Mon, 10/24/2016

Colon Centre: Treat Colon Cancer Interdisciplinary

If there is suspicion of a colon disease more detailed examinations are necessary in order to come to the correct diagnosis. The Intestinal Centre at Waldkrankenhaus Hospital Spandau, which is part of the hospital network of PGD International in Berlin, is a partner of the regular colleagues in the medical practices. To amend their public services the Intestinal Centre offers the entire range of advanced diagnostics and therapy.

This includes measures against chronic inflammatory diseases, the area of proctology, functional pelvic surgery and as a special treatment – the treatment of colorectal cancer, which are all treated with proven competence.

Diagnosis and therapy of all gastrointestinal disorders

Dr. med. Ulrich Wahnschaffe is a specialist in internal medicine and gastroenterology. In the intestinal centre of Waldkrankenhaus Hospital Spandau, he diagnoses and treats all disorders of the gastrointestinal tract. In addition, diseases of the liver, gall bladder and pancreas are also treated, since these are frequently associated with colorectal cancer.

Endoscopic diagnostics include the standard tests of gastroscopy and colonoscopy as well as the mirroring of the bile ducts or the internal ultrasound (endosonography) of the pancreas.

Endosonography as a key instrument of gastroenterological oncology

In the field of gastroenterological oncology, endoscopic ultrasound is an important procedure which can detect the smallest and earliest changes in the bile ducts, the pancreas or the lymph nodes in the abdomen. This examination, which is offered by only a few gastroenterologists, is offered at Waldkrankenhaus by specially experienced physicians. Due to an ultrasound image generated in the body, not only tumours can be detected in the abdomen. With the means of endosonography it is also possible to remove tissue samples with a pain-free, low-complication punctuation. These samples can be used to identify diseases – the therapy can be planned more easily.

Colorectal cancer viewed holistic

The treatment of colorectal cancer is the central focus of every intestinal centre. The number of deaths among affected patients has been declining for years due to the constantly improving preventive and therapeutic options. However, colorectal cancer is one of the most common cancers worlwide. In the treatment of colorectal cancer patients at Waldkrankenhaus not only the actual tumour is considered. The view in the oncologic centre of Waldkrankenhaus Hospital Spandau (which is certified by the German Cancer Society) goes far beyond this. In cooperation with other specialised departments, bone, spinal, liver, lung and abdominal metastases are diagnosed and treated in addition to the primary tumour in the intestine.

The complexity of the cancer disease of each individual patient is discussed by surgeons, oncologists, gastroenterologists, radiation therapists and radiologists interdisciplinary in the tumour conference. In this way, the individual therapy is designed with particularly broad expertise. In addition to the medical and nursing treatment of the patient, psychooncologists and pastoralists accompany the course.

Surgical techniques and experience improve the prognosis of patients

In addition to comprehensive diagnostics and preparation, the expertise and experience of the operating surgeon is an important factor for the long-term good prognosis of a colorectal cancer patient. With Prof. Rudolf Ott, the leading surgeon of the intestinal centre and specialist for special visceral and thoracic surgery, this factor is made sure at Waldkrankenhaus. Prof. Ott received his training at the Surgical University Clinic of Erlangen, one of the most renowned hospitals in the field of colorectal surgery.

All modern surgical procedures for the treatment of intestinal and rectal cancer are used with great expertise at the Department of Surgery at Waldkrankenhaus Hospital Spandau. One of these surgically complicated methods is, for example, the "complete mesocolic excision", which is an en-bloc resection of the tumour with the associated lymph drainage channels in an undisturbed mesocolon. This method can reduce the mortality rate associated with colorectal cancer by about ten percent.

Prof. Ott also has extensive experience in the field of colorectal cancer treatment in other areas. For example, he acts as an auditor in the certification of other hospitals to an intestinal centre or draws up reports on behalf of the German Cancer Society.

Keeping organs near the bowels functioning

The area of functional pelvic surgery is also part of the treatment spectrum of the intestinal centre. Especially in advanced tumours of the rectum, when almost the complete pelvic floor in the small pelvis must be removed as a result of tumour resection. In those cases organs such as the vagina or the rectum can be reconstructed. The special focus is on the greatest possible preservation of the functional capacity of these organs. Apart from the visceral surgeon, other operating specialists such as the gynaecologist, the urologist and the plastic surgeon are often included in these demanding operations.

The performance spectrum of the Intestinal Centre includes:

  • Treatment of large-, end- and small-bowel cancer as well as metastases
  • Imaging procedures (abdominal ultrasound, computed tomography, MRI)
  • Endoscopic procedures (gastroscopy, colonoscopy, rectoscopy, endoscopy)
  • Haematological laboratory
  • Outpatient operative diagnostics (abdominal reflection, organ punctures)
  • Minimally invasive surgical techniques
  • Chemo-, hormonal and radiation therapy
  • Pain therapy
  • Plastic-reconstructive surgical procedures
  • Supply by oncologic specialists
  • Psychosocial and psycho-oncologic care, self-help groups
  • Physical therapy
  • Interdisciplinary tumour conferences
  • Tumour documentation
  • Participation in clinical trials

The Intestinal Centre is headed by Professor Dr. med. Rudolf Ott, Chief Physician of the Department of General, Vascular and Visceral Surgery (in the picture on the right), and Priv.-Doz. Dr. med. Habil. Ulrich Wahnschaffe, Chief Physician of the Clinic for Internal Medicine I (left).