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About the program

Nausea, vomiting, pain in the stomach, heartburn, problems with stools ... To find out the causes of these symptoms, doctors recommend esophago-gastroduodenoscopy (gastroscopy). This method is indispensable both for the early diagnosis of cancer of the gastrointestinal tract, and for identifying the causes of bleeding from the esophagus, stomach and the beginning of the small intestine. Gastroscopy is many times more accurate than X-ray examination in case of inflammatory changes in the mucous membrane, detection of erosions or ulcers.

The picture of the state of the digestive system is supplemented by colonoscopy - a diagnostic study of the large intestine and the terminal part of the small intestine, which is considered the most effective method for diagnosing colorectal cancer. In Germany, people over the age of 40 are recommended to undergo this examination every 2 years.

Both examinations are performed on the same day under short-term intravenous anesthesia, so you will not feel any discomfort.

Gastroenterology program

Introductory conversation with the head of the gastroenterology clinic (history taking, final approval of the examination program and differential diagnosis)
Extended blood test
  • clinical blood test with leukocyte formula
  • biochemical blood tests (liver and kidney tests, carbohydrate and lipid metabolism, proteins and protein fractions, electrolytes, blood coagulation parameters)
  • a blood test for thyroid hormones (to assess its function)
  • blood test for pancreatic hormones (for the diagnosis of diabetes mellitus at the preclinical stage, as well as pancreatic diseases)
  • for men: test for prostate specific antigen (PSA) secreted by cells of the prostate gland (to diagnose prostate cancer and monitor treatment of pre-existing prostate disease)
Blood test for tumor markers
Ultrasound examination (ultrasound) of the abdominal organs

Ultrasound examination (ultrasound) of the kidneys and adrenal glands
Ultrasound of the kidneys allows you to determine their position, size, contours, structure of the parenchyma,
assess the state of structures adjacent to the kidneys, including vessels, and perirenal
space. Using this examination, the presence of
atherosclerotic deposits, urolithiasis, cysts, hydronephrosis, tumors, as well as abnormal development of the kidneys.

Ultrasound of the adrenal glands can detect hyperplasia, cysts, benign and
malignant tumors.

Ultrasound examination (ultrasound) of the genitourinary system
Ultrasound of the genitourinary system (in men) is performed to diagnose the condition
kidneys, adrenal glands, bladder and prostate in order to identify inflammatory processes, benign and malignant tumors, cysts, hyperplasia and other pathologies, as well as to determine the causes of urination disorders, urinary incontinence, and decreased potency.

Pain relief and sedation to the state of medical sleep

What is this?
Pain relief (anesthesia) is a decrease in the threshold of sensitivity with the help of
anesthetics, and sedation is a method of bringing the patient into a calm and relaxed
state with the help of special drugs that immerse the patient in a state
shallow sleep.

For what?
For painless and comfortable diagnostic or therapeutic
procedures (such as gastroscopy and colonoscopy).

Esophagogastroduodenoscopy (EGDS)

What is this?
Method of endoscopic examination of the gastrointestinal tract. By using
gastroscope examines the esophagus, stomach and duodenum.

For what?
To find out the causes of pain in the organs of the digestive system, heartburn, difficulty
swallowing food, vomiting, if internal bleeding or swelling is suspected, for
obtaining a complete picture of diseases such as duodenitis, peptic ulcer
duodenum and stomach, gastritis, esophagitis.

Biopsy of the upper gastrointestinal tract and histological studies (up to
4 samples)

What is this?
A biopsy is the collection of cells or tissues from a patient's body in order to
diagnostics, and histological examination is the examination of tissues under a microscope
using special dyes.

For what?
To establish or clarify the diagnosis, for example, with endoscopic
studies of diseases of the gastrointestinal tract, with suspicion of
oncological disease.

Polypectomy, if a polyp is detected (additional fee)

What is this?
The procedure for removing polyps from the mucous membrane of hollow organs.

For what?
Polyps can bleed and cause anemia, as well as degenerate into malignant
neoplasms. In this regard, their preventive removal is indicated. Remote
the polyp is subjected to histological examination.

Colonoscopy

What is this?
Visual examination of the condition of the mucous membrane of the large intestine using
endoscope.

For what?
The indication for a colonoscopy is the suspicion of any disease
colon, especially for tumor, inflammatory diseases of the colon
(especially in ulcerative colitis and Crohn's disease).

Continuous cardiovascular monitoring
(blood pressure, ECG, pulse oximetry)
Photo documentation
Polypectomy, if a polyp is detected (additional fee)

What is this?
The procedure for removing polyps from the mucous membrane of hollow organs.

For what?
Polyps can bleed and cause anemia, as well as degenerate into malignant
neoplasms. In this regard, their preventive removal is indicated. Remote
the polyp is subjected to histological examination.

Biopsy and histological examination (the program includes
4 samples)

What is this?
A biopsy is the collection of cells or tissues from a patient's body in order to
diagnostics, and histological examination is the examination of tissue under a microscope using special dyes.

For what?
To establish or clarify the diagnosis, for example, with endoscopic
studies of diseases of the gastrointestinal tract, with suspicion of
oncological disease.

Determination of Helicobacter pylori antigen

What is this?
Test for the presence of a bacterium that lives in the gastric mucosa

For what?
It is carried out to clarify the cause of gastritis, erosions and ulcers
duodenum and stomach.

Medical reports of all examinations
Final conversation with the head of the gastroenterology clinic based on the examination results, and, if necessary, treatment prescription

Intraluminal ultrasound scanning

Conducted in addition to the basic program

Endosonography of the upper or lower gastrointestinal tract

What is this?
Combination of endoscopic and ultrasound diagnostics of diseases of the gastrointestinal tract. IN
difference from traditional ultrasound examination through the abdominal wall, in
In this case, the ultrasonic transducer is fed through the digestive tract to
organ to be examined through an endoscope. The esophagus, mediastinum,
walls of the stomach, pancreas, liver, bile ducts, adrenal glands, walls
intestines, bladder, uterus/prostate.

For what?
Thus, the presence of pathological changes in the organs under study is determined and
assess the prevalence of the process, the depth of organ damage, diagnose
volumetric formations of the pancreas, reveal metastases in the lymph nodes.

Application of a flexible endoscope with an ultrasound sensor and video camera

What is this?

A flexible endoscope with an ultrasound sensor and a video camera allows doctors, in the course of one examination, not only to examine the walls of the digestive tract, identify ulcers, tumors, inflammations, polyps and other types of pathology, but also, using an ultrasound sensor, to evaluate in detail the tissues and structures located under the surface mucous membrane.

Food intolerance

Conducted in addition to the basic program

Genetic diagnosis of lactose intolerance

What is this?

Genetic diagnosis of lactose intolerance is based on the study of genetic variants that may affect the body's ability to process lactose found in dairy products.

For what?

Based on the analysis of genetic variants, experts make a conclusion about the presence or absence of genetic mutations that can cause lactose intolerance. Results can be interpreted as “positive” (risk of lactose intolerance) or “negative” (no risk of lactose intolerance). It is important to note that only a qualified physician can evaluate genetic results in the context of the patient's clinical symptoms and medical history.

Genetic diagnosis of fructose intolerance

What is this?

Genetic diagnosis of fructose intolerance is based on the study of genetic variants, such as the ALDOB (aldolase B) gene. which can affect the metabolism of fructose in the body.

For what?

Fructose malabsorption is an inherited disorder in which a person cannot metabolize fructose normally, which can cause abdominal pain, vomiting, diarrhea, hypoglycemia (low blood sugar) and other problems. Genetic diagnostics can identify genetic characteristics of a patient that may affect his ability to process fructose. This may help develop personalized dietary recommendations and prevent adverse effects associated with fructose malabsorption.

Genetic diagnosis of gluten intolerance

What is this?

Genetic diagnosis of gluten intolerance, also known as celiac disease, usually involves testing for specific genetic mutations associated with the condition.

For what?

Celiac disease is a chronic immune disease in which the body reacts negatively to gluten, a protein found in wheat, barley and rye. Genetic diagnosis of celiac disease is usually used to confirm the presence of genetic prerequisites for the development of this disease. It is important to note that having these genetic mutations does not automatically mean you will develop celiac disease, but does increase your risk of developing it.

Duration: 1–2 days

Professor, MD, PhD
Head of the Clinic of Gastroenterology and Internal Diseases
Doctor of Medical Sciences
Head of the Gastroenterology Clinic
Professor, MD, PhD
Head of the Clinic of Gastroenterology, Hepatology and Oncology

Diagnostic doctors

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