Diagnostic tests for encopresis (bowel incontinence) in University Hospital Hamburg-Eppendorf
University Hospital Hamburg-Eppendorf
Hamburg, Germany
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Program id #
239441
Prof. Dr. med. Thilo Hackert
Department of General and Abdominal Surgery, Hernia Surgery, Hepatopancreatobiliary Surgery, Colorectal Surgery, Endocrine Surgery, Thoracic Surgery and Bariatric Surgery
Specialized in: general and abdominal surgery, hernia surgery, hepatopancreatobiliary surgery, colorectal surgery, endocrine surgery, thoracic surgery, bariatric surgery The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- neurophysiological examination
- laboratory tests:
- complete blood count
- inflammation indicators (CRP, ESR)
- abdominal ultrasound
- colonoscopy (on indication 1000 €)
- nursing services
- consultation of related specialists
- consultation of the chief physician and all leading experts
- development of individual treatment plan
- written statement
Required documents
- Medical records
- Anal sphincter ultrasound (if available)
- Pelvic MRI (if available)
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About the department
According to the Focus magazine, the Department of General, Abdominal and Thoracic Surgery at the University Hospital Hamburg-Eppendorf ranks among the top German departments specializing in bowel cancer treatment!
The department offers the full range of surgical treatment of diseases of the thorax and abdomen, endocrine glands, blood vessels and morbid obesity. If possible, the preference is always given to sparing minimally invasive surgical techniques. The department performs more than 3,000 outpatient and about 2,600 inpatient interventions every year. The department has one of the largest interdisciplinary Obesity Centers, as well as one of three supraregional Centers for Pancreatic, Stomach and Esophageal Surgery. The Chief Physician of the department is Prof. Dr. med. Thilo Hackert.
The department's interdisciplinary team consists of surgeons, nurses, physiotherapists, therapists and psychologists who make every effort to guarantee each patient the most effective treatment adapted to their individual needs. The department's specialists have unique experience in the field of operations on the pancreas (pancreatic cancer), esophagus and surgery of rare periampullary tumors. Also, the key role in the successful treatment outcome is played by close cooperation with the Departments of Anesthesiology and Intensive Care, Internal Medicine, Radiology and Endoscopy. Thus, the first-class medical care is ensured for the patients with concomitant diseases, such as blood clotting disorders, cardiovascular diseases and diabetes mellitus.
The department's doctors have in their arsenal many innovative treatments. Special attention should be given to the modern treatment technique for peritoneal cancer using hyperthermic intraperitoneal chemotherapy (HIPEC). The essence of the method is in the combination of surgical intervention with chemotherapy, which is carried out directly during the surgical procedure. This type of treatment gives positive results even in case of advanced cancer. When applying HIPEC, the medications influence on the tumor directly, which increases the treatment effectiveness. In addition, the chemotherapeutic drugs are heated to 42-43 °C, which ensures the best possible destruction of tumor cells. Thus, tumor cells, which are not visible with the naked eye during the surgery, die. In especially complex clinical cases, HIPEC has a cytoreductive effect.
The therapeutic service range of the department includes:
- Diagnostics and treatment of morbid obesity (within the Center of Competence for Obesity)
- Interdisciplinary multimodal therapy
- Conservative techniques (for example, the selection of proper diet, set of exercises, drug treatment)
- Surgical treatment (for example, surgical stomach reduction, gastric banding)
- Follow-up care programs for the preservation and maintenance of the result
- Diagnostics and treatment of colorectal diseases
- Bowel cancer
- Hemorrhoids
- Anal fistulas and fissures
- Fecal incontinence
- All types of rectal prolapse
- Diagnostics and treatment of diseases of the liver, biliary tract and pancreas (focus on benign and malignant diseases of the liver and pancreas) within the specialized Centers of Competence
- Diagnostics and treatment of diseases of the lungs and thoracic organs
- General thoracic surgery
- Surgical oncology (cancer of the lung, trachea, mediastinal organs, diaphragm, thoracic wall, metastases, bronchoplasty, angioplasty)
- Septic surgery
- Surgical treatment of emphysema
- Minimally invasive methods (videothoracoscopy, mediastinoscopy)
- Thymectomy in myasthenia
- Thoracic sympathectomy in hyperhidrosis
- Palliative and diagnostic interventions in metastatic tumors and malignant pleural effusions
- Diagnostic interventions in interstitial lung diseases
- Lung volume reduction surgery in chronic emphysema
- Partial pleurectomy and resection of the apex of the lungs in pneumothorax
- Plastic reconstructive surgery of the thoracic wall
- Diagnostics and treatment of thyroid and parathyroid diseases
- Diagnostics and treatment of esophageal and stomach diseases (within the Center of Competence)
- Heartburn (minimally invasive, classic techniques, as well as the innovative LINX©-Reflux-Managementsystem technique)
- Diverticulas
- Malignant esophageal and stomach diseases
- Hyperthermic intraperitoneal chemotherapy (HIPEC) in peritoneal cancer
- Formation of dialysis access for hemodialysis and peritoneal dialysis
- Diagnostics and treatment of soft tissue tumors (sarcomas)
- Tumor resection
- Chemotherapy
- Radiation therapy
- Diagnostics and treatment of other diseases
Curriculum vitae
Education
- 20.10.1980 Doctoral degree (graduated with honours).
- 1979 - 1980 Grant, Johns Hopkins University School of Medicine, Department of Pathology and Department of Surgery, Baltimore, Maryland, USA.
- 1976 - 1979 Faculty of Medicine, University of Bonn.
- 1975 - 1976 Faculty of Medicine, University of Cologne.
- 1975 Faculty of Medicine, University of Bonn.
- 1976 Study of Chemistry and Geophysics at the University of Cologne, Germany.
Clinical and Scientific Background
- Since 1998 Head of the Department of General, Abdominal and Thoracic Surgery at the University Hospital Hamburg-Eppendorf.
- Since 1994 Professor of Surgery, Department of General, Abdominal and Thoracic Surgery at the University Hospital Hamburg-Eppendorf.
- 1992 - 1998 Senior Attending Physician and Deputy Head of the Department of General Surgery at the University Hospital Hamburg-Eppendorf.
- 1991 - 1992 Deputy Director of the Project Group on Gastrointestinal Tumors of the Cancer Center Munich.
- 1991 Associate Professor, Department of Surgery, Innenstadt Hospital, Ludwig Maximilian University of Munich.
- 1991 - 1992 Attending Surgeon, Gastrointestinal Surgery, Thoracic Surgery and Cancer Surgery, Department of Surgery, Innenstadt Hospital, Ludwig Maximilian University of Munich.
- 1990 Habilitation.
- 1990 Venia legendi in Surgery (PD).
- 1989 - 1990 Instructor in Surgery (Gastrointestinal Surgery, Thoracic Surgery and Cancer Surgery), Department of Surgery, Innenstadt Hospital, Ludwig Maximilian University of Munich.
- 1987 Board certification in Surgery, Bavarian Medical Association.
- 1986 - 1989 Senior Resident and Postdoctoral Fellow, Department of Surgery, Innenstadt Hospital, Ludwig Maximilian University of Munich.
- 1982 - 1986 Resident and Postdoctoral Fellow, Gastrointestinal Surgery, Department of Surgery, University of Cologne.
- 13.05.1982 Graduation thesis, University of Bonn (with honors).
- 1981 - 1982 Resident, Department of Abdominal and Transplant Surgery and Department of Pediatric Surgery, Hannover Medical School.
Awards and Honors
- 1991 Johann Nepomuk von Nussbaum Prize of the Association of Bavarian Surgeons.
- 1994 G. E. Konjetzny Prize of the Hamburg Cancer Society.
- 1995 Walter Brendel Prize of the European Society for Surgical Research.
- 1995 Oncology Award of the International Hepato-Pancreato-Biliary Association.
- 1995 Otto Goetze Prize of the Association of Bavarian Surgeons.
- 1995 Publication Prize of the German Society of Thoracic Surgery.
- 1996 G. E. Konjetzny Prize of the Hamburg Cancer Society.
- 1997 Prize of the European Society of Thoracic Surgery.
- 1998 Walter Schulz Foundation Award.
- 1998 Prize of the International Hepato-Pancreato-Biliary Association.
- 1998 Award for Clinical Science of the European Pancreatic Club.
- K. H. Bauer Prize of the German Society of Surgery.
- 2001 Brompton Prize of the European Society of Thoracic Surgery.
- 2002 Poster Prize of the Surgical Society of Northwest Germany.
Membership in Professional Societies
- German Society of Surgery.
- American Gastroenterological Association.
- International Society for Digestive Surgery.
- International Association of Hepato-Pancreatico-Biliary Surgery.
- Surgical Society of Northwest Germany.
- German Society for Gastroenterology, Digestive and Metabolic Diseases.
- German Society of Thoracic Surgery.
- International Society of Surgery.
- International Society of Surgery.
- Society for Surgery of the Alimentary Tract.
- European Digestive Surgery.
- European Surgical Association.
- American College of Surgeons.
Photo of the doctor: (c) Universitätsklinikum Hamburg-Eppendorf (UKE)
About hospital
According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany!
Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care of the health of patients. About 2,900 of them are doctors and researchers, while more than 3,400 of them work as nurses and therapists. The hospital has 1,738 beds for inpatient treatment. The key principles of each employee’s work is care for the health and well-being of the patient.
It is worth noting that the medical facility became the first university hospital in Europe, which introduced an electronic system for storing medical histories. Thus, all the processes of diagnostics and treatment are stored electronically. In 2011, the hospital was certified as the first fully digital hospital in Europe.
The hospital presents all fields of modern medicine. The doctors of the medical facility have the necessary theoretical knowledge and enormous clinical experience, which allows them to easily cope with the treatment of common and extremely rare, complex clinical cases.
An important component of the university hospital work is research activities aimed at the development of innovative diagnostic and treatment methods. The main scientific focuses of the hospital include neurobiology, oncology, examination of the cardiovascular system, infectious and inflammatory diseases. Today, the key attention is also paid to researches in the field of molecular imaging and skeletal biology.
The hospital is distinguished not only by the first-class medical care, advanced technical equipment, but also by the modern infrastructure, courteousness, friendly and respectful attitude towards the patient by the entire medical staff.
Photo: (c) depositphotos
Accommodation in hospital
Patients rooms
The patients of the University Hospital Hamburg-Eppendorf live in comfortable single and double rooms designed in bright colors. Each room is equipped with an ensuite bathroom with a toilet and a shower. The standard room includes an automatically adjustable bed, a bedside table, a wardrobe, a table and chairs for receiving visitors, a telephone, a radio and a TV. Also, there is Wi-Fi access.
Meals and Menus
The patient and his accompanying person have a daily choice of three menus. If for any reason you do not eat all the food, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Religion
Religious services are available upon request.
Accompanying person
During the inpatient program, an accompanying person may stay with you in a patient room or hotel of your choice.
Hospital accommodation
During the outpatient program, you may stay in a hotel at the hospital.
Hotel
During the outpatient program, you may stay in a hotel of your choice. Managers will help you choose the most suitable options.
The hospital offers a full range of laboratory tests (general, hormonal, tests for infections, antibodies, tumor markers, etc.), genetic tests, various modifications of ultrasound scans, CT scans, MRI and PET / CT, angiography, myelography, biopsy and other examinations. Treatment with medications, endoscopic and robotic operations, stereotaxic interventions is carried out here, modern types of radiation therapy are also used. The hospital offers patients all the necessary therapeutic techniques.
- Coiling and clipping of aneurysms of different localizations
- Transjugular intrahepatic portosystemic shunting in patients with portal hypertension
- Minimally invasive surgeries (da Vinci)
- Removal and reconstruction of mammary glands
- Hyperthermic intraperitoneal chemotherapy (HIPEC)
These are arteriovenous malformations and angiomas, vascular aneurysms, pathologies of the mammary glands, pelvic organ prolapse, urinary incontinence, malignant tumors of various localizations (area of special attention is treatment of intestinal cancer), pathologies of liver and pancreas, cataracts and rare ophthalmic pathologies (aphakia, aniridia ), infertility and other diseases.
- Interventional neuroradiology
- Mammology
- Oncology
- Gastroenterology
- Surgery
Over 2,900 highly qualified physicians and researchers work at the hospital.
