Internal Medicine treatment in Germany

The Internal Medicine unit offers a number of specialized therapies and provides comprehensive treatment for the full range of internal medical conditions such as those affecting the entire digestive tract (including the liver, gall bladder and pancreas). The Internal Medicine unit also offers diagnostics and therapy for conditions affecting the heart, cardiovascular system and lungs, as well as treatment for diabetes mellitus and endocrinological conditions (hormone disorders).

Endoscopy / Gastroenterology / Hepatology

• Esophagogastroduodenoscopy
• Ileocoloscopy
• Procto-rectoscopy
• Chromoendoscopy
• Capsule endoscopy
• ERCP (Endoscopic Retrograde Cholangiopancreatography)
• PTC (Percutaneous Transhepatic Cholangiography) / PTCD (Percutaneous Transhepatic Cholangiodrainage)
• Endosonography of the upper GI tract, rectum, retroperitoneum and mediastinum including organ and lymph node punctures and drainage of pancreatic pseudocysts
• Laparoscopy
• Interventional endoscopic procedures
  (polypectomy, mucosectomy, hemostasis, sclerotherapy and ligation of esophageal varices, loop bioscopy, dilation/bougienage of stenoses, endoscopic papillotomy, stone removal and mechanical lithotripsy)
• Therapeutic proctology (hemorrhoidal sclerotherapy and ligation, fissure and fistula therapy) 
• PEG and PEJ equipment (assisted percutaneous endoscopic gastrostomy or jejunostomy) 
• Tumor ablation procedures (laser, argon plasma coagulation, ethanol injection)
• Tumor palliation procedures: insertion of endoprosthesis/stenting (esophagus, small intestine, rectum, bile ducts, pancreatic duct)
• Photodynamic therapy of bile ducts and esophagus
• Color duplex sonography (abdomen and soft tissue)
• H2 breath tests (lactose and fructose intolerance, bacterial overgrowth, orocecal transit time)
• Gastroenterological function tests
• Conventional and high-resolution esophageal manometry
• Impedance measuring, pH-metry
• H2 breath tests in cases of suspected carbohydrate intolerance or bacterial overgrowth
• Gastric emptying tests
• Anorectal manometry
• C13 breath test in cases of suspected helicobacter pylori infection

Cardiology / Pulmonology / Angiology

• Colour doppler echocardiography, where applicable with contrast agents
• Transesophageal echocardiography, where applicable with contrast agents
• Stress echocardiography
• Color duplex sonography of cerebral and peripheral vessels
• Heart pacemaker implantation and consultation
• Cardioversion
• ECG
• Ergometry
• Long-term ECG
• Long-term blood pressure measurement
• Bronchoscopy (incl. transbronchial lymph node biopsy and peripheral lung biopsy)
• Lung function diagnosis
• Right heart catheter

Diabetes mellitus

• First signs of type 1 diabetes mellitus
• Insulin – initial setup for type 2 diabetes mellitus
• Insulin pump setup
• Diabetes mellitus derailment
• Acute diabetic foot syndrome
• Coronary heart disease and chronically high blood sugar (incl. after heart attack or heart failure)
• Therapy-resistant diabetic neuropathy (nerve damage), especially in case of chronic pain
• Non-normoglycemic metabolic control during pregnancy
• Recurrent (severe) hypoglycemia or impaired awareness of hypoglycemia
• Therapy-refractory insulin resistance with sharp increase in insulin use, especially in case of chronic excess weight (obesity)
• Difficulty in stabilizing diabetes in connection with steroid therapy, e.g. in case of rheumatological diseases or following transplantation
• Initial insulin settings for diabetes after surgery to remove pancreas (pancreatectomy), e.g. in case of pancreatic cancer or chronic pancreatitis
• Follow-up treatment after derailment of metabolism

Endocrinology

• Testing of pituitary function (stimulation and suppression tests)
• Testing of adrenal gland function (stimulation and suppression tests)
• Diagnostic testing for hyperinsulinemia (fasting test)
• Sonography of endocrine organs (thyroid, parathyroid, pancreas, adrenal gland)
• Endosonography of pancreas and adrenal glands