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Treatment of neuroendocrine tumor (NET) of the stomach with Lutetium-177-DOTATATE (691086) | University Hospital Giessen UKGM - BookingHealth
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Treatment of neuroendocrine tumor (NET) of the stomach with Lutetium-177-DOTATATE in University Hospital Giessen UKGM

University Hospital Giessen UKGM

Giessen, Germany
Program id # 691086
Doctor photo
Dr. med. Dagmar Steiner
Department of Nuclear Medicine
Specialized in: nuclear medicine
Specialization

The program includes:

  • Initial presentation in the hospital
  • Clinical history taking
  • Physical examination
  • Laboratory tests:
    • complete blood count
    • biochemical analysis of blood
    • TSH, free T3, free T4
    • indicators of inflammation
    • coagulation tests
  • Renal scintigraphy
  • Ga-68 DOTATATE PET/CT (if indicated)
  • Lutetium-177-DOTATATE treatment
  • Full body scintigraphy after 24 hours
  • Full body scintigraphy after 48 hours
  • Symptomatic treatment
  • Cost of essential medicines
  • Nursing services
  • Stay in the hospital with full board
  • Accommodation in 2-bedded room
  • Elaboration of further recommendations

How program is carried out

During the first visit, the doctor will carry out a general physical examination and go through the results of previous laboratory and instrumental tests. After that, you will undergo the necessary additional tests such as the assessment of liver and kidney function, scintigraphy of the skeleton and salivary glands, somatostatin receptor imaging with Ga-68 DOTATATE PET/CT. This will allow the doctor to assess how effective the radionuclide therapy with Lutetium-177-DOTATATE will be and how well you will tolerate it. Also, the doctor will calculate your individual dosage of the radionuclide.

Radionuclide therapy with Lutetium-177-DOTATATE is carried out via intravenous administration of a solution with the radioactive isotope Lutetium-177-DOTATATE. The solution is injected through a catheter. This is a short procedure, as the infusion usually takes no more than 20 minutes.

During the procedure, you will need to apply cooling bags to the salivary glands, as Lutetium-177-DOTATATE partially accumulates in the salivary glands, affecting their function and causing dry mouth. You will also receive intravenous saline solutions and amino acid solutions to protect your kidneys.

After the infusion of Lutetium-177-DOTATATE, you will stay in a specially equipped (radiation-shielded) ward for 48 hours. The drug is quickly excreted by the kidneys, and after 48 hours you will no longer be dangerous to others. During these 48 hours, you can read, use a mobile phone, tablet or computer – all these devices will not be a source of radiation in the future.

Follow-up examinations include whole-body scintigraphy or computed tomography in 24 hours and 48 hours after the procedure. Based on the results of the examination, the doctor will determine whether one procedure is enough for you, or whether you will need to visit the hospital again. As a rule, 1-2 procedures are required for achieving a stable positive result. Procedures are carried out with an interval of 8 weeks.

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About the department

The Department of Nuclear Medicine at the University Hospital Giessen UKGM offers the full range of accurate diagnostics and modern treatment using therapeutic radioisotopes. The department is equipped with state-of-the-art medical equipment for scintigraphy, as well as the combined PET-CT method. The doctors of the department have excellent qualifications in the field of radioiodine therapy for thyroid diseases. Despite the high-tech infrastructure, the focus of all the efforts of the medical team is a person with his individual needs and wishes. The department is headed by Dr. med. Dagmar Steiner.

The doctors of the department are experts in conducting examinations using positron emission tomography (PET) in combination with computed tomography (CT). Currently, this study is the most advanced diagnostic imaging method for cancer. It allows not only to imagine the organs and anatomical structures of the human body, but also provides comprehensive information about the metabolic processes that occur in them. The method can be used not only to identify pathological changes, but also to plan the operation, localize the lesion for biopsy. In addition, the PET-CT method is used to examine patients with cardiac and neurological problems. It also serves to monitor the effectiveness of therapeutic measures (surgical treatment, chemotherapy, radiation therapy).

The department's range of medical services includes:

  • Diagnostic examinations
    • Scintigraphy
      • Thyroid scintigraphy
      • Parathyroid scintigraphy
      • Dynamic renal scintigraphy
      • Static renal scintigraphy
      • Inhalation lung scintigraphy
      • Perfusion lung scintigraphy
      • Skeletal scintigraphy (also 3-phase technique)
      • Search for bleeding source
      • Scintigraphy for detection of inflammatory processes in the human body
      • Sentinel lymph node scintigraphy
      • Somatostatin receptor scintigraphy
      • MIBG scintigraphy
      • Salivary gland scintigraphy
      • Myocardial scintigraphy
    • Diagnostics using the combined PET-CT technique in the case of suspected
      • Endocrine and neuroendocrine tumors
      • Gastrointestinal tumors
      • Gynecological tumors
      • Head and neck tumors
      • Cancer of unknown primary
      • Lung tumors
      • Malignant lymphomas
      • Skin tumors
      • Bone and soft tissue tumors
      • Brain tumors
      • Tumors in children
      • Urological tumors
  • Therapeutic procedures
    • Radioiodine therapy for the treatment of thyroid diseases
  • Other medical services

Photo of the doctor: (c) UKGM - Universitätsklinikum Gießen und Marburg GmbH 

About hospital

The University Hospital Giessen UKGM positions itself as an ultramodern medical facility with outstanding quality of medical care. The hospital presents almost all areas of medicine, ranging from ophthalmology to traumatology and dentistry. The priorities of the hospital’s activities include surgery, neurosurgery, oncology, nephrology with kidney transplantation and pediatric medicine.

The hospital is the third largest in Germany. Every year, more than 436,000 patients are treated in two locations of the hospital (Giessen and Marburg): 342,000 outpatients and 94,000 inpatients. The medical facility is the first privatized university hospital in the country.

The hospital staff is engaged not only in clinical practice, but also in research activities on the basis of the Faculty of Medicine at Justus Liebig University Giessen and Philipps University of Marburg, which contributes to a significant contribution to the development of modern medicine. During the many years of productive work on the development of new diagnostic and treatment methods, the hospital’s doctors managed to make many significant discoveries.

The hospital enjoys an excellent reputation in Germany and far beyond its borders. It managed to gain such credibility thanks to the high competence of doctors, advanced equipment, high-quality medical service and care.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

The patients of the University Hospital Giessen UKGM live in comfortable rooms made in a modern design and light colors. Each room has an ensuite bathroom with shower and toilet. The standard room furnishing includes an automatically adjustable bed, a bedside table, a wardrobe, a table and chairs for receiving visitors, a TV, a telephone.

Meals and Menus

The patients of the hospital are offered balanced, healthy three meals a day: buffet breakfast, lunch and dinner. The private kitchen, certified according to DIN EN ISO 9001:2000, is responsible for providing patients with food and drinks.

If for some reason you do not eat all foods, you will be offered an individual menu. The hospital also has a cafeteria with a large assortment of hot and cold drinks, snacks and desserts.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV

Television

All patient rooms are equipped with TV sets. If you have some questions, please contact medical personnel.

Religion

Religious services can be provided upon request.

Accompanying person

During an inpatient program, an accompanying person can stay with you in a patient room or in a hotel of your choice.

Hotel

During the outpatient program, you can stay at the hotel of your choice. Our managers will help you to choose the most suitable option.