St. Remigius Hospital Opladen Leverkusen

location_on Leverkusen, Germany
9/10 from 23 Votes

Department of Gastroenterology, Cardiology, Diabetology and Pulmonology (303014)

Claudia Münks-Lederer

Dr. med.

Claudia Münks-Lederer

Specialized in: gastroenterology, cardiology, diabetology, pulmonology

About the department

The Department of Gastroenterology, Cardiology, Diabetology and Pulmonology at the St. Remigius Hospital Opladen Leverkusen provides the full range of diagnostics and treatment for patients with internal diseases, particularly, diseases of the heart, lungs, gastrointestinal tract, type 1 and type 2 diabetes mellitus, and other metabolic disorders. The department has at its disposal 105 beds for inpatient treatment. The state-of-art medical and technical infrastructure allows for performing highly accurate diagnostics, as well as effective monitoring of the treatment process. The department is headed by Dr. med. Claudia Münks-Lederer.

The department annually treats more than 4,000 inpatients. The highly qualified doctors of various specialties offer a wide range of medical services, which can be provided only in a few interregional university medical facilities.

One of the department's key focuses is the diagnostics of stomach and intestinal diseases. A video endoscopes allows the doctors to obtain an image of the lining of the stomach, small and large intestines or biliary tract. Many diseases can be diagnosed using this technique. The surgical interventions can be performed through the endoscope working channels, for example, removal of benign and precancerous intestinal polyps. In the field of colon cancer diagnostics, the most important attention is paid to background and precancerous conditions. In collaboration with the specialists from the Department of Abdominal and Thoracic Surgery, the department develops comprehensive treatment programs within the certified Bowel Cancer Center Kplus St. Remigius Leverkusen. The center aims to provide the best timely diagnostics and treatment.

The department also specializes in the detection and treatment of cardiovascular diseases. For this purpose, the doctors use ultrasound techniques (echocardiography), which can be applied both during the acute phase of myocardial infarction and in its follow-up treatment. The ultrasound devices with color Doppler mapping give an idea of the volume of the heart attack zone, valve disease, myocardial condition, and are also an important basis for further treatment. In addition, the department has excellent diagnostic and treatment options for heart arrhythmias, for the correction of which doctors use drug treatment or pacemaker implantation. The department has over 20 years of experience in the implantation of single- and dual-chamber pacemakers.

The the department's area of expertise also includes care of patients with severe diseases within the Intensive Care Unit. The highly effective medical equipment of the department is specially designed for patient monitoring or for special support of body functions. Both medical staff and specially trained nursing team are available 24 hours a day.

In the field of treatment of metabolic disorders, the first priority is given to diabetes mellitus therapy, which includes medical and dietary measures, as well as physical activity. In the Section of Diabetology, an interdisciplinary team of professionals provides optimal medical care for patients. In addition, there are maintained close contacts with many specialized offices and general practitioners with extensive experience in diabetes mellitus treatment.

The department is highly competent in the diagnostics and treatment of diseases of the lungs and respiratory tract. It treats acute and chronic airway obstruction, which is typical for asthma or COPD, pulmonary vascular diseases and tumors. A Pulmonary Function Testing Laboratory offers a wide range of examinations. In close collaboration with experts in the field of thoracic surgery, the patients are provided with treatment within the Rainish-Bergisch Lung Disease Center.

The department's range of medical services includes:

  • Diagnostics and treatment of arterial hypertension
    • Long-term blood pressure monitoring and ECG recording
    • Stress ECG
    • Echocardiography (ultrasound examination of the heart, its valves and large vessels)
    • Renal artery duplex scan
    • Laboratory tests in case of suspected secondary hypertension (hypertension caused by kidney diseases or diseases of other organs)
  • Diagnostics and treatment of cardiopulmonary failure and pulmonary circulation disorders
    • Echocardiography (ultrasound examination of the heart, its valves and large vessels)
    • Spiroergometry (using an ergometric bicycle)
    • Right heart catheterization
    • Chest CT scan
  • Diagnostics and treatment of diseases of the respiratory tract and lungs
    • Endobronchial ultrasound for minimally invasive lung examination
    • Pulmonary function testing
      • Body plethysmography
      • Pulmonary function assessment with/without load, blood gas test
      • Allergy tests
      • Right heart catheterization
  • Diagnostics and therapy of endocrine diseases, as well as nutritional disorders and metabolic disorders
    • Diagnostics and treatment of type 1 and 2 diabetes mellitus
    • Treatment of diabetic foot 
    • Instructing of patients on the right way of living with diabetes mellitus
    • Consultations on all diabetes mellitus issues
    • Ultrasound scan and thyroid function testing
    • Laboratory diagnostics of the adrenal glands, parathyroid glands and pituitary gland
  • Diagnostics and treatment of gastrointestinal diseases 
    • Abdominal ultrasound
    • Doppler and color duplex sonography of the vessels of the abdominal cavity
    • Puncture of the liver and other organs
    • Esophagogastroduodenoscopy (endoscopic examination of the esophagus, stomach and duodenum)
    • Dilation in case of benign and malignant esophageal and stomach stenoses
    • Treatment of esophageal varices using ligation or sclerotherapy
    • Hemostasis using hemoclips or injections
    • Injection therapy and argon plasma coagulation
    • Argon plasma coagulation therapy for vascular malformations (angiodysplasia)
    • Endoscopic removal of a foreign body
    • Percutaneous endoscopic gastrostomy (PEG)
    • Ileocolonoscopy (colonoscopy with endoscopic examination of the lower part of the small intestine)
    • Polypectomy (removal of polyps from the gastrointestinal tract)
    • Mucosectomy/endoscopic mucosal resection (deep endoscopic polyp removal)
    • Endoscopic retrograde cholangiopancreatography
    • Gallstone removal (for example, mechanical lithotripsy)
    • Bile duct stenting 
    • Brush cytology of the bile ducts and pancreatic duct
    • Use of a nasobiliary probe for irrigation of the biliary tract
    • Esophageal X-ray
    • Contrast-enhanced radiography of the gastrointestinal tract (for the diagnostics of functional disorders)
    • Determination of intestinal transit time
    • Magnetic resonance cholangiopancreatography
    • MRI scan of the small intestine (MR enteroclysis)
  • Diagnostics and treatment of heart rhythm disturbances
    • 12-channel resting ECG
    • Stress ECG
    • 24-hour Holter monitoring
    • Implantation of event recorders (an implantable recording device, which provides continuous ECG recording for a longer period of time in the case of very rare types of arrhythmia)
    • Echocardiography
    • Transesophageal echocardiography
    • Implantation of pacemaker (single-chamber and dual-chamber systems)
    • Ongoing che-ups of the proper functioning of the pacemaker and event recorder
    • Pharmacological and electrical cardioversion for cardiac arrhythmias (restoration of normal heart rhythm, for example, in atrial fibrillation using drugs or a defibrillator)
  • Diagnostics and treatment of pleural diseases
  • Diagnostics and treatment of cancers
    • Ultrasound scan of the abdomen, pleura and thyroid gland
    • Esophagogastroduodenoscopy (endoscopic examination of the esophagus, stomach and duodenum)
    • Ileocolonoscopy (colonoscopy with endoscopic examination of the lower part of the small intestine)
    • Liver puncture
    • Puncture of other abdominal organs
    • Pleural puncture 
    • Bronchoscopy with transbronchial biopsy
    • Endoscopic retrograde cholangiopancreatography
  • Diagnostics and treatment of sleep disorders
    • Diagnostics within the Sleep Laboratory with six polysomnographic systems and a pulse oximeter for long-term monitoring at night and day
    • Systems for maintaining a constant positive airway pressure (nightly breathing support with a mask)
  • Endoscopy
    • Gastroscopy
    • Bronchoscopy
    • Polypectomy
    • Mucosectomy
    • Esophageal varices ligation
    • Balloon dilatation for esophageal stenoses 
    • Endoscopic hemostasis using hemoclips and/or injections
    • Argon plasma coagulation for the treatment of vascular malformations (angiodysplasia)
    • Endoscopic retrograde cholangiopancreatography
    • Papillotomy
    • Stone extraction
    • Lithotripsy (stone fragmentation)
    • Stenting of the bile ducts and pancreatic duct
    • Percutaneous endoscopic gastrostomy
    • Endoscopic examination of the thorax and respiratory tract
    • Treatment of cancers using argon plasma coagulation
  • Other diagnostic and therapeutic options

Photo of the doctor: (c) Katholische Kranken- und Pflegeeinrichtungen Leverkusen GmbH 

Department of Gastroenterology, Cardiology, Diabetology and Pulmonology.
St. Remigius Hospital Opladen Leverkusen:

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