University Hospital Greifswald
Department of Gastroenterology, Endocrinology, Nephrology and Rheumatology (568614)
Specialized in: gastroenterology, endocrinology, nephrology, rheumatology
About the department
The Department of Gastroenterology, Endocrinology, Nephrology and Rheumatology at the University Hospital Greifswald offers the full range of first-class medical care for patients with diseases of the gastrointestinal tract, liver, kidneys, including arterial hypertension, endocrine glands, as well as with rheumatic pathologies. One of the key focuses of the department is the therapy of oncological diseases of the gastrointestinal tract (certification of the German Cancer Society). To this end, the department has in its arsenal a variety of surgical techniques, modern types of chemotherapy and radiation therapy, pain therapy, etc. The competent specialists with long experience, who have gained an excellent reputation in Germany and abroad, take care of the health of patients. The department is headed by Prof. Dr. med. Markus Lerch.
The department's specialization includes:
- Gastroenterology and hepatology
- Diagnostic services
- Duplex sonography of the abdominal organs and thyroid gland
- Contrast-enhanced ultrasound examination (CEUS)
- Interventional ultrasound
- Ileum endoscopy
- Endoscopic ultrasound examinations
- Endoscopic retrograde cholangiopancreatography (ERCP)
- Double balloon enteroscopy
- Diagnostic laparoscopy
- Percutaneous transhepatic cholangiography and drainage
- Gastroenterological functional diagnostics
- Therapeutic services
- Chromoendoscopy and video-assisted endoscopy
- Treatment of esophageal varices using the ligation and sclerotherapy
- Dilatation of benign and malignant stenosis of the gastrointestinal tract, biliary tract and excretory ducts of the pancreas
- Treatment of esophageal achalasia using the pneumatic dilation
- Treatment of gastrointestinal bleeding ulcers using injections, special clamps, fibrin glue
- Mucosectomy and polypectomy in neoplasms of the upper and lower gastrointestinal tract (endoscopic excision within the submucosal layer, endoscopic mucosal resection)
- Diagnostics and treatment of hemorrhoids (on an outpatient and inpatient basis)
- Implantation of metal and plastic endoprostheses for the treatment of malignant stenosis
- Papillotomy, nasobiliary probes, extraction of stones from the ducts of the gallbladder and pancreas
- Mechanical lithotripsy of the pancreatic and bile duct stones
- Argon plasma coagulation for the treatment of stenosing or bleeding tumors
- Deep duodenal biopsy for the diagnostics of malabsorption syndromes
- Percutaneous endoscopic gastrostomy (PEG)
- Enteroscopy for the diagnostics of hard-to-reach diseases of the small intestine
- Endosonography, endosonography-guided biopsy and drainage of the cyst
- Endoscopic interventions on the pancreas and biliary tract, including necrotomy
- Diagnostic services
- Endocrinology and diabetology
- Diagnostics and treatment of diseases of the pituitary and hypothalamus
- Diagnostics and treatment of diseases of the adrenal glands
- Diagnostics and treatment of thyroid and parathyroid diseases
- Type 1 and type 2 diabetes mellitus
- Diagnostics and treatment of gonadal disorders
- Diagnostics and treatment of metabolic disorders
- Diagnostics and treatment of metabolic bone disorders
- Diagnostics and treatment of neuroendocrine tumors
- Nephrology and hypertension
- Diagnostics of acute and chronic kidney diseases using all modern imaging-techniques, kidney functional diagnostics, including kidney puncture
- Diagnostics and treatment of acute, chronic kidney failure
- Preparation for kidney transplantation, including the preparation of living donors, follow-up monitoring after kidney transplantation
- Diagnostics and treatment of endogenous and exogenous intoxications
- Preparation for renal replacement therapy and treatment of concomitant diseases due to uremia
- Diagnostics and treatment of hypertension
- Diagnostics and therapy of hereditary kidney diseases
- Diagnostics and treatment of renal osteopathy
- Ultrasound-guided renal puncture
- High-flux hemodialysis
- Acetate dialysis
- Bicarbonate dialysis
- Single needle dialysis
- Plasma exchange
- Techniques for maintaining liver function (for example, MARS)
- Peritoneal dialysis
- Continuous ambulatory peritoneal dialysis
- Intermittent peritoneal dialysis
- Long-term dialysis at night
- Dialysis for patients with hepatitis C, HIV-positive patients
- Diagnostic services
- Ultrasound examinations
- X-ray diagnostics
- Magnetic resonance imaging
- Computed tomography
- Diagnostics and treatment of inflammatory rheumatic diseases
- Diagnostics and treatment of metabolic joint disorders
- Diagnostics and treatment of systemic autoimmune diseases of the skeleton and connective tissue
- Pain therapy
- Diagnostic services
- Other medical services
Prof. Lerch was educated in the Rhineland. He studied Philosophy and Art History at the University of Freiburg before attending the Medical School in Freiburg, Glasgow, Toronto and at the University of Massachusetts.
He received his doctoral degree (magna cum laude) in Freiburg in 1984 for experimental studies on the pathophysiology of the exocrine pancreas in renal insufficiency. After a Pathology Internship in Freiburg he completed a residency in Internal Medicine at the Technical University of Aachen. On a DFG research scholarship he spend three years at Harvard and the University of Milano, Italy, where he was trained in Pathophysiology and Cell Biology. After the fellowship in Ulm and his board certification in Gastroenterology (1993), he obtained his second doctorate (habilitation) in 1994, for work on the cell biology of pancreatitis, from the University of Ulm.
He then moved to the Max Planck Institute for Biochemistry in Munich to join the Molecular Biology Department of Axel Ullrich as a Staff Scientist and was board certified in Biochemistry. After serving as an Assistant Professor and Consultant Gastroenterologist in Homburg (Saar), and as tenured Associate Professor at the University of Muenster (1997 - 2003) he accepted the Professorship at the University of Greifswald (founded in 1456) where he was appointed the Head of the Department of Gastroenterology, Endocrinology, Nephrology and Rheumatology (2007).
The research of his group focuses on the pathophysiology, cell biology and genetics of pancreatic disorders and is by design translational. His research has been supported by the European Union (EU-FP7, EU-EFRE), the German Research Foundation (DFG), the German Federal Ministry of Science and Education (BMBF) and the German Cancer Aid (Deutsche Krebshilfe), as well as several foundations and charities.
The implementation of a bench-to-bedside strategy for this translational research found its way into three investigator initiated clinical trials (e.g. ISRCTN 00142233 & ISRCTN 46556454) and to several patent applications and patents (e.g. EP06776693.1, EP10164624, EP11167708), particularly in the area of biomarker development. Prof. Lerch is an elected Study Section Member (Grants Committee of the German Research Foundation) since 2008 and was appointed by the President of the Federal Republic to serve on the Council of Science and Humanities of the German government in 2015.
Photo of the doctor: (с) Universitätsmedizin Greifswald
Department of Gastroenterology, Endocrinology, Nephrology and Rheumatology.
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