Treatment of pancreatic cancer with stenosis via ERCP and bougienage in University Hospital of Ludwig Maximilian University of Munich
University Hospital of Ludwig Maximilian University of Munich
Munich, Germany
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Program id #
148755
Prof. Dr. med. Julia Mayerle
Department of Gastroenterology and Hepatology
Specialized in: gastroenterology, hepatology The program includes:
- Initial presentation in the clinic
- case history collection
- general clinical examination
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical analysis of blood
- TSH-basal, fT3, fT4
- tumor markers
- indicators of inflammation
- indicators blood coagulation
- ultrasound
- CT/MRI scanners
- endosonography/ cholangigraphy
- gastroscopy with biopsy and ercp or pops
- stenting and bougienage
- symptomatic treatment
- cost of essential medicines
- nursing services
- stay in the hospital with full board
- full hospital accommodation
- elaboration further recommendations
Required documents
- Medical records
- MRI/CT scan (not older than 3 months)
- Biopsy results (if available)
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About the department
The Department of Gastroenterology and Hepatology at the University Hospital of the Ludwig Maximilian University of Munich offers the full range of medical services in the areas of its specialization. The department's doctors carry out the prevention, diagnostics, and treatment of diseases of the gastrointestinal tract, including the liver, gallbladder, biliary tract, esophagus, and pancreas. Diagnostic options include ultrasound scans and functional tests, as well as modern endoscopic procedures that allow for making an accurate diagnosis and prescribing effective therapy. As for the treatment, the department offers patients effective drug therapy and many endoscopic interventions. Based on an independent assessment by Newsweek, an American weekly online news magazine, the department is recognized as one of the best in the world at treating gastroenterological diseases. In addition, the department is certified by the German Cancer Society (DKG) in the treatment of gastrointestinal and liver cancers. The medical facility has a high level of trust among patients, and the number of people wishing to receive medical care here is steadily growing every year. The department is headed by Prof. Dr. med. Julia Mayerle.
The treatment of stomach diseases is one of the primary clinical tasks of the department's doctors. Patients with gastritis, stomach ulcers, and benign and malignant stomach tumors most often receive medical care here. Since the symptoms of the above-mentioned diseases are usually non-specific (for example, pain in the upper abdomen, loss of appetite, and nausea), the department's specialists always take a responsible approach to examining a patient to make an accurate diagnosis. In the case of gastritis and stomach ulcers, symptomatic treatment and diet are most often prescribed. When malignant stomach neoplasms are detected, doctors from related specialties are involved in the therapeutic process, such as oncologists, abdominal surgeons, radiation therapists, and radiologists. The specialists cooperatively consider a clinical case and develop an optimal treatment regimen. Early-stage stomach tumors can often be removed using endoscopic techniques such as mucosectomy, endoscopic submucosal dissection, or argon plasma coagulation. In the advanced stages, a full-fledged operation is performed with the participation of abdominal surgeons.
The department's specialists also successfully treat esophageal diseases. Doctors have all the necessary resources for the effective treatment of gastroesophageal reflux disease, inflammatory processes in the esophagus, esophageal motility disorders, esophageal varicose veins, and esophageal benign and malignant tumors. Gastroesophageal reflux disease is a chronic, recurrent disease caused by the reflux of acidic stomach contents into the esophagus. The department's gastroenterologists study a patient's medical history and perform endoscopic examinations to establish a diagnosis. Some patients additionally require functional diagnostics: 24-hour pH-impedancemetry and esophageal manometry. The treatment tactics for gastroesophageal reflux disease are determined depending on the severity of the pathology. In most cases, drug therapy is sufficient. Endoscopic interventions can be performed to eliminate cicatricial stenosis and Barrett's esophagus (complications of GERD). In complex cases of gastroesophageal reflux disease, patients require surgery, which is performed by abdominal surgeons. The department's doctors also have vast experience in treating esophageal varices, which develop as a result of an impairment of blood outflow into the vena cava system. The disease is dangerous due to the possibility of the development of internal bleeding, which can be fatal, so a patient needs timely treatment. First-line therapy is the intake of individually prescribed drugs. The department's doctors also quite often resort to endoscopic therapy, namely latex ligation.
The competence of the gastroenterologists of the medical facility includes the treatment of chronic inflammatory bowel disease: Crohn's disease and ulcerative colitis. The treatment regimen is developed for each patient on an individual basis, since the pathologies may have a mild course or a patient may experience an acute inflammatory process. In mild cases, patients usually receive drug therapy only during periods of exacerbation. Patients with a severe course require long-term drug therapy (over several years) to achieve control of the disease. The department's specialists also often resort to endoscopic procedures.
An important focus in the department's clinical practice is on treating liver diseases, the most common of which are hepatitis, cirrhosis, alcoholic liver disease, liver lesions due to autoimmune diseases, liver failure, and liver cancer. The department's hepatologists also admit patients with bile duct diseases. In most cases, modern drugs are used to treat liver diseases. Patients with cholelithiasis and bile duct stricture are offered endoscopic treatment, such as mechanical or electrohydraulic lithotripsy, extracorporeal shock wave lithotripsy, bougienage, and balloon dilatation. Inoperable bile duct strictures developing due to cancer are treated by the department's specialists using photodynamic therapy or radiofrequency ablation.
The department specializes in the diagnostics and treatment of the following diseases:
- Gastroenterology
- Stomach diseases
- Gastritis
- Stomach ulcers
- Stomach polyps
- Gastric lipomas
- Gastric leiomyomas
- Gastric cancer, including MALT lymphomas and stromal tumors
- Esophageal diseases
- Gastroesophageal reflux disease (GERD)
- Inflammatory esophageal diseases that are not associated with GERD
- Esophageal motility disorders
- Esophageal varices
- Benign and malignant esophageal tumors
- Pancreatic diseases
- Acute and chronic pancreatitis
- Autoimmune pancreatitis
- Pancreatic cysts
- Pancreatic cancer
- Chronic bowel disease
- Chronic inflammatory bowel disease: Crohn's disease and ulcerative colitis
- Celiac disease
- Short bowel syndrome
- Infectious gastrointestinal diseases
- Stomach diseases
- Hepatology
- Liver diseases
- Cirrhosis
- Portal hypertension
- Acute and chronic viral hepatitis
- Autoimmune hepatitis
- Liver cancer
- Hemochromatosis
- Wilson's disease
- Metabolic liver disease
- Cryptogenic liver disease
- Bile duct diseases
- Gallstone disease
- Jaundice
- Primary sclerosing cholangitis
- Primary biliary cholangitis
- Liver diseases
- Other diseases and pathological conditions
The department's range of medical services includes:
- Diagnostic options
- Functional diagnostics
- Esophageal manometry
- 24 hour pH-metry
- 24 hour pH-impedancemetry
- Small bowel manometry
- 13C-octanoic acid breath test
- C13 urea breath test in the diagnostics of Helicobacter pylori
- Hydrogen breath test (H2 breath test)
- Endoscopic examinations
- Fluorescence-guided examination methods
- Examinations using monochromatic laser radiation
- High resolution video endoscopy with zoom
- Gastroscopy
- Esophagogastroduodenoscopy
- Endoscopic retrograde cholangiopancreatography
- Cholangioscopy
- Proctoscopy
- Rectoscopy
- Colonoscopy
- Ileoscopy
- Capsule endoscopy
- Double-balloon enteroscopy
- Endosonography
- Functional diagnostics
- Therapeutic options
- Drug therapy
- Endoscopic procedures
- Hemostasis procedures
- Hemostasis with fibrin glue
- Clipping
- Argon plasma coagulation
- Latex ligation for varicose veins
- Endoscopic mucosal resection (EMR)
- Endoscopic submucosal dissection (ESD)
- Mucosectomy (resection of the mucous membrane in precancerous conditions)
- Radiofrequency ablation
- Bile duct bougienage, dilatation, plastic surgery, and stent implantation
- Photodynamic therapy for bile duct cancer
- Mechanical and electrohydraulic lithotripsy, and extracorporeal shock wave lithotripsy for gallstone disease
- Percutaneous endoscopic gastrostomy
- Hemostasis procedures
- Other diagnostic and therapeutic options
Curriculum vitae
Higher Education and Professional Career
- 2001 Thesis defense (Dr. med.) with honors (summa cum laude) and admission to medical practice.
- 1994 - 2001 Medical studies in Budapest, Würzburg, and Muenster.
- 2001 - 2003 Clinical Residency, Department of Internal Medicine at the University Hospital Muenster.
- 2003 - 2007 Clinical Residency in Internal Medicine, Department of Gastroenterology, Endocrinology and Nutritional Medicine, University Hospital Greifswald.
- 2007 Associate Professor in the Department of Molecular Gastroenterology at the University of Greifswald.
- 2007 Board certification in Internal Medicine, University of Greifswald.
- 2009 Board certification in Gastroenterology, Lister Scholarship, Glasgow Royal Infirmary, University of Glasgow, UK.
- 2011 Associate Professor (lifelong title) in Internal Medicine and Gastroenterology.
- 2013 Board certification in Gastroenterology.
- 2016 Professor and Head of the Department of Gastroenterology and Hepatology at the University Hospital of Ludwig Maximilian University of Munich.
Awards (selected)
- 2006 Martin Gülzow Award from the German Society for Gastroenterology, Digestive and Metabolic Diseases (DGVS).
- 2006 Sir Hans Krebs Award from the Hannover Medical School.
- 2013 Thannhauser Award from the German Society for Gastroenterology, Digestive and Metabolic Diseases (DGVS).
Memberships in Professional Societies
- 2006 President of the German Pancreatic Club.
- 2012 - 2015 Counselor, European Pancreatic Club, Commission for the Selection of Doctoral Theses.
- 2007 - 2010 German Society for Digestive and Metabolic Diseases (DGVS), Commission for the Selection of Doctoral Theses, Congress Secretary (2017).
- 2010 - 2015 Scientific Committee Member, United European Gastroenterology Federation (UEGF).
- Since 2011 Deputy Editor in Chief of the Pancreatology Journal.
- Since 2013 Advisor to the International Association of Pancreatology.
- American Pancreatic Association.
- Since 2016 Board Member of the European Association for Gastroenterologн, Endoscopн and Nutrition (EAGEN).
Photo of the doctor: (c) LMU Klinikum
About hospital
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 its bicentenary history and tirelessly confirms its primacy at the national and international levels. The outstanding quality of medical care is complemented by highly productive research activities, thanks to which many effective diagnostic and therapeutic methods, saving people’s lives, have been presented in medical practice.
The medical facility includes two main buildings, Grosshadern and Innenstadt. The hospital has 29 specialized departments, 53 interdisciplinary centers, 11 institutes, and many sections. More than 500,000 patients are treated here every year, which indicates the hospital's excellent reputation. A large and highly professional medical team, consisting of 1,800 doctors and 3,300 nursing staff, works for the benefit of patients. The hospital has 2,000 beds to accommodate patients.
The hospital's infrastructure deserves special attention: advanced diagnostic equipment that allows doctors to detect the slightest pathological changes in the human body, the latest operating rooms with highly efficient monitoring systems, robot-assisted surgical systems that facilitate sparing operations, and proper postoperative care.
Excellent technical resources and highly professional medical staff are undoubtedly the hospital's pride, but the medical facility also pays attention to the patient's comfort and to a humane attitude toward their life situation. When providing the necessary medical care, doctors and nursing staff always show a friendly attitude, inform patients in detail about the upcoming diagnostic and therapeutic procedures, gladly answer all questions of interest to patients, and provide moral support during the therapeutic process.
The hospital has many prestigious quality certificates, including a DIN EN ISO 9001 certificate, an IQM certificate, an endoCert certificate, certificates from the German Cancer Society (DKG) for treating various types of cancer, the German Cardiac Society (DGK), the German Society for Orthopedics and Trauma Surgery (DGOU), etc. Thus, patients can count on the best possible treatment outcome due to the use of the most effective and, at the same time, sparing therapeutic techniques.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the University Hospital of Ludwig Maximilian University of Munich live in comfortable, spacious, single and double patient rooms with a modern design. Each room is equipped with an ensuite bathroom with a shower and toilet. The furnishing of a standard patient room includes a comfortable bed, the position of which can be adjusted using the remote control, a locker for storing personal belongings, a TV, and a telephone. Also, if desired, you can connect to the Internet. In addition, patients can opt for enhanced-comfort rooms, with a safe, a fridge, and upholstered furniture.
The hospital has an excellent infrastructure. The medical facility’s area houses a bank, ATMs, a hairdresser, shops with a wide range of food, drinks, newspapers, magazines, and personal hygiene items, play areas for children, and a beautiful garden for walking, etc.
Meals and Menus
The patient and his accompanying person are offered a daily choice of three menus, including a vegetarian one. If you are on a specific diet for any reason, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Religion
Religious services are available upon request.
Accompanying person
Your accompanying person may stay with you in your room or at a hotel of your choice during the fixed program.
Hotel
You may stay at a hotel of your choice during an outpatient program. Our managers will help you to choose the best option.
The hospital offers a full range of laboratory tests (general, hormonal, tests for infections, antibodies, tumor markers, etc.), genetic tests, various modifications of ultrasound scans, CT scans, MRI and PET/CT, angiography, myelography, biopsies, and other examinations. Treatment with medications, endoscopic and robotic operations, and stereotaxic interventions are carried out here, modern types of radiation therapy are also used. The hospital offers patients all the necessary therapeutic techniques.
- Allogeneic bone marrow transplantation
- Microsurgical transplantation of head and neck tissues
- Microsurgical resection of brain tumors with intraoperative fluorescence
- Minimally invasive treatment of spine pathologies
- Joint replacement with postoperative rehabilitation (fast track program)
Patients with benign and malignant neoplasms of various localizations, pathologies of arteries and veins, herniated discs, osteoporosis, congenital and acquired pathologies of the musculoskeletal system, benign and malignant pathologies of the mammary gland, and other pathologies.
Which specialties of the University Hospital of Ludwig Maximilian University of Munich are the best?
- Interventional and diagnostic neuroradiology
- Vascular surgery
- Cardiac surgery
- Mammalogy
- Gastroenterology and hepatology
Over 1,700 highly qualified doctors work at the hospital.
