Methodes of Examination
- Gastroscopy: endoscopic examination of oesophagus, stomach and duodenum, diagnostic biopsy and minor operations.
- Coloscopy: endoscopic examination of the colon, biopsy in case of mucosal pecularities, and removal of polyps.
- Preventive coloscopy: Even for patients without any symptoms or problems, it may be recommendable to undergo a coloscopy in order to find and remove polyps early enough to prevent the development of intestinal cancer.
- Proctoscopy: examination of the rectum in order to treat haemorrhoids, fissures and perianal thrombosis.
- Gastric balloons for weight reduction
- With the help of ultrasonic examinations of the abdominal cavity, we are able to assess the state of parenchymatous organs like liver, spleen, pancreas and kidneys as well as bile ducts and gallbladder.
- Ultrasound has become highly valuable especially in the examination of the large and small intestines. Since it is easy to diagnose inflammatory changes of the colon through sonography, the patient can often be spared endoscopic examinations of the large intestine and radiologic examinations of the small intestine.
- The size of the thyroid gland and the development of nodes in this organ can be determined by an ultrasonic examination..
Liver biopsy controlled by sonography
- In order to clarify abnormally high liver parameters or to diagnose the state of the liver before the start of a therapy, a sonographically controlled biopsy of the liver may be necessary.
Ultrasound Doppler technique and Duplex sonography
- Modern ultrasound technology like Doppler technique and duplex sonography help to examine the blood vessels in throat, abdomen and legs. We can diagnose or exclude thromboses, measure stenoses and infer the blood-supply of an organ.
- Echocardiography is a special type of ultrasound technology. Through the combination of different ultrasound methods, we are able to diagnose structure and function of the heart. Here the analysis of the cardiac valves is of outstanding importance.
- The drawing-up of an electrocardiogram is an easy and quickly completed examination, but it provides us with very important information on the cardiac action and the blood-supply of the myocardium.
- During an exercise ECG with the help of a bicycle ergometer, we strain the heart in order to discover and treat a stenosis of the coronary vessels early enough to prevent a heart attack.
- In order to diagnose cardiac irregularities, we need to register the cardiac activity without any interruptions over a considerable period of time, since the irregularities normally do not happen exactly at the moment when the patient visits his doctor.
Long-term measuring of the blood pressure
- When we measure a patient's blood pressure over a period of 24 hours, we are able to analyse high blood pressure (arterial hypertension) much more profoundly. We can decide more individually if a therapy is necessary and successful.
Lung function test
- Ventilation, perfusion and diffusion disorders of the lung are diagnosed with the help of spirometry and the analysis of blood gases.
Blood gas analysis
- In the case of severe pulmonary diseases or metabolic disturbances, the extent of the disturbance can only be determined through a complete analysis of the blood gases and pH values.
H2 breath test
- By determining H2 in the respiratory air after exposure to various sugars, we can diagnose lactose intolerance, fructose intolerance or an abnormal bacterial colonisation. The examination is done on an empty stomach and takes 1-3 hours depending on the type of sugar.