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Cancer of the Bile Duct: Diagnostic in the Best Hospitals in the World

Academic Hospital Brothers of Mercy Munich

10/10
location_onGermany, Munich

Department of General and Abdominal Surgery

The Department of General and Abdominal Surgery offers the full range of diagnostics and surgical treatment in these fields. The department's surgeons perform about 2,000 surgical procedures annually. The therapeutic options cover not only operations on the digestive tract and abdominal organs, but also surgical treatment for soft tissue traumatic injuries, removal of skin and thyroid tumors, including the partial removal. With appropriate clinical indications, the preference is given to minimally invasive techniques, which guarantee the patient minimal postoperative risks and speedy recovery. Also, the department’s scope of activities includes the installation of port systems for chemotherapy and parenteral nutrition.

Memorial Sisli Hospital Istanbul

9.2/10
location_onTurkey, Istanbul

Department of General and Bariatric Surgery

The Department of General and Bariatric Surgery offers the full range of effective surgical treatment at the highest level of modern medicine. The priority clinical tasks of the department's doctors include the surgical treatment of diseases of the abdominal organs, including the stomach, small and large intestine, liver, pancreas, gallbladder and biliary tract, as well as hernias and pathologies of the esophagus and thyroid gland. Of particular interest is colorectal surgery in patients with colon and rectal cancer, ulcerative colitis and Crohn's disease. In addition, the department's specialists provide treatment to the patients with morbid obesity. To quickly reduce body weight, the department performs gastric bypass surgery and sleeve gastroplasty. Such operations are performed in patients with a body mass index above 35, with the available complications of obesity. The department employs highly qualified surgeons who have successful clinical experience in performing operations of any degree of complexity.

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the Department of General, Abdominal and Transplant Surgery ranks among the best departments in Germany specializing in bowel cancer treatment! The department covers the full range of services in these medical fields and holds the leading position at the national and international level in terms of the number of surgical interventions performed and their success rate. Of particular interest are operations to treat cancer, organ transplants, as well as minimally invasive surgery.

Medicana International Istanbul Hospital

9/10
location_onTurkey, Istanbul

Department of General Surgery

The Department of General Surgery offers the full range of surgical treatment of diseases of the bowel, liver and other abdominal organs, as well as thyroid gland. In addition, the department performs successful kidney transplantations. The surgeons of the department have at their command advanced medical equipment, therefore, most operations are performed using the very latest minimally invasive techniques. It should be separately noted that the department employs highly qualified specialists, who are well-known not only in Turkey, but also far beyond its borders.

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of General, Abdominal and Vascular Surgery

According to the Focus magazine, the Department of General, Abdominal and Vascular Surgery ranks among the top German medical facilities specializing in the treatment of bowel and lung cancer! The department offers all the modern surgical options for the treatment of diseases of the abdominal cavity and blood vessels. The department's doctors have expert knowledge and vast experience in the treatment of colorectal cancer, stomach, esophageal, pancreatic cancers, liver metastases, inflammatory bowel diseases (diverticular disease, Crohn's disease, ulcerative colitis). Also, they specialize in the surgical treatment of vascular pathologies and thyroid diseases.

Tel Aviv Sourasky Medical Center

9.9/10
location_onIsrael, Tel Aviv

Department of General Surgery

The Department of General Surgery offers the full range of surgical treatment for patients. It performs both planned and emergency surgical interventions. The department is the leading medical facility in Israel, whose surgeons regularly demonstrate outstanding treatment results. The surgical interventions are performed by experienced doctors who were trained in the most famous American Medical Centers. The department's specialists prefer sparing minimally invasive interventions, which significantly shorten the hospitalization period and minimize the risks of complications.

Medipol Mega University Hospital Istanbul

8/10
location_onTurkey, Istanbul

Department of General Surgery

The Department of General Surgery offers the full range of surgical treatment for various diseases. Of particular interest to the department's specialists is the treatment of cancer, particularly, stomach, pancreatic and bowel cancer. Another priority field is breast surgery, which includes the treatment of both benign and malignant diseases. In addition, the department's surgeons are proud of their successful experience in bariatric surgery and interventions on the endocrine glands. All operations are planned and carried out in accordance with the current international protocols.

Samsung Medical Center Seoul

9.8/10
location_onSouth Korea, Seoul

Department of Adult and Pediatric General Surgery

The Department of Adult and Pediatric General Surgery offers the full range of services in this medical field. The department specializes in gastrointestinal surgery, hepatobiliary surgery, colorectal surgery, breast surgery, endocrine, vascular and pediatric surgery. The department is equipped with the state-of-the-art equipment for performing laparoscopic, minimally invasive and robotic interventions that guarantee excellent treatment results.

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Abdominal, Thoracic and Vascular Surgery

The Department of Abdominal, Thoracic and Vascular Surgery offers all modern surgical interventions in these fields. Specialization covers the treatment of diseases of the abdominal organs, endocrine glands, pathologies of the lungs and chest wall, pathological vascular lesions of all parts of the body. In addition, kidney transplantation and pancreas transplantation are part of the surgeons' tasks. Whenever possible, operations are performed using minimally invasive techniques that have several advantages over classical interventions.

University Hospital RWTH Aachen

9.2/10
location_onGermany, Aachen

Department of Adult and Pediatric General, Abdominal, Transplant Surgery

According to Focus magazine, the Department of Adult and Pediatric General, Abdominal, Transplant Surgery ranks among the top German medical facilities specializing in bowel cancer treatment! The department performs surgical treatment of general surgical diseases, abdominal pathologies, and also specializes in organ transplantation. Of particular interest are surgical oncology of the abdominal organs, as well as pancreatic and liver surgery. The department annually performs more than 3,000 surgical interventions, which contributes to its credibility at the national level.

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the Department of General, Abdominal and Transplant Surgery ranks among the top German departments specializing in bowel cancer treatment! The department offers the full range of services in these medical fields and guarantees the first-class medical care at the university level. The department specializes in the treatment of diseases of the abdominal cavity, esophagus and thyroid gland, transplantation of liver, kidney and pancreas. The medical facility has won the reputation of one of the three largest and most successful Transplant Centers in Germany. Also, within the clinical practice, doctors hold highly-specialized consultations on rare diseases and provide 24-hour emergency care. 

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of General, Abdominal, Adult and Pediatric Transplant Surgery

According to the Focus magazine, the Department of General, Abdominal, Adult and Pediatric Transplant Surgery ranks among the top German departments specializing in the treatment of bowel cancer! The department specializes in the treatment of tumors of the gastrointestinal tract, pancreas, liver, and retroperitoneal space (peritoneal carcinomatosis), liver, kidney, pancreas, bowel transplantations in children and adults, as well as the surgical treatment of obesity and general surgical interventions.

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Surgery

The Department of Surgery offers the full range of services in this field and specializes in general, abdominal, thoracic, transplant surgery. The medical team of the department, consisting of 10 specialized senior physicians, 30 medical specialists and assistant physicians, as well as highly motivated nursing staff, provides first-class treatment of tumors, inflammatory and degenerative diseases of the esophagus, stomach, intestines, pancreas, liver, gallbladder, spleen, lungs, thyroid and parathyroid glands. The department is headed by Prof. Dr. med. Helmut Friess.

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of General, Abdominal and Pediatric Surgery

The Department of General, Abdominal and Pediatric Surgery offers the full range of surgical treatment of diseases of the organs of abdominal cavity, thorax, emergency surgical care in polytrauma, as well as many surgical interventions in children. Of particular interest is cancer surgery on the liver, gallbladder, and pancreas. In addition, the department's specialists masterfully manage all the methods of bariatric surgery. Many operations are performed using minimally invasive techniques, which facilitate the quickest possible recovery of the patient.

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of General and Abdominal Surgery

According to the Focus magazine, the Department of General and Abdominal Surgery ranks among the top German departments specializing in bowel cancer treatment! The department offers the full range of modern surgical treatment. The clinical priority is cancer surgery, especially sparing, minimally invasive procedures and high-precision robot-assisted interventions. Each patient receives an individually adapted treatment regimen, which is discussed at daily conferences with doctors from related disciplines. Particular attention is paid to the comprehensive counseling, including on non-operational, traditional treatment methods.

University Hospital Saarland Homburg

9.8/10
location_onGermany, Homburg

Department of General, Abdominal, Vascular and Pediatric Surgery

The Department of General, Abdominal, Vascular and Pediatric Surgery covers the full range of services in these medical fields. Surgical treatment is provided   both on an inpatient and outpatient basis, in accordance with the advanced recommendations of professional societies. The department is equipped with state-of-the-art operating theaters, in which surgeons perform extensive serious interventions, operations under the control of navigation systems and high-precision minimally invasive procedures that ensure the rapid recovery of patients.

Cholangiocarcinoma is a dangerous disease with a poor prognosis. The causes of cancer of the bile duct are not known. The disease often develops due to pathologies of the liver, gallbladder, pancreas. The risk factors include alcohol, fatty foods and obesity.

The disease is extremely dangerous. Even in case of early diagnostics, treatment is not always successful. A five-year survival rate in case of detection of pathology at the stage of localized cancer reaches only 13-24% (depending on the location of the primary tumor). Even in developed countries, the overall five-year survival rate is only 8-10%. To get good treatment results, a patient with cancer of the bile duct needs the help of the best doctors in the world.

Is it possible to undergo early diagnostics? 

Unfortunately, there are no methods that help detect the early stage of cholangiocarcinoma in a clinically healthy person. In most cases, the disease can be detected only after the onset of symptoms of cancer of the bile duct. This is one of the factors that make it difficult to treat cholangiocarcinoma.

The bile ducts are located deep inside the human body. A tumor sometimes begins to grow directly inside the liver. Due to its small size, the imaging tests cannot recognize this neoplasm. There are also no tumor markers that could be detected in the blood and signal the onset of tumor growth.

Symptoms 

In most cases, only the symptoms of cholangiocarcinoma become the reason for the patient's visit to the doctor. The chances of finding a tumor in an asymptomatic stage are extremely low.

The first clinical manifestation is jaundice. It develops as a result of blockage of the bile duct by a tumor. Bile cannot enter the small intestine. Due to this, the feces become white, while the skin becomes yellow, because bile goes into the bloodstream. The patient develops itchy skin and his urine becomes dark because metabolites of bilirubin entering the blood come out with it.

Other symptoms manifest themselves later: 

  • abdominal pain; 
  • loss of appetite;
  • fever;
  • weight loss due to impaired digestion of fats;
  • nausea, vomiting. 

All symptoms are nonspecific. It is impossible to recognize cancer by them. In addition, cholangiocarcinoma is very rare. In most cases, obstructive jaundice and other clinical signs are caused by other pathological processes (these are mostly caused by gallstone disease).

Diagnostic methods 

All patients with jaundice are subject to a thorough diagnostics aimed at the determination of its origin. The tumor can be detected using the following diagnostic methods:

  • Ultrasound can be used both as transabdominal ultrasound examination and as more informative endoscopic (with the placement of the sensor in the small intestine) or laparoscopic (placement of the sensor into the abdominal cavity) ultrasound.
  • CT, MRI, including with angiography, cholangiography (contrast-enhanced examination of the vessels, biliary tract).
  • Endoscopic retrograde cholangiopancreatography involves the introduction of the instrument through the duodenum, contrast-enhanced examination of the biliary tract and X-ray.
  • Percutaneous transhepatic cholangiography is an invasive procedure with the injection of a contrast agent into the bile duct using a needle. The next step is X-ray. 
  • Cholangiography involves the introduction of a tube with a camera in a retrograde manner through the duodenum.
  • Laparoscopy involves the introduction of the camera into the abdominal cavity through a small incision in the abdomen.

To confirm a diagnosis, a tumor biopsy is required. It can be done with a needle during cholangiography or cholangioscopy. Sometimes doctors can also perform ultrasound or CT-guided percutaneous biopsy.

Arrangement of diagnostics and treatment 

The best hospitals in the world can provide you with highly accurate diagnostics and modern treatment of cholangiocarcinoma using surgery, chemotherapy, radiation therapy and other methods. The foreign specialists perform modern surgical procedures. The Cancer Centers in developed countries have at their disposal high-quality equipment for the diagnostics and treatment of cancer of the bile duct.

The Booking Health company will help you organize your treatment in the best hospitals in the world. There you can undergo an examination, if necessary, receive surgical care or undergo chemotherapy. Our services and benefits:

  • Selection of the best hospital, which specialists have achieved the best success in the fight against hepatobiliary malignancies.
  • Reduced cost of examination and treatment due to the absence of extra charges and coefficients for foreign patients.  
  • Preparation of the program taking into account previously performed examinations. 
  • Appointment with a doctor on dates convenient for you.
  • Communication with an attending physician.
  • Control of all stages of the program, namely examination, treatment by means of surgery or chemotherapy, rehabilitation.
  • Control of invoices and return of unspent funds.
  • Communication with the specialists of the Cancer Center after the completion of the program.
  • Buying and forwarding of medicines. 
  • Organization of additional examination, treatment, surgery or rehabilitation abroad.

The company's specialists will provide you with top-class services: booking of the hotel and airline tickets, transfer from the hospital to the airport and back.

The cost of Cancer of the bile duct diagnostics starts from 6711.
To apply for Cancer of the bile duct diagnostics of you can submit your request at BookingHealth.



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