Gastroenterology Diseases of the gastrointestinal tract, the liver and metabolic disorders
The internal clinic focuses on the diagnostics and treatment of gastrointestinal diseases, diseases of the liver and the pancreas as well as treatment of metabolic disorders. A central diagnostic measure, apart from ultrasound diagnosis of the abdomen, is endoscopic gastrointestinal imaging. A state of the art endoscopic laboratory is the centrepiece of any gastroenterological department, and all of these methods are well established and available in the Centre for Internal Medicine at the Garmisch Partenkirchen Clinic.
Examination by sonography has become an indispensable diagnostic measure to obtain important information from the interior of the body and the various organs in an easy way and without affecting the body. The informative value of the sonography can be significantly enhanced if performed in combination with an endoscopy (endosonography) and by giving a contrast medium.
With modern video endoscopes it is possible to obtain pin sharp high-resolution video images from the entire gastrointestinal tract. The gastroscopy is performed to allow a detailed assessment of the area between the oesophagus and the stomach up to the small intestine. The entire large intestine can be viewed by coloscopy, and small growths (polyps) can be removed as an effective prophylactic measure for the prevention of colorectal cancer. Today it is even possible to look into the small intestine, using a video capsule (capsule endoscopy), which is transported through the intestinal tract like a submarine, transmitting images to the body surface during its journey. Balloon endoscopy is used for diagnostics and treatment of all areas of the small intestine.
The organs adjacent to the intestine, the liver and pancreas, can be accessed for endoscopy via their outlets into the duodenum. Via “ERCP” it is possible to display the bile duct and the pancreatic duct, and to remove any gall stones from the bile duct, in order to restore the discharge of bile. An endosonography enables us to perform a detailed assessment of the intestinal wall structures as well as the surrounding organs and vessels for an improved differentiation of processes in the gastrointestinal wall.
Apart from the “imaging measures” there are several important functional examinations performed to measure and assess the function of the oesophagus and the gastrointestinal tract. Manometry is used to examine the motion of the oesophagus, the intestine and the bile ducts. With the help of a searcher, or more recently a small transmitter, the acid in the oesophagus and the stomach is measured and controlled (long-term ph-metry, ph-metry). For complicated cases the combined multi-channel impedance measurement is available.
Apart from the gastroenterological focus, the examination and therapy of metabolic disorders plays an important role. Here, too, new therapeutic approaches and findings are used in the treatment of diabetes and fatty metabolism disorders.
The Centre for Internal Medicine of the Garmisch Partenkirchen Clinic at the Workman’s Compensation Trauma Centre Murnau possesses the most modern endoscopic equipment. The modern and friendly atmosphere in the department of endoscopy and the attached day clinic is complemented by high resolution HDTV endoscopes, optic amplifier methods (narrow band imaging – NBI), digital documentation of findings and sophisticated hygiene and monitoring concepts. Naturally, the department is also available for outpatient examinations
Chief Physician GastroenterologyProf. Dr. Hans-Dieter Allescher
Sekretariatszeiten: Mo.-Do. 8:00-17:00 Uhr, Fr. 8:00-15:00 Uhr
Kathrin Ernst, Karin Schilling