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Colon Cancer: Diagnostic in the Best Hospitals in the World

Memorial Bahcelievler Hospital Istanbul

9.2/10
location_onTurkey, Istanbul

Department of Adult and Pediatric Gastroenterology, Hepatology

The Department of Adult and Pediatric Gastroenterology, Hepatology offers the full range of high-precision diagnostics and effective treatment of gastrointestinal diseases. The department's specialists admit patients of all age groups, including children. Endoscopic procedures are widely used in clinical practice for detection of the slightest pathological changes in the gastrointestinal tract, as well as for their treatment. An individual therapy regimen is developed for each patient, taking into account all specificities of the disease and state of health, as well as age. The tremendous experience of the department's doctors allows them to successfully cure even the most complex and rare gastroenterological pathologies. The department's medical services meet the highest standards of modern medicine.

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University Hospital Duesseldorf

8.5/10
location_onGermany, Duesseldorf

Department of Gastroenterology, Hepatology and Infectology

The Department of Gastroenterology, Hepatology and Infectology offers the full range of diagnostics and treatment of diseases of the liver, pancreas, and other organs of the gastrointestinal tract. In addition, of particular interest is the treatment of cancer pathologies of the esophagus, stomach, intestines, pancreas and liver. The department is a supraregional center for the diagnostics, research and treatment of chronic liver diseases and their complications, as well as the certified Infectology Center, within which all types of hepatitis, HIV, and tropical infectious diseases are treated.

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Gastroenterology and Hepatology

The Department of Gastroenterology and Hepatology offers the full range of services in diagnostics and treatment of diseases of the gastrointestinal tract, liver, pancreas. The department performs all the innovative endoscopic procedures, as well as high-precision ultrasound and functional examinations, which allow making an accurate diagnostics and prescribe an appropriate effective therapy. In addition, it conducts active scientific and clinical trials contributing to the development of new treatment methods.

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Gastroenterology and Hepatology

The Department of Gastroenterology and Hepatology is ranked among the top medical institutions in Germany specializing in bowel cancer treatment! The department offers the full range of diagnostics and treatment of diseases of the gastrointestinal tract and liver. It provides high-quality medical care with the use of innovative medical advances. Also, key role is given to a human attitude and understanding of the individual needs of each patient.

Primus Super Speciality Hospital New Delhi

9/10
location_onIndia, New Delhi

Department of Gastroenterology and Hepatology

The Department of Gastroenterology and Hepatology offers the full service range for the diagnostics and treatment of diseases of the gastrointestinal tract and liver. The department carries out advanced diagnostic tests and treatment using the very latest methods. Diagnostic and therapeutic endoscopic procedures are also widely used here. The medical team consists of the highly qualified doctors whose purpose is to provide safe and effective treatment for each patient.

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Gastroenterology, Hepatology, Pulmonology, Allergology, Endocrinology and Diabetology

The Department of Gastroenterology, Hepatology, Pulmonology, Allergology, Endocrinology and Diabetology offers the full diagnostic and therapeutic range of services in the fields of its specialization. The department specializes in liver pathologies and oncological diseases of the bronchi, endocrine glands, liver, biliary tract, pancreas and other gastrointestinal organs. In addition, the department is a recognized Diabetes Center. The service range is complemented by dietology. The treatment is provided in accordance with the international protocols using the very latest medicines.

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Gastroenterology, Hematology, Oncology, Hepatology, Infectology, Rheumatology and Clinical Immunology

The Department of Gastroenterology, Hematology, Oncology, Hepatology, Infectology, Rheumatology and Clinical Immunology offers the full range of diagnostics and treatment in these fields. The department specializes in the treatment of benign and malignant diseases of the digestive system, liver and bile ducts, the hematopoietic system, etc. Much attention is paid to the interdisciplinary cooperation (Cancer Center Mainfranken, etc.).

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Gastroenterology, Hepatology, Nephrology, Infectology, Endocrinology and Diabetology

The Department of Gastroenterology, Hepatology, Nephrology, Infectology, Endocrinology and Diabetology offers the full range of diagnostic and therapeutic services in these fields. The department specializes in the treatment of diseases of the gastrointestinal tract, liver, kidneys, endocrine organs, including diabetes mellitus, as well as the treatment of infectious diseases. Of particular interest is the treatment of oncopathology of the digestive tract and liver, as well as rare hereditary intestinal tumors (in collaboration with the Center for Integrated Oncology). In addition, the therapeutic options include liver, kidney, and pancreas transplantation. The department's doctors have both classical and innovative methods of diagnostics and therapy, thanks to which they achieve high rates of treatment success.

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Gastroenterology, Hepatology and Infectology

The Department of Gastroenterology, Hepatology and Infectology offers the full range of services in these fields and specializes in the diagnostics and treatment of diseases of the gastrointestinal tract, liver, and liver transplantation. One of the key activities is the therapy of oncological diseases of the digestive organs. Medical care is provided both on an outpatient and inpatient basis. In addition, the department operates an intensive care unit to provide round-the-clock assistance to critically ill patients.

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Gastroenterology and Hepatology

According to the Focus magazine, the Department of Gastroenterology and Hepatology ranks among the top German departments specializing in colon cancer treatment! It offers the full range of highly accurate diagnostics and effective treatment of diseases of the gastrointestinal tract, liver and pancreas. The doctors of the department provide medical care in close cooperation with the Departments of Abdominal, Thoracic and Vascular Surgery, Pediatric and Adolescent Medicine, as well as with the Comprehensive Cancer Center Dresden. The department has a modern Endoscopic Unit, which performs more than 6,000 endoscopic procedures annually. In addition, the department is equipped with the state-of-the-art equipment for comprehensive ultrasound and functional diagnostics of the digestive tract organs.

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Gastroenterology, Hepatology and Infectology

The Department of Gastroenterology, Hepatology and Infectology offers the full range of medical services in these fields and specializes in the diagnostics and treatment of diseases of the digestive system (esophagus, stomach, intestines and pancreas, liver), acute and chronic infectious diseases, tropical infections and oncopathologies of the internal organs. To ensure the comprehensive and most effective treatment, there is maintained close cooperation with the Departments of Endoscopy, Hepatobiliary and Transplant Surgery, General Surgery and Radiology.

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Hepatology and Gastroenterology

The Department of Hepatology and Gastroenterology offers all modern options for the diagnostics and treatment of diseases of the liver, biliary tract, pancreas and other gastrointestinal organs. An important component of the department's clinical practice is the cooperation with related disciplines, such as surgery, radiology and nuclear medicine. The department positions itself as a maximum care medical facility, which priority task is to provide high-quality individualized treatment using the very latest scientific achievements and current medical standards.

University Hospital RWTH Aachen

8.7/10
location_onGermany, Aachen

Department of Gastroenterology, Metabolic Disorders and Internal Intensive Care

The Department of Gastroenterology, Metabolic Disorders and Internal Intensive Care offers the full range of diagnostic and therapeutic services in these medical fields. The department's doctors have expert knowledge and clinical skills to provide high-quality medical care to patients with general gastroenterological diseases, chronic inflammatory bowel diseases, liver pathologies, endocrine disorders, diabetes mellitus and morbid obesity. The department has excellent endoscopic equipment for modern diagnostic and therapeutic procedures.

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Gastroenterology, Hepatology and Infectology

The Department of Gastroenterology, Hepatology and Infectology offers the full range of diagnostics and treatment for patients with gastrointestinal diseases ranging from the esophagus to the rectum, pancreas, liver, gallbladder and biliary tract. In addition, the treatment of acute and chronic infections is carried out in close cooperation with the specialized Center for Infectious Medicine. The competence also includes the provision of emergency care to patients with all diseases in the field of internal medicine. The clinical practice is based on the use of the very latest technical equipment, innovative treatment methods and high-precision diagnostic options, which in combination with the outstanding professionalism of doctors helps to achieve the best therapy result.

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Gastroenterology, Hepatology and Pulmonology

The Department of Gastroenterology, Hepatology and Pulmonology offers the full range of diagnostics and treatment in its fields of specialization. The department specializes in the diagnostic and interventional endoscopy, gastrointestinal cancer, treatment of liver, pancreatic diseases, as well as chronic inflammatory bowel diseases. In the field of pulmonology, the focus is on the diagnostics and treatment of obstructive, interstitial lung diseases, lung cancer and cystic fibrosis.

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Gastroenterology, Endocrinology, Metabolism and Clinical Infectology

The Department of Gastroenterology, Endocrinology, Metabolism and Clinical Infectology offers all the options of modern medicine for the diagnostics and treatment of benign and malignant diseases of the digestive system, liver, endocrine glands, as well as metabolic disorders and infectious diseases. In addition, the department enjoys an excellent reputation in the treatment of neuroendocrine tumors. The department operates an Endoscopy Section, a Section for Functional Diagnostics of the Endocrine Glands and many specialized Outpatient Clinics. There are 62 beds available for  inpatient treatment.

Colon cancer or colorectal cancer is a common oncological disease that takes many lives. In recent years, its diagnostics and treatment have been significantly improved. Thanks to screening in developed countries, up to 40% of cases of colorectal cancer are detected in the early stages, which makes treatment more successful: five-year survival of such patients reaches 90% and higher. In a locally advanced oncological process, this indicator averages 70%.

Is it possible to detect colon cancer in the initial stage? 

Colon cancer is a controlled disease. The disease can be easily diagnosed at an early stage, but to do it one should undergo a preventive examination, even before the onset of symptoms. The reason for it is that the appearance of clinical signs indicates the presence of a large tumor in the intestine that could spread to neighboring organs and to distant parts of the body.

Colon cancer can not only be detected early, but even prevented. It is extremely rare that a tumor grows from an unchanged mucous membrane. In most cases, it develops from a colon polyp. A polyp exists 10-15 years before a malignancy begins to grow from it. This is quite a sufficient period to detect the precancerous process and remove the polyp, thereby preventing its malignancy.

The hospitals abroad apply the comprehensive oncological and gastroenterological screening programs. These include colonoscopy. This is the main method for diagnosing colon cancer. Colonoscopy can be used for both polyp detection and removal. It is also effective for detecting small tumors in the initial stage, which respond well to the surgical treatment.

Here are some of examples of cases when screening may be needed: 

  • all patients from 45 to 85 years old; 
  • up to 45 years old with a complicated family medical history; 
  • due to chronic inflammatory bowel diseases (ulcerative colitis, Crohn's disease); 
  • hereditary syndromes associated with colon cancer;
  • abdominal irradiation in the medical history, regardless of cause. 

The best hospitals in Germany offer health check-up programs. This country is distinguished by very accurate diagnostic examinations. The hospitals in this country are staffed by highly qualified doctors who will not miss cancer or precancerous processes, if any. When detecting a malignancy in Germany, one can undergo treatment using advanced methods. 

In advanced stages of cancer, a person has the opportunity to take part in clinical trials. It is likely that the very latest cancer treatments that are only being tested will be more successful than those that are generally accepted at present.

Here is a complete list of colon cancer screening methods and the recommended frequency of diagnostic measures: 

  • fecal occult blood test – once a year;
  • fecal immunochemical test (FIT) – every year;
  • MT-sDNA testing – once every 3 years;
  • colonoscopy – once every 10 years;
  • virtual colonoscopy as an alternative to the common one – every 5 years.

Symptoms 

People who do not undergo screening usually see a doctor only after the onset of symptoms. Even in developed countries, the number of such patients amounts up to 60% or more. In developing countries, their number often exceeds 90%.

The onset of symptoms usually indicates at least a locally advanced form of colorectal cancer. It is still treatable in the best hospitals in the world with surgery and other methods. Nonetheless, the effectiveness of surgical procedures and the relapse-free five-year survival of patients is less than in case of early detection of localized cancer.

The main symptoms of the disease are: 

  • diarrhea or constipation; 
  • difficulty bowel movements;
  • feeling of full intestines;
  • blood in the stool; 
  • abdominal cramping;
  • weakness and fatigue; 
  • weight loss due to digestive disorders and loss of appetite.

Confirmation and clarification of the diagnosis 

Targeted diagnostics can be prescribed to patients who: 

  • had positive screening results (for example, occult blood detected in the feces);
  • consulted a doctor with complaints and objective symptoms that may indicate colon cancer.

The main diagnostic method for colorectal cancer remains colonoscopy. If it is expected that the tumor is localized in the distal colon, rectoscopy or sigmoidoscopy can be performed as well. When conducting an endoscopic examination, the doctor will also sample tissues for biopsy. The biopsy sample will be sent for a histological examination. It serves to confirm the diagnosis, determine the histological type of the neoplasm. 

In developed countries, including Germany, the doctors use additional methods, which allow for a better treatment planning and predicting the effectiveness of therapeutic measures. Thus, they can use:

  • genetic testing to detect changes in the KRAS and NRAS and BRAF genes; 
  • MSI and MMR testing (for microsatellite instability).

An important diagnostic task is to assess the spread of the oncological process. It cannot be evaluated using endoscopic examinations, since with these methods the doctor can see only that part of the tumor, which protrudes into the lumen of the colon. The following methods can be used for staging:

  • computed tomography;
  • ultrasound;
  • MRI.

To obtain more accurate information, MRI can be conducted using contrast agents or an endorectal coil placed inside the rectum.

Ultrasound can be performed transabdominally. To obtain more accurate information, an ultrasound is performed using a sensor placed in the intestine. In Germany, doctors often use intraoperative ultrasound, which allows the doctor to detect metastases invisible to him directly during surgery and remove them, thereby preventing relapse of the neoplasm.

Additional diagnostic methods: 

  • chest x-ray to detect metastatic lung lesions;
  • PET to detect metastases in parts of the body remote from the intestine;
  • angiography to assess the blood supply to the tumor, in preparation for surgery, to assess the feasibility of chemoembolization of metastatic foci in the liver.

The diagnostics of colon cancer abroad, in developed countries, is highly accurate. Thanks to modern techniques, the doctors can detect the disease in the early stages. In case of late detection, the diagnostic procedures used allow the doctors to perfectly plan the treatment and achieve the best possible results, taking into account the clinical situation.

Diagnostics and treatment in Germany with Booking Health 

Thanks to the Booking Health company, you can undergo examination or treatment at the best hospitals in Germany.  The doctors abroad use advanced diagnostic and therapeutic procedures. They treat colon cancer using surgery, radiation therapy, intraoperative hyperthermic chemotherapy and targeted therapy. 

When using our services, you will benefit from the following services and advantages: 

  • Selection of the best hospital in Germany, which specializes in colon surgery, chemotherapy, radiation therapy, targeted therapy for cancers. 
  • Surgery and other medical services at reduced prices due to the absence of extra charges and coefficients for foreign patients. 
  • Establishment of communication with an attending physician. 
  • Preparation of the program taking into account previously performed medical procedures.
  • Appointment with a doctor on convenient dates. 
  • Control of the program at all its stages (diagnostics, surgery, radiation therapy, targeted therapy, rehabilitation, etc.). 
  • Control of invoices and return of unspent funds. 
  • Organization of additional examinations. 
  • Buying and forwarding of medicines. 
  • Communication with the hospital upon treatment completion. 

The Booking Health company will provide you with the highest level of service. Our specialists will book a hotel and airline tickets for you, arrange a transfer from the airport in Germany to the hospital and back, after the completion of the medical program.




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