stenosis (stenting)
        • Argon laser treatment for angiodysplasia
        • Tumor labeling for small intestine cancer
  • Capsule endoscopy to diagnose
    • Crohn's disease
    • Small intestine cancer or gastrointestinal stromal tumor
    • Stenosis due to tumors, inflammatory processes or external compression
    • Angiodysplasia posing a high risk of bleeding
      • Capsule endoscopy cannot be used for any therapeutic procedures
  • Endoscopic retrograde cholangiopancreatography to diagnose
    • Choledocholithiasis before and after cholecystectomy
    • Pancreatic cancer
    • Bile duct cancer
    • Bile duct inflammation
      • Therapeutic procedures during endoscopic retrograde cholangiopancreatography
        • Biopsy
        • Papillotomy
        • Removal of bile duct stones
        • Lithotripsy for bile duct stone fragmentation
        • Dilatation for stenosis using stents (plastic or metal ones)
  • Endosonography
  • Hydrogen breath test
  • Ultrasound scanning of the liver, gallbladder, bile ducts, pancreas, spleen, abdominal aorta, kidneys and bladder, including dopplerography of the abdominal vessels 
  • Impedance–pH monitoring test
  • Other medical services

Curriculum vitae

Higher Education and Postgraduate Education

  • 2004 Specialization in Gastroenterology, Swiss Medical Association (FMH).
  • 1997 Board certification in Internal Medicine.
  • 1995 Training in Emergency Medicine.
  • 1990 Thesis in Nutritional Medicine, University Hospital Fribourg.
  • 1990 Admission to medical practice.
  • 1983 - 1990 Study of Human Medicine, University of Freiburg.
  • 1981 - 1983 Study of Chemistry, University of Freiburg.

Professional Career

  • Since 2012 Work in the Department of Gastroenterology at the Hirslanden Clinic Aarau.
  • 2005 - 2012 Senior Physician at the Center for Internal Medicine at the Hirslanden Clinic Aarau.
  • 2002 - 2005 Leading Senior Physician, Department of Gastroenterology, District Hospital Bad Säckingen.
  • 1991 - 2002 Assistant Physician, Department of Internal Medicine, District Hospital Lörrach.
  • 1989 - 1991 Assistant Physician, Department of Internal Medicine, District Hospital Schopfheim.

Memberships in Professional Societies

  • Association of Internists of the Canton of Aargau at the Swiss Medical Association (FMH).
  • Medical Association of the Canton of Aargau (AÄV).
  • Swiss Society of Gastroenterology (SGG).
  • German Society for Gastroenterology, Digestive and Metabolic Diseases (DGVS).
  • German Society of Internal Medicine (DGMI).
  • Professional Association of Internists.
  • Swiss Medical Association (FMH).
  • Swiss Society of Internal Medicine (SGAIM).

Photo of the doctor: (c) Hirslanden AG


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