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Diagnosis and conservative treatment of duodenal cancer with 1 course of chemotherapy (116771) | St. Anna Hospital Herne - BookingHealth
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Diagnosis and conservative treatment of duodenal cancer with 1 course of chemotherapy in St. Anna Hospital Herne

St. Anna Hospital Herne

Herne, Germany
Program id # 116771
Doctor photo
Dr. med. Viktor Rempel
Department of Gastroenterology and Hepatology
Specialized in: gastroenterology, hepatology
Specialization Curriculum vitae

The program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • laboratory tests:
    • complete blood count
    • biochemical analysis of blood
    • TSH-basal, fT3, fT4
    • tumor markers (AFP, CEA, СА-19-9, CA 72-4)
    • inflammation indicators (CRP, ESR)
    • indicators of blood coagulation
  • abdominal ultrasound scan
  • 1 course of chemotherapy according to the individual plan
    (the cost of medicines is included)  
  • nursing services
  • consultations of related specialists (tumor board)
  • treatment by head physician and leading experts
  • explanation of individual treatment plan

How program is carried out

During the first visit, the doctor will conduct a clinical examination and go through the results of previous laboratory tests and instrumental examinations. After that, you will undergo an additional examination, including laboratory assessment of liver and kidney function, ultrasound scan. Based on the received results, the doctor will elaborate the chemotherapy regimen. If necessary, related medical specialists will be involved in the elaboration of a treatment regimen (tumor board).

Chemotherapy is carried out as the day hospital procedure, without mandatory admission to the hospital. After the placement of a venous catheter, you will stay in a comfortable ward. An infusion system will be connected to the catheter, through which the required drug or a drug combination will be administered. All drugs are administered by intravenous drip, slowly, so the total duration of the infusion can be up to several hours. All this time, doctors and nurses will monitor your health condition closely.

After the course of chemotherapy, you will stay under medical supervision in the ward for a few more hours. If your general condition is good, your doctor will allow you to leave the hospital. You will receive the medical report with detailed recommendations regarding further treatment. In the future, you will be able to have a distant consultation with your attending physician and schedule the next course of chemotherapy, if necessary.

Required documents

  • Medical records
  • Esophagogastroduodenoscopy (EGD), MRI/CT scan (not older than 3 months)
  • Biopsy results (if available)

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About the department

The Department of Gastroenterology and Hepatology at the St. Anna Hospital Herne provides the full range of preventive, diagnostic and therapeutic services to patients with diseases of the gastrointestinal tract, liver and gallbladder. An important focus of work of the medical facility is on the treatment of stomach, colon and pancreatic cancers – the department has been certified by the German Cancer Society (DKG) in this field. The department's gastroenterologists cooperate closely with the specialists from the Department of General and Abdominal Surgery, Hepatobiliary Surgery, Endocrine Surgery and Hernia Surgery, so that patients receive comprehensive and most effective treatment. Medical care is provided on an inpatient and outpatient basis. The department has excellent options in the field of diagnostic and therapeutic endoscopy, which makes it possible to cure many gastroenterological diseases without open surgery. It is extremely important for the department's doctors to provide each patient with high-quality treatment, taking into account his individual needs and wishes. The department is headed by Dr. med. Viktor Rempel.

The department's gastroenterologists admit many patients with stomach pathologies. The doctors most often deal with gastric ulcers, polyps and stomach cancer. In case of the gastric ulcer, the patient develops defects in the mucous membrane of the organ. Untimely treatment or its complete absence can lead to irreversible pathological changes or perforation of the stomach wall. As a rule, the department's specialists select an effective drug therapy regimen that helps the patient to completely get rid of the pathology. In particularly complex cases, surgical treatment may be required. Gastric polyps are also common in the clinical practice of the medical facility. Endoscopic techniques are successfully used for the treatment of benign neoplasms: endoscopic mucosal resection and endoscopic submucosal dissection. These therapeutic procedures have been performed in the department for more than 20 years, so patients can expect the best results. If stomach cancer is diagnosed in the patient, the treatment is carried out by gastroenterologists and abdominal surgeons. Should oncology be diagnosed at the early stages, it is often possible to avoid open surgery and perform endoscopic treatment – endoscopic submucosal dissection. However, in the advanced stages of gastric cancer, the mainstay of therapy is a surgical intervention. In addition, chemotherapy, radiation therapy and other conservative treatment methods play an important role in the therapeutic process.

The department also has rich and successful experience in the treatment of bowel diseases. The most common pathologies include Crohn's disease, ulcerative colitis, bowel obstruction, bleeding, intestinal infections, benign neoplasms, and bowel cancer. To combat the above mentioned pathologies, doctors of the medical facility use various drug therapy regimens and endoscopic procedures (colonoscopy). Whenever required, abdominal surgeons are involved in the therapeutic process. They perform either minimally invasive or open surgery.

Hepatology is also an integral part of the department's clinical activities. The specialists in this field provide diagnostics and treatment of liver diseases, including liver cysts, hepatitis A, B, C, D and E, metabolic liver diseases, cirrhosis, liver hemangiomas and adenomas, as well as liver cancer. Should liver disease be suspected, the department's doctors carry out comprehensive diagnostics: laboratory tests, ultrasound examination, computed tomography, magnetic resonance imaging, biopsy. The required complex of diagnostic procedures is determined individually for each patient. The competence of the department's specialists includes drug therapy for liver pathologies, and surgical procedures are performed by highly specialized surgeons.

The department's key clinical areas include:

  • Gastroenterology
    • Diagnostics and treatment of stomach diseases
      • Gastric ulcer
      • Gastric polyps
      • Gastric cancer
    • Diagnostics and treatment of bowel diseases
      • Inflammatory bowel disease (Crohn's disease and ulcerative colitis)
      • Bowel obstruction
      • Gastrointestinal bleeding
      • Infectious bowel lesions
      • Diverticular disease
      • Bowel polyps
      • Bowel cancer
    • Diagnostics and treatment of esophageal diseases
      • Esophageal diverticula
      • Achalasia cardia
      • Gastroesophageal reflux disease
      • Benign esophageal tumors
      • Esophageal cancer
    • Diagnostics and treatment of pancreatic diseases
      • Acute and chronic pancreatitis
      • Pancreas divisum
      • Pancreatic cancer
  • Hepatology
    • Diagnostics and treatment of liver diseases
      • Liver cysts
      • Inflammatory liver diseases
        • Viral hepatitis A, B, C, D and E
        • Autoimmune liver diseases (autoimmune hepatitis, primary biliary cirrhosis, and primary sclerosing cholangitis)
        • Non-alcoholic fatty liver disease
      • Metabolic liver disorders
      • Cirrhosis 
      • Benign liver tumors: hemangiomas, adenomas, focal nodular hyperplasia
      • Liver cancer
    • Diagnostics and treatment of gallbladder diseases
      • Gallstone disease
      • Cholecystitis
      • Benign gallbladder tumors
      • Gallbladder cancer
  • Other medical services

Curriculum vitae

Dr. med. Viktor Rempel has been the Head of the Department of Gastroenterology and Hepatology at the St. Anna Hospital Herne since 2018. Prior to that, the specialist worked in the same department as a Senior Physician. Dr. Rempel received his medical education at the University of Muenster and the training for board certification took place in Essen and Bottrop. In 2005, the doctor began working at the St. Anna Hospital Herne. In 2015, the specialist changed to the Asklepios Hospital Barmbek, Hamburg, where he worked for three years.

Photo of the doctor: (c) St. Anna Hospital Herne

About hospital

According to the famous Focus magazine, the St. Anna Hospital Herne ranks among the best medical facilities in North Rhine-Westphalia! 

The hospital first opened its doors to patients on September 27, 1901, and therefore it is rightfully proud of its long history and successful treatment results. Initially, the hospital had only 40 beds, and today it offers 380 beds for the accommodation of inpatients. The patients benefit from perfectly equipped diagnostic rooms, operating rooms and treatment rooms, in which therapeutic procedures and surgical interventions of any severity are performed.

The hospital has over 1,400 employees. The doctors of the medical facility annually admit about 32,100 inpatients, and more than 56,300 outpatients receive high-quality medical care. The specialists provide services to patients from their region and other federal states of Germany, as well as to patients from other countries of the world. The medical team of the hospital strives to provide each patient with optimal treatment in the most comfortable conditions and in a friendly environment.

The hospital specializes in the following medical fields: orthopedics and traumatology, general and abdominal surgery, internal medicine, gastroenterology, oncology, gynecology, obstetrics and mammology. Each of the medical directions is represented by a specially trained team of doctors who possess deep knowledge and rich clinical experience in their area of specialization. It should be noted that the Department of Orthopedics and Traumatology is one of the largest and best in the whole of Germany. Other departments of the hospital also demonstrate excellent results, which are confirmed by various quality certificates, including certificates of the German Cancer Society, the German Hernia Society, and the German Spine Society.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patients of the St. Anna Hospital Herne are offered accommodation in single rooms and rooms designed for several people. All rooms are bright, have a modern design and all the necessary amenities. The furnishings of the standard patient room include an automatically adjustable bed, a bedside table with a locker, a wardrobe, a table and chairs, a TV, and a telephone. Each patient room has an ensuite bathroom with shower and toilet.

Patients can also choose to stay in enhanced comfort rooms. These rooms provide patients with a comfortable bed, a refrigerator, a safe and a TV with a DVD player. If desired, one can also connect to Wi-Fi. The patient can also independently adjust the brightness of the lighting in the patient room. In addition, the enhanced comfort room has a glazed balcony with a seating area.

Meals and Menus

The patients of the hospital are offered tasty and healthy three meals a day. The patients have a choice of buffet meals for breakfast and dinner, and there is a choice of several set menus for lunch. Patients are offered tea, coffee, mineral water and juices at any time.

If for some reason you do not eat all foods, you will be offered an individual menu. Please inform the medical staff about your food preferences prior to treatment.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV

Television

You can listen to 4 radio programs and watch 30 television programs through the headphones at the patient's bed.

Religion

Religious services are available upon request.

Accompanying person

Your accompanying person may stay with you in your patient room or at the hotel of your choice during the inpatient program.

Hotel

You may stay at the hotel of your choice during the outpatient program. Our managers will support you for selecting the best option.