Diagnosis and conservative treatment of duodenal cancer with 1 course of chemotherapy (program ID: 29679)
Helios Hospital Hildesheim
Stefan KoeppenSpecialized in: gastroenterology, hepatology, oncology, hematology, rheumatology, infectology, endocrinology
Department of Gastroenterology, Hepatology, Oncology, Hematology, Rheumatology, Infectology and Endocrinology
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
- TSH-basal, fT3, fT4
- tumor markers (AFP, CEA, СА-19-9, CA 72-4)
- inflammation indicators (CRP, ESR)
- indicators of blood coagulation
- abdominal ultrasound scan
- 1 course of chemotherapy according to the individual plan
(the cost of medicines is included)
- nursing services
- consultations of related specialists (tumor board)
- treatment by head physician and leading experts
- explanation of individual treatment plan
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 laboratory assessment of liver and kidney function, ultrasound scan. Based on the received results, the doctor will elaborate the chemotherapy regimen. If necessary, related medical specialists will be involved in the elaboration of a treatment regimen (tumor board).
Chemotherapy is carried out as the day hospital procedure, without mandatory admission to the hospital. 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 course of chemotherapy, you will stay under medical supervision in the ward for a few more hours. If your general condition is good, your doctor will allow you to leave the hospital. You will receive the medical report with detailed recommendations regarding further treatment. In the future, you will be able to have a distant consultation with your attending physician and schedule the next course of chemotherapy, if necessary.
- Medical records
- Esophagogastroduodenoscopy (EGD), MRI/CT scan (not older than 3 months)
- Biopsy results (if available)
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About the department
The Department of Gastroenterology, Hepatology, Oncology, Hematology, Rheumatology, Infectology and Endocrinology at the Helios Hospital Hildesheim provides the full range of medical services in the areas of its specialization. The team of the department's doctors admits patients with diseases of the gastrointestinal tract, liver, hematopoietic system, rheumatic pathologies, infectious diseases, as well as diabetes mellitus and lipid metabolism disorders. In the field of oncology, the key focus is on the treatment of malignant tumors of the digestive system. The specialists of the medical facility have a huge arsenal of modern diagnostic and therapeutic techniques, thanks to which they can carry out high-precision diagnostics and effective treatment. More than 3,000 patients receive medical care on an inpatient basis annually. The main goal of the department's doctors is to provide each patient with high-quality medical care. Clinical activities of the specialists are based on a humane attitude towards patients and an individual approach to each case. The department is headed by Dr. med. Stefan Koeppen.
The primary focus of the department's team of doctors is the treatment of gastrointestinal diseases. The medical facility most often admits patients with inflammatory and infectious diseases of the gastrointestinal tract, stomach ulcers, chronic inflammatory bowel disease (Crohn's disease and ulcerative colitis), diverticular disease, irritable bowel syndrome, benign and malignant digestive tumors etc. The key to a successful treatment outcome of any disease is accurate diagnosis, and therefore the department has modern diagnostic rooms with special equipment for endoscopic examinations (gastroscopy, colonoscopy, endoscopic retrograde cholangiopancreatography, proctoscopy, rectoscopy, endosonography, capsule endoscopy, etc.). The medical facility also has advanced laboratories to carry out the necessary tests. In addition, a wide range of functional diagnostic tests are available here. After carrying out the necessary set of diagnostic procedures and a thorough study of the obtained clinical data, the attending physician elaborates the most effective treatment regimen. In most cases, the department's specialists achieve excellent therapeutic results using only conservative treatments. With appropriate clinical indications, doctors can also perform sparing interventional endoscopic procedures: therapeutic gastroscopy and colonoscopy, balloon-assisted enteroscopy, stent implantation for obstructions or stenoses of the digestive system, etc.
The department's doctors also deal with the treatment of patients with various liver diseases. The treatment of acute and chronic inflammatory liver diseases (hepatitis) of various etiology, cirrhosis, as well as benign and malignant liver neoplasms is of particular interest for the specialists in this medical field. The diagnostic protocol for suspected liver pathology includes laboratory tests, ultrasound and X-ray examinations, and endoscopic diagnostic procedures. If inflammatory processes in the liver are confirmed, doctors always determine their etiology. This may be the impact of viruses, toxins, drugs, or the consequences of autoimmune diseases. Liver inflammation is mostly treated using drug therapy with modern medicines. If cirrhosis is detected, therapy is aimed at preventing the progression of the pathology. The patient is strongly advised to exclude foods harmful to the liver from the diet, to stop drinking alcohol and other bad habits. Drug therapy is also prescribed on an individual basis. Malignant tumors in the liver usually develop due to cirrhosis (80% of patients with cirrhosis develop liver cancer over time), as well as due to oncological processes in other organs. If the diagnosis confirms the presence of a malignant tumor in the liver, hepatologists together with oncologists, chemotherapists, radiation therapists and other specialists think over the optimal treatment tactics.
The most important focus of the department's clinical practice is on the treatment of cancers. The medical facility is certified as the Cancer Center of the German Cancer Society. The key attention is paid to the treatment of gastrointestinal cancers: stomach, bowel, esophageal, pancreatic cancers, etc. In addition, the department treats patients with oncological diseases of the hematopoietic system. The treatment regimen for any type of oncology is developed at a weekly interdisciplinary tumor board, in which the doctors from all medical fields take part. The main treatment for patients with solid gastrointestinal tumors are surgery, chemotherapy and radiation therapy. In the case of confirmation of blood cancer, the first-line treatment is chemotherapy, blood transfusions, and other conservative methods. Palliative care and psychological support are integral parts of the therapeutic process as well.
The department is also often visited by patients with rheumatic diseases. Rheumatologists most often diagnose and treat rheumatoid arthritis. Pathology primarily affects the joints. Rheumatoid arthritis also causes lesions of the internal organs. As of today, there are no therapeutic methods, which could completely cure the pathology, and therefore the therapy aims to alleviate the pain syndrome, preserve the functions of the affected joints and internal organs. At the diagnostic stage, a clinical examination, laboratory blood tests and imaging tests (radiography, computed tomography, magnetic resonance imaging) are carried out. After the comprehensive assessment of the patient's condition, doctors prescribe the most effective course of drug therapy developed on an individual basis. The intake of medicines is complemented by physiotherapy and occupational therapy.
The department's service range is complemented by the treatment of infectious diseases: viral hepatitis, tuberculosis, infectious gastrointestinal diseases, meningitis and many others. In most cases, the department's doctors use drug therapy for infectious diseases. The therapy involves the use of modern antibiotics. For more severe forms of infection, comprehensive treatment methods are used. The treatment regimen is developed only on an individual basis.
The department's endocrinologists specialize in the treatment of type 1 and type 2 diabetes mellitus, gestational diabetes, and lipid metabolism disorders. The treatment of type 1 diabetes mellitus is based on insulin therapy. At the early stages of type 2 diabetes mellitus, it is possible to compensate for the pathology through lifestyle modifications, increasing physical activity and changing the diet. At the advanced stages of this form of diabetes mellitus, hypoglycemic drugs and/or insulin therapy are used. The department is certified by the German Diabetes Society, so patients with these diseases can rely on high-quality medical care of the European level. The patients with lipid metabolism disorders are advised to lower their blood cholesterol levels. This can often be achieved through lifestyle changes, a proper diet, and regular exercises. If the above measures do not give the desired result, a course of drug therapy is prescribed to the patient.
The department's main clinical focuses include:
- Diagnostics and treatment of gastrointestinal diseases
- Inflammatory diseases, ulcers, infections and tumors of the stomach and duodenum
- Acute and chronic inflammatory disease (for example, Crohn's disease, ulcerative colitis)
- Diverticular disease
- Irritable bowel syndrome
- Acute and chronic abdominal pain
- Diarrhea, infectious diseases, and dysfunction of the small and large intestine
- Benign and malignant tumors of the stomach, small and large intestine, pancreas, esophagus
- Acute and chronic pancreatitis
- Gastroesophageal reflux disease
- Inflammatory esophageal diseases
- Diagnostics and treatment of liver diseases
- Acute and chronic liver inflammation (hepatitis) of various etiologies
- Benign and malignant liver tumors
- Diagnostics and treatment of gastrointestinal cancers
- Diagnostics and treatment of blood cancers
- Diagnosis and treatment of rheumatic diseases (key focus on the therapy for rheumatoid arthritis)
- Diagnostics and treatment of infectious diseases
- Viral hepatitis
- Infectious gastrointestinal diseases
- Diagnostics and treatment of endocrine diseases
- Type 1 and 2 diabetes mellitus
- Gestational diabetes mellitus
- Lipid metabolism disorders
- Diagnostics and treatment of other diseases
Photo of the doctor: (c) Helios Kliniken GmbH
Accommodation in hospital
- Program [Description]
Diagnosis and conservative treatment of duodenal cancer with 1 course of chemotherapy
- Hospital: Helios Hospital Hildesheim
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