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Gastroenterology Clinic Josefinum

Gastroenterology Clinic Josefinum
PRIVATE

Schönfeldstraße 16,
80539 München

In 1893, the Josefinum Clinic was founded by the Jochner family in the center of Munich. Klinikum Josefinum is a non-state medical center. It cooperates with independent specialists working in various fields of medicine and various clinics in Munich.

About the clinic

The clinic has 68 wards equipped with the latest medical and technical technology. The clinic can accommodate 122 patients at a time. The clinic has an outpatient and inpatient department. The attending physician, together with the head of the department, conducts daily rounds to address any problems that arise and to monitor the effectiveness of the treatment.

A special pride of the clinic is the specialized gastroenterology clinic, which has grown to the size of a separate center. About 5000 patients pass through the center every year. The treatment of each patient in this center is approached individually and comprehensively. After examination and obtaining the results of tests, the doctor makes a diagnosis and prescribes the necessary treatment, which specialists monitor throughout the period of observation. The gastroenterology center provides outpatient care and, if necessary, allocates a place in the main building of the clinic.

The Josephinum Gastroenterology Center is staffed by top-notch physicians.

Christoph Voelker. He received his medical education in Munich and Würzburg. As a general practitioner and gastroenterologist, he worked and studied at the Schwabing Clinic. During his training he gained extensive experience in endoscopic examinations and sonography. He has considerable experience in working with oncology patients and has also worked in the infectious disease department and intensive care unit. His scientific and practical interests lie in the application of diagnostic and interventional gastroenterology and sonography. Dr. Christoph Felker works with cancer patients and patients suffering from chronic inflammatory bowel diseases.

Andrew Alcock. Dr. Alcock received his basic medical education at the University of Munich. During his training he trained in clinics in England, Australia and the USA. Dr. Alcock received his primary specialization as a general practitioner at Rinecker, Traunstein and Mannheim clinics, which are among the top-ranked clinics in Germany. During the period of training and work he managed to gain experience in gastroenterology, performing various diagnostic and therapeutic interventional endoscopic techniques. Since 2000, he opened his private practice, performing endoscopic and sonographic methods of examination and treatment in patients with diseases of the hepato-biliary zone.

Iris Hesse. Iris Hesse is a physician who also gained knowledge not only in Munich, but also abroad in Johannesburg (South Africa). She gained her clinical, scientific and administrative experience at the Traunstein Clinic in Bavaria. Her main areas of expertise are interventional and diagnostic gastroenterology in patients with chronic inflammatory bowel disease and contrast-enhanced sonography. Dr. Hesse is also involved in dietetics and combines her clinical work with the management of a gastroenterology center.

Pete M. Wallisch. Dr. Wallisch has extensive experience, having completed his medical degree at the University of Munich. At the same time, Dr. Wallisch has had numerous internships all over the world: England (Eastbourne), USA (Torrance, California, Los Angeles), Switzerland (Lucerne) and South Africa (Groote Schuur, Cape Town). He has additional specialization as an emergency physician and has worked in air rescue. He worked for a long time at the Traunstein Clinic as a gastroenterologist. For a short period of time he was the head physician of the clinic. He is an active member of many gastroenterology societies: the European Association of Gastroenterology and Hepatology, the German Association of General Practitioners, Gastroenterologists and the German Society for Endoscopy and Medical Imaging. He has also spoken at various congresses on endoscopic examination methods and participated as a referee in sonography and gastroscopy courses. His main area of practical interest is therapeutic and diagnostic endoscopy, ultrasound and sonography. His patient population includes patients with ulcerative colitis, Crohn’s disease, pancreatic and biliary diseases.

Martin Huber. He received his medical education at the University of Munich. He studied gastroenterology at clinics in Munich and Berlin. He worked for a long time as head of the Gastroenterology Endoscopy Center at the Schwabing Clinic. Until 2015 he was head of the gastroenterology clinic Jozenfinum. His main clinical interests lie in the field of endoscopic diagnosis, endoscopic interventional therapy in patients with chronic inflammatory bowel disease.

СlinicsGastroenterological

  • Phone+49 176 722 37 999
  • Email address[email protected]
  • AddressSchönfeldstraße 16,
    80539 München

Additionally

In addition to professional doctors, the Jozenfinum Clinic has a highly professional team that has undergone periodic training in working with gastroenterology patients, which allows us to raise the quality level of treatment of such patients even higher. The staff of the department undergoes special courses, at the end of which there is an examination of knowledge and skills.

The clinic covers practically all possible procedures in the field of diagnostic and therapeutic gastroenterology and therapy. If there is a question of inpatient treatment, the patient is allocated a place in one of the departments of the Josefinum Clinic.

The Josefinum Gastroenterology Clinic treats and diagnoses patients with diseases of the gastrointestinal tract, liver, gallbladder and pancreas. The Gastroenterology Center functions in cooperation with the main hospital of the clinic, as well as with specialists in surgery, oncology and radiology. This significantly expands the capabilities of the center.

Gastroscopy is by far the most common method of diagnosing diseases of the esophagus, stomach and duodenum. The examination in the clinic can be performed under local anesthesia or intravenous sedation, depending on the indications and preferences of the patient. During the study, a thin endoscope with a tiny camera at the end of the probe is inserted into the esophagus. If the doctor detects any growths and formations during the procedures, he will use special instruments to take a piece of the formation for further histologic and morphologic examination. In addition, small formations, which the doctor determines as polyps, he will also remove during the procedure with a special loop. With the help of gastroscopy it is possible to stop various bleeding from the upper GI tract. Esophageal narrowings are dilated endoscopically with placement of a stent if necessary. To reduce side effects after gastroscopy, such as bloating, the examination is performed using CO2.

Colonoscopy is also a common diagnostic method for various pathologies of the lower gastrointestinal tract. Before the study, the intestine is cleansed. The clinic uses various laxative solutions for this. With the help of colonoscopy, it is possible to examine the beginning of the large intestine to the end of the small intestine (terminal ileum). During the study, if necessary, a biopsy of various formations is also performed. The study is performed under intravenous sedation. In this case, a drug with a sedative and anesthetic effect is injected intravenously, which makes the procedure painless.

The use of CO2 instead of conventional air in gastro- and colonoscopy is due to its chemical structure and properties. CO2 is rapidly absorbed from the intestinal lumen, which completely prevents abdominal pain due to bloating.

Rectoproctoscopy. In case of pain in the anus area, blood in the stool, itching, rectoproctoscopy — visualization of the rectum — is performed. With the help of a flexible or inflexible instrument, the rectum and anal colon are examined to exclude or evaluate the progress of treatment of various hemorrhoidal nodes, fissures and other diseases. The examination is performed under local anesthesia and takes a few minutes.

Liver elastometry. In various chronic liver diseases, it is necessary to know the degree of liver damage and determine the risk of liver cirrhosis. In order not to perform invasive and rather risky methods of research, liver biopsy, our clinic has introduced a method of assessing the elasticity of liver tissue using ultrasound. The center uses Acoustic Radiation Force Impulse (ARFI) technology. It allows us to detect various changes in the liver tissue with great accuracy.

Ultrasound examination. To diagnose various pathologies of the gastrointestinal tract, first of all, ultrasound examination is carried out. The examination takes about 10-15 minutes, but gives a lot of information about the state of internal organs.

The method allows visualization of blood flow in organs, and when contrast agents are used, it leads to even clearer definition of various pathologies of abdominal cavity organs. The introduction of contrast allows differentiating malignant processes from benign ones. This method to date remains specialist-dependent, so it is carried out in the gastroenterology center only by doctors with extensive experience in this area.

Endoscopic retrograde cholangiopancreatography allows to detect the cause of obstruction of the bile duct exit to the intestine, as well as the pancreatic duct. In a large number of cases, stones, strictures (constrictions) due to benign or malignant processes are detected in the presence of clinical picture. Endoscopic method allows you to introduce contrast immediately into the bile duct or pancreas, after which an X-ray study is performed. When obtaining an image, the doctor determines the cause of the obstruction or blockage. If stones are detected with a small basket, they are removed during the main procedure. If, according to the radiological study, narrowing is detected, the doctor inserts a stent into the duct, which expands it and prevents it from collapsing.
Данное исследование проводится в условиях внутривенной анестезии и требует небольшого периода пребывания в стационаре.

Puncture. If various masses are detected in the liver, pancreas or lymph nodes, a tissue sample is taken for further laboratory examination. If the formation has a fluid content, it must be drained, so under anesthesia, a thin needle with a syringe is inserted into the area of the formation under ultrasound control. When puncturing the mass, the contents of the mass are drawn into the syringe and also sent for histologic examination.

Breath test. To date, this method of research allows you to diagnose the presence of the causative agent of gastrointestinal ulcers Helicobacter pylori, as well as to assess the treatment. In addition, to diagnose various functional disorders of the gastrointestinal tract is carried out breath test H2.It assesses the concentration of H2 in exhaled air.

Capsule endoscopy. A patient may refuse a gastro or colonoscopy, in which case they are offered capsule endoscopy. The patient swallows a small video capsule of about 25 mm, which passes through all parts of the gastrointestinal tract, taking pictures in a continuous mode. The doctor then reviews the video and gives his or her opinion.

Complete examination. If necessary, the clinic conducts a complete medical examination of the entire body. ECG, various functional tests to diagnose lung diseases, ultrasound of abdominal organs, prostate, thyroid gland, heart. If necessary, CT, MRI, X-rays are performed. After receiving the results of the examination, tests and studies, the doctor forms a conclusion and gives recommendations.

The availability of experienced anesthesiologists on the staff of the clinic allows to carry out sedation of patients at a high level. During intravenous administration of the drug, the patient falls asleep and stops perceiving pain sensations. During sedation and the entire procedure, the patient’s vital signs are monitored by the physician. During the entire period of anesthesia, oxygen is administered through the nose to improve blood oxygenation. Before it is administered, the anesthesiologist will assess the various risks of anesthesia and talk about the methods that can be used keeping them in mind. In case any complications develop during the procedure, the anesthesiologist has in his arsenal all the means to manage any emergency situation. All anesthesiologists of the clinic have experience as resuscitators and continuously improve their qualifications by taking part in courses, conferences and other therapeutic activities.

The clinic has its own laboratory at its disposal, which makes it possible to obtain the results of tests in a short time. The laboratory also includes a blood bank, which makes it possible to treat complicated cases and perform operations.

The pathology department performs histological and morphological studies of any level of complexity. The results are received by the attending physician, who can adjust the treatment in time.

In malignant neoplasms, it is important to start radiation therapy earlier. In some cases, it is combined with chemotherapy. The Center for Gastroenterology and Josefinum Clinic actively cooperates with the Department of Radiation Therapy at the Schwabing Clinic.

The clinic allows for emergency gastroenterology care 24 hours a day.

The clinic undergoes annual certification.

The center is audited annually by independent experts.

Endoscopic examinations require careful control of the cleanliness of instruments and endoscopes. The clinic thoroughly disinfects and sterilizes all instruments using special automatic washing machines.

The Jozenfinum Gastroenterology Center meets all modern requirements and helps to solve any problems with the gastrointestinal tract.

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