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Treatment of colorectal cancer with radiation and chemotherapy (325003) | St. Joseph Hospital Haan - BookingHealth
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After that, you will undergo an additional examination, including complete blood count, laboratory assessment of liver and kidney function. Based on the received results, the physician will elaborate the chemotherapy regimen, conduct radiotherapy planning with the help of CT or MRI, make the permanent tattoo marks on the skin and conduct CT simulation in order to assess the accuracy of the rays and the radiation dose. If necessary, related medical specialists will be involved in the elaboration of a treatment regimen (tumor board).<\/p>\n\n<p style=\"text-align:justify\"><strong>Chemotherapy and radiation therapy are carried out<\/strong>&nbsp;as the day hospital procedure, without mandatory admission to the hospital. At each visit, the physician will assess your general condition and the marks on the skin. After that, you will be placed in a shielded radiation therapy room, on a special table.<\/p>\n\n<p style=\"text-align:justify\">Each radiation therapy session lasts less than half an hour (including preparation). All this time, doctors and nurses are monitoring your condition, you can communicate with them through a loudspeaker. The procedure is completely painless. Depending on the planned course of treatment, you will visit the hospital from 1 to 3-5 times a week.<\/p>\n\n<p style=\"text-align:justify\">During the chemotherapy session, 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.<\/p>\n\n<p style=\"text-align:justify\"><strong>After the completion of the chemotherapy and radiation therapy course<\/strong>, you will undergo control examinations aimed at assessing your condition and efficacy of treatment. After that you will receive the medical report with detailed recommendations regarding further follow-up and treatment. In the future, you will be able to have a distant consultation with your attending physician and schedule the next course of treatment, if necessary.<\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li style=\"text-align: justify;\">Medical records<\/li>\n\t<li style=\"text-align: justify;\">MRI\/CT scan (not older than 3 months)<\/li>\n\t<li style=\"text-align: justify;\">Biopsy results (if available)<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>clinical history taking<\/li>\n\t<li>review of medical records<\/li>\n\t<li>physical examination<\/li>\n\t<li>laboratory tests:\n\t<ul>\n\t\t<li>complete blood count<\/li>\n\t\t<li>general urine analysis<\/li>\n\t\t<li>biochemical analysis of blood<\/li>\n\t\t<li>TSH-basal, fT3, fT4<\/li>\n\t\t<li>tumor markers (AFP, CEA, \u0421\u0410-19-9)<\/li>\n\t\t<li>indicators of inflammation (CRP, ESR)<\/li>\n\t\t<li>indicators of blood coagulation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>CT planning of radiation therapy<\/li>\n\t<li>full course of radiation therapy<\/li>\n\t<li>individual&nbsp;plan of the chemotherapy, the cost of medicines is included<\/li>\n\t<li>symptomatic treatment<\/li>\n\t<li>cost of essential medicines and materials<\/li>\n\t<li>nursing services<\/li>\n\t<li>control examinations<\/li>\n\t<li>consultations of related specialists<\/li>\n<\/ul>\n<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align:justify\"><strong>During the first visit<\/strong>, 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 complete blood count, laboratory assessment of liver and kidney function. Based on the received results, the physician will elaborate the chemotherapy regimen, conduct radiotherapy planning with the help of CT or MRI, make the permanent tattoo marks on the skin and conduct CT simulation in order to assess the accuracy of the rays and the radiation dose. If necessary, related medical specialists will be involved in the elaboration of a treatment regimen (tumor board).<\/p>\n\n<p style=\"text-align:justify\"><strong>Chemotherapy and radiation therapy are carried out<\/strong>&nbsp;as the day hospital procedure, without mandatory admission to the hospital. At each visit, the physician will assess your general condition and the marks on the skin. After that, you will be placed in a shielded radiation therapy room, on a special table.<\/p>\n\n<p style=\"text-align:justify\">Each radiation therapy session lasts less than half an hour (including preparation). All this time, doctors and nurses are monitoring your condition, you can communicate with them through a loudspeaker. The procedure is completely painless. Depending on the planned course of treatment, you will visit the hospital from 1 to 3-5 times a week.<\/p>\n\n<p style=\"text-align:justify\">During the chemotherapy session, 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.<\/p>\n\n<p style=\"text-align:justify\"><strong>After the completion of the chemotherapy and radiation therapy course<\/strong>, you will undergo control examinations aimed at assessing your condition and efficacy of treatment. After that you will receive the medical report with detailed recommendations regarding further follow-up and treatment. 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Treatment of colorectal cancer with radiation and chemotherapy

St. Joseph Hospital Haan

Haan, Germany
Program id # 325003
Doctor photo
Dr. med. Henning Henke
Department of Cardiology, Pulmonology, Gastroenterology and Oncology
Specialized in: cardiology, pulmonology, gastroenterology, oncology

The program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • TSH-basal, fT3, fT4
    • tumor markers (AFP, CEA, СА-19-9)
    • indicators of inflammation (CRP, ESR)
    • indicators of blood coagulation
  • CT planning of radiation therapy
  • full course of radiation therapy
  • individual plan of the chemotherapy, the cost of medicines is included
  • symptomatic treatment
  • cost of essential medicines and materials
  • nursing services
  • control examinations
  • consultations of related specialists

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 complete blood count, laboratory assessment of liver and kidney function. Based on the received results, the physician will elaborate the chemotherapy regimen, conduct radiotherapy planning with the help of CT or MRI, make the permanent tattoo marks on the skin and conduct CT simulation in order to assess the accuracy of the rays and the radiation dose. If necessary, related medical specialists will be involved in the elaboration of a treatment regimen (tumor board).

Chemotherapy and radiation therapy are carried out as the day hospital procedure, without mandatory admission to the hospital. At each visit, the physician will assess your general condition and the marks on the skin. After that, you will be placed in a shielded radiation therapy room, on a special table.

Each radiation therapy session lasts less than half an hour (including preparation). All this time, doctors and nurses are monitoring your condition, you can communicate with them through a loudspeaker. The procedure is completely painless. Depending on the planned course of treatment, you will visit the hospital from 1 to 3-5 times a week.

During the chemotherapy session, 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 completion of the chemotherapy and radiation therapy course, you will undergo control examinations aimed at assessing your condition and efficacy of treatment. After that you will receive the medical report with detailed recommendations regarding further follow-up and treatment. In the future, you will be able to have a distant consultation with your attending physician and schedule the next course of treatment, if necessary.

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 Cardiology, Pulmonology, Gastroenterology and Oncology at the St. Joseph Hospital Haan offers the full range of services in these medical fields. The department specializes in the diagnostics and treatment of cardiovascular diseases, pathologies of the lungs and other organs of the respiratory system, gastrointestinal diseases and cancers. The medical facility has modern diagnostic rooms where patients undergo modern instrumental examinations and endoscopic procedures on the organs of the digestive tract and respiratory system. As for therapeutic methods, the department's doctors successfully cure many diseases with the help of well-chosen drug therapy regimens. In complex clinical cases, the specialists perform low traumatic endoscopic therapeutic procedures. The department's doctors provide patients with high-quality medical services and always do their best to make the patient feel comfortable during the entire treatment process. The department is headed by Dr. med. Henning Henke.

The department's team consisting of highly qualified gastroenterologists provides prevention, diagnostics, conservative and interventional treatment of gastrointestinal diseases. Modern endoscopic equipment is widely used in clinical practice, which helps doctors not only to determine the localization of the pathological process, but also to conduct effective treatment. For example, when performing an endoscopic examination, doctors can simultaneously carry out therapeutic interventions for pathological conditions such as bile duct stones, bowel polyps, stomach and intestinal stenosis, gastrointestinal bleeding.

The department has three special video systems with high-performance processors and modern image processing technology. These systems can be connected to endoscopes for gastroscopy, colonoscopy and bronchoscopy. They allow the doctors to get high-quality images of the internal organs. This plays an important role in colorectal cancer screening, as the equipment makes it possible to visualize and safely remove even very small colon polyps. Thus, the department's state-of-the-art equipment allows patients to avoid traumatic open surgery and the associated long postoperative recovery.

One of the key focuses of work of the medical facility is also cancer treatment. Cancer patients are treated in the specialized Cancer Center of the Kplus Group. All diagnostic and therapeutic measures comply with the strict requirements of the German Cancer Society. The treatment is based on an individual approach to each patient. Every week, the center holds interdisciplinary tumor boards, during which individual treatment regimens are developed for the department's patients. The focus of oncologists is on patients with bowel cancer, which is considered the third most common cancer in the world. The specialists have vast experience in managing patients with this diagnosis and successfully cope even with the advanced stages of cancer, significantly prolonging the patients' lives. The patients with early-stage bowel cancer have the best chances for a full recovery. In such cases, an endoscopic procedure is often sufficient to resect the neoplasm, which may be supplemented by conservative therapies. In the advanced stages of bowel cancer, abdominal surgeons are involved in the therapeutic process to resect the tumor and, if necessary, a part of ​​the affected organ. Surgical treatment is usually supplemented with chemotherapy and/or radiation therapy to destroy any remaining cancer cells in the body. The patients who have suffered bowel cancer need regular follow-up examinations to prevent oncology recurrence.

A team of competent cardiologists do their best to take care of the department's patients. Their tasks include the diagnostics and treatment of cardiovascular diseases. Many patients come to the department with coronary artery stenosis, which carries a high risk of acute coronary syndrome and myocardial infarction. As a result, the department has implemented a special DMP KHK program (approved by the German Federal Ministry of Health), which was developed with the participation of qualified doctors and scientists of the country. The purpose of this program is to improve medical care for patients with chronic heart disease.

The department has at its disposal all non-invasive diagnostic methods. A modern 3D ultrasound system is used for the diagnostics and treatment of coronary heart disease. In addition, such tests as stress echocardiography and transesophageal echocardiography are widely used here. To treat cardiac arrhythmias, single- and dual-chamber pacemakers and defibrillators are implanted in cooperation with the Department of General Surgery. The department also offers the services of an outpatient clinic, which specializes in monitoring the functioning of the implanted devices. The range of services is complemented by the implantation of event recorders for a suspected arrhythmia and right heart catheterization, which allow the doctors to carry out differential diagnostics and treatment of concomitant lung diseases.

In the field of pulmonology, the treatment of bronchial asthma and chronic obstructive pulmonary disease is of particular interest. The therapeutic offer also includes the treatment of pneumonia, acute and chronic bronchitis, malignant lung tumors and other pathologies in this field. The department has a high-tech Sleep Laboratory, where patients can undergo diagnostics and treatment of sleep-related breathing disorders. An important focus of the laboratory's work is home and long-term mechanical ventilation, which improves respiratory function in patients with weakened respiratory muscles, a severe lung disease or a deformed thorax.

The department's range of diagnostic and therapeutic services includes:

  • Diagnostic options
    • Gastroenterology
      • Endoscopy
        • Gastroscopy
        • Colonoscopy
        • Endoscopic retrograde cholangiopancreatography
        • Endoscopic ultrasound-guided fine needle biopsy and drainage 
      • Functional diagnostics
        • Short-term and long-term pH-metry (acidity measurement in the esophagus and stomach)
        • Esophageal manometry (esophageal pressure measurement)
        • Hydrogen breath test for lactose intolerance, lactose malabsorption
        • Hydrogen breath test for small intestinal dysbacteriosis
      • Ultrasound diagnostics
        • Abdominal ultrasound scanning
        • Soft tissue ultrasound scanning
        • Contrast-enhanced ultrasound scanning
        • Color Doppler imaging of the abdominal vessels (portal vein, renal arteries, mesenteric vessels)
        • Ultrasound-guided diagnostic punctures (liver tissue, cysts, tumors)
    • Cardiology
      • Electrocardiography
      • Ergometry
      • Spiroergometry
      • Echocardiography, including stress echocardiography, transthoracic echocardiography and transesophageal echocardiography
      • Implantation of event recorders to detect rare heart rhythm disturbances
      • 24-hour blood pressure monitoring
      • Pericardial puncture (pericardiocentesis)
      • Monitoring the functioning of pacemakers and defibrillators (within a special outpatient clinic)
    • Pulmonology
      • Assessment of lung function with exercise and at rest, blood gas test
      • CO2 level monitoring during breathing (capnography)
      • Diagnostics within the framework of the Sleep Laboratory: screening for sleep disorders (for example, obstructive sleep apnea)
      • Allergy testing
      • Bronchoscopy, including fine needle biopsy
      • Diagnostic bronchoalveolar lavage
  • Therapeutic options
    • Gastroenterology
      • Therapeutic gastroscopy
      • Therapeutic colonoscopy
      • Therapeutic endoscopic retrograde cholangiopancreatography
      • Endoscopic removal of tumors of the mucous membrane of the esophagus and stomach (mucosectomy)
      • Endoscopic removal of polyps
      • Endoscopic removal of gallstones
      • Endoscopic implantation of stents in the bile ducts and pancreatic duct
      • Endoscopic dilatation for esophageal stenosis
      • Endoscopic implantation of esophageal stents (for example, in tumors)
      • Endoscopic hemostasis
      • Percutaneous endoscopic gastrostomy
    • Cardiology
      • Implantation of single- and dual-chamber pacemakers
      • Implantation of defibrillators
    • Pulmonology
      • Mechanical ventilation for severe respiratory diseases, including home mechanical ventilation 
      • Weaning from mechanical ventilation
      • Therapeutic bronchoscopy
      • Therapeutic bronchoalveolar lavage
      • Pleural drainage and pleurodesis
  • Other medical services

Photo of the doctor: (c) St. Josef Krankenhaus Haan


About hospital

The St. Joseph Hospital Haan has a long history of providing top-class medical services and tender care for patients in accordance with Catholic principles. The priority clinical focuses include cardiology, pulmonology, gastroenterology, oncology, endocrinology, general and abdominal surgery, endocrine surgery, hernia repair surgery, orthopedics and traumatology, vascular surgery and joint replacement surgery. The outstanding level of medical services provided at the hospital is confirmed by the DIN EN ISO 9001:2015 quality certificate. More than 8,500 inpatients and about 11,000 outpatients are treated here annually. The hospital regularly demonstrates good treatment success rates, and therefore it is deservedly considered one of the best in the region.

The hospital has special competence in arthroplasty and foot surgery. According to the prestigious Focus magazine, the direction of diabetology is certified by the German Diabetes Society, and is also ranked among the best specialized departments in Germany.

The medical facility has modern equipment, which allows the doctors to carry out high-precision diagnostics and effective treatment of even extremely complex pathologies. The operating rooms are adapted for low traumatic endoscopic and laparoscopic interventions, so the number of classic open surgical interventions is negligible.

The best German doctors with vast clinical experience work at the hospital for the benefit of their patients. The healthcare facility has about 300 employees, for whom the patient and his or her individual needs and wishes always come first.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patients of the St. Josef Hospital Haan live in comfortable and cozy rooms designed in bright colors. Each patient room is equipped with an ensuite bathroom with shower and toilet. The standard patient room includes an automatically adjustable bed, a bedside table, a wardrobe for storing personal belongings, a table and chairs for receiving visitors, a TV and a radio. The hospital offers Wi-Fi (for a small additional fee).

Meals and Menus

The hospital offers tasty and healthy three meals a day. Breakfast is served as a buffet. For lunch one can have a daily changing complex full menu, as well as a diet and vegetarian menu. Additionally, one can order afternoon coffee with pastries. As a rule, light meals are served for dinner. If necessary, you will be offered an individual menu.

Further details

Standard rooms include:

Shower
Toilet
Wi-Fi
TV

Religion

The hospital has its own chapel where Catholic services are held. If necessary, you can be accompanied to the place of the religious service.

The services of representatives of other religions 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.