Diagnosis and conservative treatment of liver fibrosis in Hospital Frankfurt (Oder)

About the department

The Department of Gastroenterology, Hepatology, Nephrology and Infectology at the Hospital Frankfurt (Oder) provides the full range of preventive, diagnostic, and therapeutic services in the areas of its specialization. The medical facility admits patients with gastrointestinal diseases, liver, gallbladder, and bile duct diseases, kidney conditions, and infections. In the field of gastroenterology, special attention is paid to endoscopic examinations and treatment. The Endoscopy Unit with state-of-the-art technology is at the service of patients, where doctors carry out endoscopic procedures for the treatment of gallstones, gastrointestinal obstructions, and gastrointestinal bleeding. In addition, the department's gastroenterologists successfully perform low-traumatic endoscopic procedures for the removal of benign and malignant gastrointestinal tumors (in the early stages). The department's team of nephrologists is responsible for drug therapy and renal replacement therapy (dialysis). Drug therapy is used to deal with infectious diseases. The department's medical team always strives to provide each patient with personalized and sparing treatment based on the very latest achievements in medicine. The department's specialists are open to dialog with the patient, and they make every effort to ensure effective treatment in a comfortable environment.

The Head Physician of the department is Prof. Dr. med. Mathias Strowski. The doctor not only conducts a successful medical practice but also actively works on promising research projects at the Charite University Hospital Berlin, being a W2 professor and a scientist at this reputable medical complex. Prof. Mathias Strowski has more than 25 years of successful clinical practice. He is a member of many professional medical societies, including the German Society for Gastroenterology, Digestive and Metabolic Diseases (DGVS), the German Society of Internal Medicine (DGIM), the German Cancer Society (DKG), and the German Society for Endoscopy and Imaging Procedures (DGE-BV). The doctor regularly publishes his scientific papers in national and international medical journals and speaks at congresses and symposia in Germany and other European countries.

The department's key focus is gastroenterology. The doctors of this specialization regularly diagnose and treat patients with gastritis, gastric ulcers, duodenal ulcers, gastroesophageal reflux disease, ulcerative colitis, Crohn's disease, stomach polyps, bowel polyps, acute bowel infections, acute pancreatitis, and other pathologies. Special attention is paid to the treatment of gastrointestinal cancers. To make an accurate diagnosis, the department's gastroenterologists use laboratory tests, functional diagnostics, ultrasound scans, and endoscopic procedures. Based on comprehensive diagnostic results, doctors develop an optimal treatment regimen. Many gastrointestinal diseases are treated with modern drugs, often combined with dietary therapy. In some clinical cases, endoscopic treatment may be required.

Endoscopic procedures are performed using a special instrument (an endoscope) that is inserted through the natural body openings. The doctor has the opportunity to examine the gastrointestinal tract from the inside and, if necessary, carry out therapeutic manipulations. Endoscopic procedures are a standard method for removing neoplasms in their early stages, arresting internal bleeding, removing foreign bodies, eliminating stenosis, etc. To ensure maximum patient comfort, sedation or general anesthesia is used during endoscopic procedures. This eliminates pain.

In the field of hepatology, the department treats liver, gallbladder, and bile duct diseases. The primary focus is on diseases such as viral hepatitis, cirrhosis, alcoholic liver disease, toxic liver lesions, non-alcoholic fatty liver disease, gallstone disease, and cholecystitis. Treatment often involves the intake of individually prescribed medications. Early stages of liver, gallbladder, and bile duct tumors can be treated using endoscopic procedures. Endoscopic manipulations are also successfully used to remove gallstones and eliminate bile duct stricture.

Nephrology specialists are responsible for providing medical care to patients with a wide range of kidney diseases, such as acute and chronic kidney failure, renal anemia, renal arterial hypertension, electrolyte and acid-base disorders, and systemic diseases with kidney lesions. Drug therapy is used as the first-line treatment. In cases of severe dysfunctions, renal replacement therapy (dialysis) is often performed to remove metabolic products and excess fluid from the blood. The department has all the necessary technical resources for hemodialysis, peritoneal dialysis, and plasmapheresis.

The department's specialists successfully deal with the treatment of infectious diseases. The doctors in this field focus on patients with tuberculosis, viral hepatitis, infectious gastrointestinal diseases, malaria, HIV infection, catheter-associated infections, sepsis, and other pathologies. Doctors use customized drug therapy regimens for the treatment of the above-mentioned diseases.

The department's key clinical focuses include:

• Gastroenterology
  • Diagnostics and treatment of gastrointestinal diseases
    • Gastritis
    • Stomach and duodenal ulcers
    • Gastroesophageal reflux disease
    • Inflammatory bowel disease: ulcerative colitis and Crohn's disease
    • Stomach and bowel polyps
    • Acute bowel infections
    • Acute pancreatitis
    • Internal bleeding
    • Gastrointestinal stenosis
    • Gastrointestinal oncologic diseases
• Hepatology
  • Diagnostics and treatment of liver, gallbladder, and bile duct diseases
    • Viral hepatitis
    • Cirrhosis
    • Alcohol-related liver disease
    • Toxic liver lesions
    • Non-alcoholic fatty liver disease
    • Gallstone disease
    • Cholecystitis
• Nephrology
  • Diagnostics and treatment of kidney diseases
    • Acute and chronic kidney failure
    • Renal anemia
    • Renal arterial hypertension
    • Electrolyte and acid-base disorders
    • Systemic diseases with kidney lesions
• Infectology
  • Diagnostics and treatment of infectious diseases
    • Tuberculosis
    • Viral hepatitis
    • Infectious bowel disease
    • Malaria
    • HIV infection
    • Catheter-associated infections
    • Sepsis
• Diagnostics and treatment of other pathologies

The department's range of therapeutic services includes the following options:

• Drug therapy
• Endoscopic procedures for gastroenterological and hepatic diseases
  • Puncture for ascites
  • Endoscopic hemostasis for bleeding from peptic ulcers
  • Sclerotherapy and ligation for esophageal varices
  • Endoscopic treatment of gastric varices
  • Dilatation and bougienage for stenoses with subsequent stent implantation
  • Foreign body removal from the digestive system
  • Polypectomy (polyp removal)
  • Percutaneous endoscopic gastrostomy (PEG)
  • Percutaneous endoscopic enterostomy (PEE)
  • Endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy with or without bile duct stone removal
  • Endoscopic implantation of stents in the bile duct, mechanical gallstone lithotripsy
  • Nasobiliary probe implantation
  • Pancreatic duct stenting
  • Endoscopic drainage of pancreatic pseudocysts (percutaneous transhepatic cholangiodrainage)
• Renal replacement therapy (dialysis)
  • Intermittent hemodialysis and hemodiafiltration
  • All forms of peritoneal dialysis
  • Continuous hemofiltration and hemodiafiltration
  • Plasmapheresis
• Other medical services