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Max Grundig Clinic

Buehl, Germany


Removal of Bile duct stones with ERCP and stones retraction (program ID: 175321)


Peter Maure

Head Physician
Dr. med.

Peter Maure

Department of Gastroenterology

Specialized in: gastroenterology
Curriculum vitae keyboard_arrow_down

Dr. Peter Maurer, Jahrgang 1951, ist in Stühlingen in der Nähe des Bodensees geboren. Er hat von 1969 bis 1976 in Freiburg Chemie studiert, wo er anschließend in Forschung und Lehre tätig war und in Biochemie promoviert hat. Parallel studierte er von 1976 bis 1981 Medizin und war ab 1983 an der Universitätsklinik in Freiburg als Assistenzarzt tätig.

 

Seit 1990 ist Dr. Maurer an der Max Grundig Klinik als Leitender Arzt für Gastroenterologie tätig. Als Chefarzt leitet er zudem die Innere Medizin und das Check-up Zentrum.

 
About the department keyboard_arrow_down

The Department of Gastroenterology deals with the diagnosis, treatment and prevention of the organs of the digestive system. Every year, it carries out about 1,000 examinations of the internal surface of the colon, which allows for early detection of tumors in the colon. In 25% of these cases doctors diagnose polyps, which are removed without pain. In this field, the department has 40 years of experience. The department closely cooperates with other specialized departments of the clinic, which allows to work out the individual treatment program for each patient as precisely as possible. The department is headed by Dr. med. Peter Maure.

The service range of the Department of Gastroenterology includes:

Abdominal pain (type or cause)

  • Acute abdomen
  • Allergic abdominal pain
  • Peritonitis
  • Concomitant pain in cardiovascular and neurological diseases
  • Intestinal obstruction (obstruction or paralytic ileus)
  • Vascular pain in the abdomen
  • Infections and parasitoses
  • Intoxication and metabolic disorders
  • Collagen diseases

Specific features of the organism (type or cause):

Stomach/esophagus

  • Achalasia and related dysphagia
  • Acute and chronic gastritis
  • Gastroesophageal reflux disease (heartburn)
  • Infectious dysentery (acute vomiting)
  • Gastric and duodenal ulcers
  • Lymphomas, precancerous lesions and carcinomas
  • Esophageal varices

Small and large bowel

  • Inflammatory bowel disease (Crohn's disease, ulcerative colitis)
  • Diverticular disease
  • Polyps and intestinal tumors (screening, polypectomy, EMR)
  • Microscopic colitis
  • Irritable bowel syndrome
  • Hemorrhoids, fissures, anal thromboses

Liver/bile/pancreas

  • Alcoholic and metabolic fatty liver
  • Amyloidosis
  • Autoimmune hepatitis
  • Ascites
  • Pancreatitis
  • Pancreatic cancer
  • Biliary cirrhosis
  • Cholangitis (bacterial or primary sclerosis)
  • Cholelithiasis (gallstones)
  • Cholecystitis (inflammation of the gallbladder)
  • Jaundice
  • Hemochromatosis
  • Diagnosis of the herd (abscess, adenoma, FNH, metastasis, tumor, cyst)
  • Drug-induced hepatopathy and cholestasis
  • Postcholecystectomy syndrome
  • Unclear increased values of "liver" (for clarification)
  • Viral and other non-viral hepatitis

Complexes of symptoms (type or cause):

Acute/chronic diarrhea

  • Allergic / anaphylactic food reaction
  • Bacterial colonization of the intestine
  • Endocrine diarrhea
  • Enterogenic infections (salmonellosis, clostridia, norovirus, etc.)
  • Diarrhea with enzyme deficiency (histamine, lactose,  fructose intolerance, etc.)
  • Bile acid loss syndrome
  • Gynsonococcal fistula
  • Nervous diarrhea
  • Parasitic diarrhea (Lamblia, Amoeba, M. Whipple, Trichiuren, etc.)
  • Paradoxical diarrhea in case of intestinal stenosis
  • Sprue syndrome
  • Toxic diarrhea (without pathogens, e.g. drug-induced)

Constipation

  • Dysbacteriosis
  • Habitual constipation
  • Mechanical obstacles
  • Drugs or malnutrition

Indications for rehabilitation for the rehabilitation stay:

  • Complaints after gastrectomy or bowel removal
  • Chemotherapeutic follow-up treatment of gastrointestinal tumors
  • Functional and wound disorders after surgery on the liver / bile / pancreas
  • PEG or parenteral nutrition in severe malabsorption or palliative care
  • Treatment of pain due to chronic visceral hyperalgesia 

In addition, since recently the department has offered video capsule endoscopy of the large and small intestine. This examination method is especially useful if patients need non-invasive and safe screening for a colorectal tumor. Also, capsule endoscopy is an excellent alternative to conventional examination.

When examining the colon, the new method involves swallowing of a small capsule containing two chambers that remove the passage through the intestine. It captures up to 35 images per second, which allows an excellent assessment of the intestinal mucosa in a well-prepared colon. Polyps and other changes can be displayed in very good quality.

When examining the small intestine, a person swallows a capsule with miniature video cameras (slightly larger than a standard tablet), 26x11 mm in size. The video cameras produce approx. 80,000 images of the small intestine for 8 hours, after which they are sent to an electronic receiver, which patients wear on the waist belt.

Capsule endoscopy is excellent for diagnosing small intestinal diseases, especially in case of unclear bleeding from the gastrointestinal tract or for clarifying chronic anemia, if the previous gastric or colonoscopy has not been adequately explained. In addition, this method is used by default for inflammatory bowel disease and for suspicion of small intestinal tumors.

Compared to traditional radiological and endoscopic methods, this procedure has the following main advantages:

  • Simple and non-invasive alternative
  • Lack of contrast medium
  • Lack of sedation or anesthesia
  • Lack of radiation exposure
  • During the examination, the patient can live an everyday life without any restrictions

Program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • physical examination
  • review of medical records
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • TSH-basal, fT3, fT4
    • indicators of inflammation (CRP, ESR)
    • indicators blood coagulation
  • abdominal ultrasound
  • CT/MRI abdomen
  • ERCP with endoscopic bougienage and stones retraction 
  • symptomatic treatment
  • control examinations
  • the cost of essential medicines and materials
  • nursing services
  • nutrition recommendations
  • full hospital accommodation
  • explanation of future recommendations
Type of program :
Expected duration of the program:

The program includes:

  • Translation of medical documents up to 4 pages
  • Interpreter up to 3 hours
  • Translation of medical documents up to 8 pages
  • Interpreter up to 5 hours
  • Translation of medical documents up to 10 pages
  • Interpreter up to 8 hours
  • Insurance of unforeseen expenses in case of complications in course of treatment and within 48 months after treatment (сoverage amount is 200,000.00 €)
  • Free consultations with the attending physician for the period of 3 months after treatment completion
  • Translation of medical documents up to 10 pages
  • Interpreter up to 10 hours
  • Insurance of unforeseen expenses in case of complications in course of treatment and within 48 months after treatment (сoverage amount is 200,000.00 €)
  • Free consultations with the attending physician for the period of 3 months after treatment completion
  • Translation of medical documents up to 10 pages
  • Interpreter up to 15 hours
  • Transfer from the airport to the clinic and back to the airport
  • Insurance of unforeseen expenses in case of complications in course of treatment and within 48 months after treatment (сoverage amount is 200,000.00 €)
  • Free consultations with the attending physician for the period of 3 months after treatment completion
  • Translation of medical documents up to 10 pages
  • Interpreter up to 25 hours
  • Transfer from the airport to the clinic and back to the airport
  • Insurance of unforeseen expenses in case of complications in course of treatment and within 48 months after treatment (сoverage amount is 200,000.00 €)
  • Free consultations with the attending physician for the period of 3 months after treatment completion
info_outline Total costs:

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