Diagnosis of gastrointestinal carcinoid tumors in RKM 740 Gastroenterology Clinic Duesseldorf
RKM 740 Gastroenterology Clinic Duesseldorf
Duesseldorf, Germany
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Program id #
731496
PD Dr. med. Johannes Grossmann
Department of Gastroenterology
Specialized in: gastroenterology The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- biochemical blood test
- general urine analysis
- tumor markers (AFP, CEA, СА-19-9)
- inflammation markers (CRP, ESR)
- blood coagulation analysis (aPTT, PT, INR)
- ultrasound of the abdomen
- gastroscopy and colonoscopy with biopsy
- CT/MRI of the abdomen (if clinically indicated, additional cost is 650/1200€)
- capsule endoscopy (if clinically indicated, additional cost is 1200€)
- differential diagnosis with other gastroenterological diseases
- nursing services
- consultation of related specialists (tumor board)
- treatment by chief physician and all leading experts
- explanation of individual treatment plan
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 at the RKM 740 Gastroenterology Clinic Duesseldorf diagnoses and treats a wide range of gastrointestinal diseases using the latest advances in this medical specialty. The key focus is on endoscopic procedures such as gastroscopy, colonoscopy, endoscopic retrograde cholangiopancreatography, endoscopic mucosal resection, endoscopic submucosal dissection, esophageal variceal ligation, and others. The department also has a well-developed ultrasound service: patients can undergo here classical ultrasound, high-resolution, and contrast-enhanced ultrasound scans, as well as ultrasound-guided therapeutic procedures, such as ascites puncture. The department's specialists have exceptional expertise in the treatment of oncologic diseases of the digestive system using endoscopic interventions (in the early stages of the oncologic process) and systemic treatment methods such as chemotherapy and immunotherapy. The department also has successful experience in the treatment of chronic inflammatory bowel disease, Zenker's diverticulum, and Barrett's esophagus. The Head Physician of the department is PD Dr. med. Johannes Grossmann.
The department's specialists have extensive experience in the endoscopic treatment of colon polyps and early-stage gastrointestinal malignancies. Polypectomy, endoscopic mucosal resection (EMR), and endoscopic submucosal dissection (ESD) are successfully performed here. Each of these procedures is performed using a flexible endoscope equipped with a light source and a miniature video camera. Local anesthesia or sedation is used to eliminate pain during the endoscopic intervention. Endoscopic removal of colon polyps and early-stage gastrointestinal tumors is a modern alternative to full-scale surgery that has proven to be highly effective and safe.
The department also offers systemic methods for the treatment of stomach cancer, esophageal cancer, intestinal cancer, and gallbladder cancer: chemotherapy and immunotherapy. Chemotherapy is one of the most effective methods in the fight against cancer. It involves the intravenous or oral administration of cytostatic drugs to destroy cancer cells in the body. The department's physicians also successfully perform immunotherapy, which uses drugs that activate the patient's immune system to destroy tumor cells in the body. Immunotherapy is an innovative and promising type of treatment with virtually no side effects.
The department's team of gastroenterologists also specializes in the endoscopic treatment of strictures and obstructions of the gastrointestinal tract, often caused by tumors. Dilatation followed by stent placement is performed here to eliminate strictures in the stomach, esophagus, and colon. The essence of the endoscopic procedure is to eliminate the stenosis and implant a stent, which is a special structure in the form of a frame with mesh walls that enlarges the lumen of the affected organ. In most cases, endoscopic stenting of the digestive system is performed for palliative purposes in the advanced stages of cancer.
Endoscopic treatment of esophageal varices using the ligation method completes the therapeutic options of the department. During the treatment procedure, the esophageal varices are ligated with flexible latex rings, resulting in their sclerosis, which means that they are deprived of blood supply. This eliminates the risk of internal bleeding, which can potentially be life-threatening.
The department's range of medical services includes the following:
- Diagnostic services
- Endoscopic examinations
- Gastroscopy
- Colonoscopy
- Endoscopic retrograde cholangiopancreatography
- Capsule endoscopy
- Ultrasound examinations
- Classical ultrasound examinations
- High-resolution ultrasound examinations
- Contrast-enhanced ultrasound examinations
- Gastrointestinal functional diagnostics
- Daily esophageal pH monitoring
- Lactose intolerance hydrogen breath test
- Endoscopic examinations
- Therapeutic services
- Endoscopic procedures
- Gastroscopy
- Colonoscopy
- Endoscopic retrograde cholangiopancreatography
- Endoscopic mucosal resection
- Endoscopic submucosal dissection
- Endoscopic dilatation and stenting
- Endoscopic papillotomy
- Percutaneous endoscopic gastrostomy
- Endoscopic hemostasis
- Endoscopic variceal ligation
- Ultrasound-guided interventional procedures
- Ultrasound-guided ascites puncture
- Systemic treatments for gastrointestinal cancer
- Chemotherapy
- Immunotherapy
- Palliative care for end-stage cancer
- Endoscopic procedures
- Other diagnostic and treatment methods
Curriculum vitae
Higher Education and Postgraduate Training
- 2003 Habilitation and Venia legendi in Internal Medicine, Department of Internal Medicine, University of Regensburg.
- 1989 Doctorate, Faculty of Medicine, University of Duesseldorf.
- 1988 - 1989 One-year internship, University of Texas at San Antonio, Texas, USA, scholarship from the German Academic Scholarship Foundation.
- 1986 - 1989 Medical studies, Faculty of Medicine, University of Duesseldorf.
- 1985 - 1986 Medical studies, Faculty of Medicine, University College Dublin, Ireland, Scholarship from the German Academic Scholarship Foundation.
- 1982 - 1985 Medical studies, Faculty of Medicine, University of Duesseldorf.
Professional Career
- Since 2022 Head Physician, Department of Gastroenterology, RKM 740 Gastroenterology Clinic Duesseldorf.
- 2018 Additional qualification in Palliative Care.
- 2004 - 2022 Head Physician, Department of Gastroenterology, Evangelical Hospital BETHESDA Moenchengladbach.
- 2004 Specialization in Oncology and Hematology; certified specialist in Gastrointestinal Oncology, certificate from the German Society for Gastroenterology, Digestive and Metabolic Diseases (DGVS).
- 2002 Specialization in Gastroenterology.
- 2002 Senior Physician, Department of Gastroenterology, University Hospital Regensburg.
- 1998 - 2002 Research Assistant, Department of Gastroenterology, University Hospital Regensburg.
- 1996 - 1998 Research Fellowship in the USA, training grant from the German Research Foundation (DFG ): study of molecular mechanisms of colon cancer development (resistance to apoptosis), Case Western Reserve University, Cleveland, Ohio, USA.
- 1995 Board certification in Internal Medicine.
- 1991 - 1995 Assistant Physician, Department of Gastroenterology, Maria-Hilf Hospital Moenchengladbach.
- 1990 Intern, Department of Internal Medicine, Evangelical Hospital BETHESDA Moenchengladbach.
- 1989 Intern, Outpatient Clinic for Pain Management, Institute of Anesthesiology, University of Cologne.
Photo of the doctor: (c) RKM 740 Privatpraxis Gastroenterologie
About hospital
The RKM 740 Gastroenterology Clinic Duesseldorf is a modern medical facility where patients with gastrointestinal diseases can receive effective medical care. The clinic specializes in the prevention, diagnosis, and treatment of the entire spectrum of gastroenterological diseases, with a special emphasis on oncological pathologies of the digestive system and chronic inflammatory bowel disease. Endoscopic examinations and therapeutic procedures of the gastrointestinal tract are an important part of the daily work of the specialists of the medical facility. The clinic focuses on personalized care in accordance with the highest standards of European medicine. The healthcare facility was opened in August 2022, but in a short time it has taken a leading position in the segment of gastroenterology centers in Germany.
The RKM 740 Gastroenterology Clinic Duesseldorf is equipped with state-of-the-art endoscopic equipment, which allows for performing diagnostic and therapeutic procedures of any complexity. Of special interest are endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) for the removal of polyps and early-stage tumors of the gastrointestinal tract, endoscopic stenting for stenosis, endoscopic retrograde cholangiopancreatography (ERCP) for the removal of gallstones and the elimination of bile duct strictures, and endoscopic procedures for the elimination of ascites under ultrasound guidance. For maximum patient comfort, endoscopic procedures are performed under local anesthesia or sedation. The clinic also has modern ultrasound diagnostic rooms, where classical, high-resolution, and contrast-enhanced ultrasound scans are performed.
It is worth mentioning the extensive experience of the medical team of the RKM 740 Gastroenterology Clinic Duesseldorf in the field of systemic treatment of oncological diseases of the digestive system: specialists successfully perform chemotherapy and immunotherapy. Palliative care is also available here for patients with terminal stages of stomach cancer, intestinal cancer, esophageal cancer, gallbladder cancer, and other gastrointestinal oncological diseases.
The RKM 740 Gastroenterology Clinic Duesseldorf is an advanced medical facility with a narrow specialization, which has formed a team of competent gastroenterologists and a powerful technical base. The goal of the clinic's doctors is to provide qualified medical care in a comfortable environment, taking into account the individual needs of each patient.
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