Diagnostic of Pancreatic Cancer in Germany
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Department of Gastroenterology, Hepatology and Infectology
The Department of Gastroenterology, Hepatology and Infectology offers the widest range of diagnostic examinations and treatments for patients with diseases of the gastrointestinal tract, liver, biliary tract, as well as infectious diseases. The department operates the specialized Endoscopy Center, which serves for diagnostic and therapeutic procedures. There is also the Laboratory for Functional Gastrointestinal Diagnostics. The modern technical base and the exceptional professionalism of doctors make it possible to guarantee an optimal result for each patient.
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
Department of Gastroenterology and Hepatology
The Department of Gastroenterology and Hepatology 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.
Department of Gastroenterology and Hepatology
The Department of Gastroenterology and Hepatology specializes in providing comprehensive medical care to patients with diseases of the gastrointestinal tract, liver, gallbladder, and bile ducts. One of the primary clinical focuses of the department's doctors is the diagnosis and treatment of gastrointestinal cancers. Cancer is treated at a specialized center, which is certified according to the standards of the German Cancer Society (DKG) in the treatment of colon, esophageal, pancreatic, and liver cancer. The department houses a modern Endoscopy Unit (ISO 9001:2000 certification), where doctors perform the full range of diagnostic and therapeutic procedures for stomach, colon, esophageal, gallbladder, bile duct, and liver pathologies. Moreover, there is a well-equipped Laboratory for Functional Diagnostics of the Gastrointestinal Tract and a Center for Ultrasound Diagnostics, where more than 25,000 ultrasound procedures are performed every year. The department provides patients with high-quality medical services using the very latest achievements of university medicine. At the same time, the key role is a humane attitude and understanding of the individual needs and wishes of each patient.
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.
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.
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.).
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.
Department of Gastroenterology and Hepatology
The Department of Gastroenterology and Hepatology offers the full range of accurate diagnostics and effective treatment of gastrointestinal diseases, including liver and pancreatic pathologies. Doctors cooperate closely with the Department of Abdominal, Thoracic and Vascular Surgery, as well as with the Comprehensive Cancer Center Dresden. The department has a modern Endoscopy Unit, where more than 6,000 endoscopic procedures are performed annually. In addition, the department has advanced equipment for comprehensive ultrasound and functional diagnostics of the gastrointestinal tract. The department's therapeutic options include drug therapy using the very latest and the most effective drugs, as well as endoscopic procedures, for example, to remove cysts and small tumors, as well as to restore the gastrointestinal patency. The department's doctors devote enough time to personal communication with patients: they tell in detail about the specifics of the disease and possible treatment options, as well as give recommendations for recovery after inpatient treatment.
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.
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.
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.
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.
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.
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.
Department of Gastroenterology, Hepatology, Endocrinology and Infectology
The Department of Gastroenterology, Hepatology, Endocrinology and Infectology offers prevention, diagnostics and treatment of diseases of the gastrointestinal tract, liver, endocrine glands and infectious pathologies. The department's specialists have unique experience in the treatment of malignant diseases of the digestive system. In addition, the department's gastroenterologists successfully perform the full range of modern endoscopic procedures for diagnostic and therapeutic purposes. The department is annually visited by about 15,000 outpatients and more than 5,000 inpatients. The patients' health is in the safe hands of a large medical team consisting of 60 specialized doctors and more than 190 nursing and administrative staff. The specialists of the medical facility strive to provide each patient with the most effective treatment using the very latest and the most reliable therapeutic methods.
Pancreatic cancer is one of the most dangerous oncological diseases. It has a high mortality rate and is difficult to treat. Most patients do not undergo radical surgery due to the late detection of the tumor. To successfully fight against cancer, it is very important to timely detect this disease. You can be examined for tumors of the digestive system or undergo the targeted diagnostics of pancreatic cancer in one of the German clinics.
Is it possible to diagnose pancreatic cancer early?
In most cases, pancreatic cancer symptoms manifest themselves late. By this time, the tumor becomes large and often inoperable.
You should consult a doctor when the first signs of the disease appear. These may be:
- Obstructive jaundice – yellowing of the skin, light feces, dark urine
- Itchy skin
- Abdominal or back pain
- Weight loss
- Loss of appetite
- Development of blood clots in the legs
All symptoms are non-specific. In addition to pancreatic cancer, they can be found in many other pathologies. However, their manifestation may be an occasion to visit a specialist. When conducting the diagnostics, a doctor can detect a tumor.
With the special tests, it can be detected even earlier. These are:
- Endoscopic ultrasound
- MRI
Typically, these diagnostic procedures can be not used for mass examination of patients who do not have any symptoms. They can be used only in high-risk groups. These include people with certain genetic syndromes.
Imaging methods
In most cases, a pancreatic tumor can be detected using medical imaging methods, such as ultrasound scan, CT, MRI.
Abdominal ultrasound. As a rule, it is the first examination indicated to the patient when pancreatic cancer symptoms appear. This method allows doctors to suspect cancer, but it is not very accurate. Endoscopic ultrasound scan provides more information. It involves the insertion of a sensor into the duodenum, which surrounds the head of the pancreas.
CT scan. It is the main method for detecting pancreatic tumors. It helps to accurately determine the localization of the neoplasm, its size, shape, the presence of metastasis in the nearest lymph nodes, the degree of cancer invasion in the neighboring organs and tissues. The most informative option is multiphase CT scan according to the pancreas protocol. The study involves the use of a large amount of contrast medium. It is administered in a total amount of 70-120 ml, with a speed of 3-4 ml per second. Then the doctor carries out several scans at certain intervals, at different phases of the passage of contrast agent through the vessels. According to the results of the study, blood supply to the tumor, its relationship with the great vessels, neighboring organs and tissues can be described in detail.
MRI. It is an alternative to the CT scan. Nonetheless, the method is less informative, and therefore it is used less often. The special types of MRI can detect pancreatic cancer at an early stage and can be used to examine clinically healthy individuals. To this end, MRI cholangiopancreatography can be used.
Endoscopic diagnostics
The endoscopic diagnostics involves the introduction of an instrument into the gastrointestinal tract. Thus, the doctor can assess the condition of the bile ducts and pancreatic ducts, find out if they are blocked. The possible narrowing or expansion of these ducts can be revealed as well. These tests are used to plan a surgical intervention.
Endoscopic retrograde cholangiopancreatography is mostly performed. A thin tube with a camera is inserted through the mouth into the stomach, and then into the duodenum. When performing the procedure, the doctors can also make an x-ray, a biopsy or stenting of the narrowed duct.
Percutaneous transhepatic cholangiography is less common. This is an invasive procedure. The doctor inserts a needle through the skin of the abdomen into the bile duct and injects a contrast medium. The procedure also involves the x-ray scanning. The doctors can take a biopsy or place a stent. The procedure can be used only in case of insufficient information content of previously performed endoscopic retrograde cholangiopancreatography, or if this study cannot be carried out for some reason.
Biopsy
The biopsy serves for the confirmation of the diagnosis. It can be performed in the following ways:
- Percutaneous biopsy – the doctor inserts a thin needle into the tumor under the guidance of CT or ultrasound
- Endoscopic biopsy – it is performed during endoscopy (insertion of a thin tube through the mouth, esophagus and stomach into the duodenum), the doctor scrapes the tumor cells with an instrument that looks like a brush, or inserts a needle
- Surgical biopsy – it is performed during laparoscopy (is is rarely used, since modern imaging methods allow to fully evaluate the prevalence of the tumor process without invasive procedures)
Some patients do not have a biopsy. Basically, it is not done with small tumors that can be removed. In this case, the doctor performs the operation, and the removed tissue is sent to the laboratory to confirm the malignancy.
Diagnostics in Germany with the Booking health company
You can undergo the highly accurate diagnostics of the pancreatic tumor in Germany. Booking Health helps you organize your trip to this country. We offer the following benefits:
- Selection of the best clinic, which specializes in the diagnostics and treatment of pancreatic cancer and has achieved outstanding success in this field of oncology.
- Reduced cost of diagnostics and therapy up to 50% due to the lack of overpricing and additional coefficients for foreign patients.
- Making an appointment with a doctor on the most suitable dates.
- Preparation of a pancreatic cancer diagnostic program in Germany, taking into account previously performed examinations.
- Establishment of communication directly with the attending physician.
- Monitoring all stages of the diagnostic and therapy program.
- Control of invoicess, return of unspent funds.
- Organization of additional diagnostic or therapeutic procedures.
- Buying and forwarding medicines.
- Communication with the clinic after the diagnostics and treatment of pancreatic cancer.
The Booking Health company guarantees top-class services. Our staff will book airline tickets and a hotel for you, meet you at the German airport and take you to the hospital. Once the diagnostic or treatment program is completed, we will arrange a return transfer.