Diabetic foot diagnosis in Vivantes Humboldt Hospital Berlin
Vivantes Humboldt Hospital Berlin
Berlin, Germany
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Program id #
337707
Priv.-Doz. Dr. Ralf-Marco Liehr
Department of Gastroenterology, Hepatology and Diabetology
Specialized in: gastroenterology, hepatology, diabetology The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- biochemical analysis of blood
- inflammation markers (CRP, ESR)
- liver and pancreas function tests
(ALT, AST, GGT, AP, Bilirubin, CHE, LDH, Lipase) - kidney function test (creatinine, urea)
- lipid metabolism (HDL/LDL, cholesterol,
triglycerides Lip(a), homocysteine) - blood coagulation analysis (aPTT, PT, INR)
- metabolic status (uric acid, glucose)
- thyroid function test (TSH)
- microbiological smear (from the wound)
- doppler/duplex examination of lower extremities
- contrast CT of lower extremities vessels (if clinically indicated, additional cost is 1700€)
- diagnosis of diabetic neuropathy
- nursing services
- consultation of related specialists
- treatment by chief physician and all leading experts
- explanation of individual treatment plan
- written statement
Required documents
- Medical records
- X-ray examination (if available)
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About the department
The Department of Gastroenterology, Hepatology and Diabetology at the Vivantes Humboldt Hospital covers a wide range of diseases of the gastrointestinal tract, liver, gallbladder and ducts, pancreas, cancer, as well as infections. Other priority areas of the department are the treatment of metabolic diseases, diabetes mellitus, the treatment of obesity and nutritional medicine. The department has 51 beds. More than 3,000 patients are treated annually. The head of the department is Priv.-Doz. Dr. Ralf-Marco Liehr.
The department has a Central Unit of Endoscopy, which annually carries out more than 4000 studies in outpatient and inpatient settings.
The medical team includes internal medicine doctors with additional specialization in the field of gastroenterology and diabetology. They provide medical care of the highest professional level. Also the department employs highly competent nurses with specialization in the field of endoscopy and qualified service personnel.
The Department of Gastroenterology, Hepatology and Diabetology offers the following diagnostic and therapeutic services:
- Endosonography of the gastrointestinal tract (esophagus, mediastinum, stomach, pancreas, rectum) with puncture (diagnosis of lymph nodes of the mediastinum and abdominal cavity, drainage of the cysts of the gastrointestinal tract), longitudinal and transverse scanning
- Reflux disease and violation of motility of the gastrointestinal tract (daily pH-metry, 12-channel manometry, measurement of bile reflux, determination of indications for antireflux surgery)
- Full range of diagnostic and interventional endoscopy
- Gastroscopy, colonoscopy with polypectomy and mucosectomy. Hemostasis (ligation of the esophagus, coagulation of argon plasma, clipping, endoplasty), ERCP with lithotripsy and removal of stones, treatment of stenosis with drainage and self-expanding metal stents, proctoscopy and treatment of hemorrhoids
- Transcutaneous transhepatic cholangiography with installation of drainage
- CEG / CHEE, pneumatic dilatation and bougie (esophagus), as well as hydraulic dilations (stomach, colon)
- Functional diagnostics (all studies of exhaled air (H2), helicobacter pylori diagnostics)
- Mini gastroscopy (nasal gastroscopy)
- Digital ultrasound with color Doppler sonography of the abdominal, thyroid and peripheral vessels. Ultrasound controlled punctures
Curriculum vitae
- 1978 – 1984 Medical Studies at the Free University of Berlin
- 1988 – 1990 Postgraduate education in Internal Medicine, Infectiology, Oncology and Gastroenterology in Berlin and at the VA Medical Centre Kansas City, University of Kansas, USA
- 1995 Habilitation treatise and Venia legendi at the Medical Faculty, Charité Berlin
- Since 1998, Head, Department of Gastroenterology, Hepatology, and Diabetology at Vivantes Humboldt Hospital, Berlin
- Director of Medical Board Gastroenterology at Vivantes GmbH
Focuses
- Certified Tumor Center North, in cooperation with Vivantes Hospital Spandau (Tumor Conference), Outpatient Center
- More than 4000 endoscopies per year
- Partner in the Competence Center for Liver Surgery and Endocrine Surgery
- Emergency endoscopy (24-hour call)
- Diabetes Training Center, diabetes, settings (ICT, pump), counseling, weekly training classes
- Colorectal and gastrointestinal cancer screening
- Liver disease (hepatitis, cirrhosis, liver tumors)
- Pancreatic disease (pancreatitis, cancer)
Spectrum
- Digital ultrasound (Sono-CT) with color-coded Doppler-Sonography of abdominal organs, thyroid and peripheral vessels
- Endocrine diagnostics (diabetes, thyroid, adrenopathy, neuroendocrine system)
Diagnosis
- Diagnostic and interventional endoscopy
- Endoscopic ultrasound
- Longitudinal and transversal scanner with puncture gastroscopy, colonoscopy with polypectomy and mucosectomy
- Hemostasis (argon plasma coagulation clipping, Endoloop)
- Ultrathin-endoscopy (e.g. nasal gastroscopy)
- Reflux disease and gastrointestinal motility measurements
Therapy
- ERCP with stone extraction and lithotripsy, therapy with plastic and self-expandable metal stents
- Percutaneous transhepatic cholangiography (PTC) and complex drainage (Munichdrainage)
Photo of the doctor: (c) Vivantes Netzwerk für Gesundheit GmbH
About hospital
An academic clinic of the university medical complex Charité, the Vivantes Humboldt Hospital is one of the largest specialized medical institutions in Berlin. The hospital is famous for its impeccable reputation in the field of traumatology, orthopedics, urology and gynecology, as well as treatment of oncological diseases. Treatment in these fields is performed within the specialized centers at a hospital of national importance.
The Humboldt Hospital has 24 medical departments and about 700 beds at its disposal. Every year, a team of 250 doctors treats about 65,000 patients. The hospital combines high medical qualifications and modern technologies: urologists-surgeons employ operating system Da Vinci, Holmium laser enucleation of the prostate and therapeutic robot, neurological rehabilitation uses exoskeleton for walking training after acute disorders of cerebral circulation.
High quality of treatment is proved by the participation of hospital in the "Initiative of Quality Medicine" (Initiative Qualitätsmedizin, IQM) program.
Photo: (c) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Vivantes Humboldt Hospital live in comfortable single and double rooms.
Rooms are equipped with everything necessary to make the patient's stay in the hospital as convenient and pleasant as possible. It is worth noting the modern and stylish design of the rooms are at the level of a first-class hotel.
Each room has a separate bathroom with toilet and shower. The rooms also have internet access, satellite TV and a telephone.
Meals and Menus
The hospital offers delicious and healthy meals. For lunch, the restaurant offers an abundant selection of meals from 10 menus. There is also a vegetarian and diet menu.
Further details
Standard rooms include:
Shower
Toilet
Wi-Fi
TV
