Badania i zabiegi

SCREENING PROGRAM

Colorectal cancer is one of the most common malignant neoplasms. Central Europe, including Poland, belongs to the region with moderate incidence. In our country, in 1996, the incidence rate was 28.8 per 100,000 for men and 25.4 per 100,000 for women. In terms of incidence and deaths, colorectal cancer ranks second among malignant neoplasms in Poland. You don't have to die of colon cancer !!! Almost all cancers develop on the basis of a defined and well-established precancerous condition of polyps (adenomas - benign tumors of the intestine), which eventually undergo malignant transformation after several years of slow growth in cancer. Polyps can be easily removed endoscopically before they develop into cancer. The time that elapses from the appearance of a small adenoma to its transformation into cancer is long (approximately 10 years), which creates a unique chance for detection and effective therapeutic intervention. Full colonoscopy with polyp removal reduces the incidence of colon cancer by 76-90%. The program is financed by the Ministry of Health, it has a statutory authorization - it is part of the NATIONAL PROGRAM FOR COMBATING CANCER DISEASES. The patient does not pay for the performed colonoscopy, histopathological examination of the removed polyps or sections. The Ministry of Health also reimburses anesthesia in 50% of patients examined in the program. After the limit of free anesthesia has been exhausted, it is possible to perform the test under anesthesia, for which the patient pays. Some of you receive a letter invitation to be examined under the program. In addition, it is possible to perform the test on people who meet the following criteria:

all people aged 50-65 without symptoms of colorectal cancer
people aged 40-65 without symptoms of colorectal cancer, who had at least one first-degree relative (parents , siblings, children) suffering from colorectal cancer.

Gastroscopy

Gastroscopy is an endoscopic examination of the upper gastrointestinal tract, ie the esophagus, stomach and duodenum. It allows for accurate diagnostics as well as therapeutic action including, among others, removing a foreign body, polyps or stopping bleeding. The examination is safe, painless and short. Diagnostics is performed using a gastroscope, i.e. a flexible probe equipped with a vision track. This allows the doctor to accurately assess the image displayed on the monitor. This enables the direct assessment of the mucosa, taking specimens for histopathological examinations and for assessing the presence of Helicobacter pylori , the so-called urease test.

Indications

Diagnostic gastroscopy is recommended for:

abdominal pain, belching, flatulence, heartburn and so-called dyspeptic symptoms,
suspected gastric or duodenal ulcer,
suspected cancer,
swallowing difficulties,
weight loss, anemia,
suspected or presence of gastrointestinal bleeding,
suspected drug-induced damage to the mucosa of the upper gastrointestinal tract in long-term patients using non-steroidal anti-inflammatory drugs,
and as a prophylactic examination in patients with an increased risk of cancer development (people with long-term gastroesophageal reflux disease, with Barrett's esophagus, with pernicious anemia in the course of atrophic gastritis, after gastric resection).

Preparation for gastroscopy

On the day of the examination, for at least 6 hours until the examination is performed, please refrain from consuming any meals and drinking fluids. The patient must be fasting.
People with diseases that require constant, regular medication (e.g. hypertension, heart disease, epilepsy, etc.) on the day of the examination should take the morning dose of the drug with a little water.
People suffering from diabetes should consult a doctor on how to prepare for the test and inform about diabetes on the registration of our center.
People taking medications that reduce blood clotting (e.g. acenocoumarol, sintrom, ticlide, plavix or aspirin, acard, acesan and others) should inform the doctor performing the test.
Pregnant women and breastfeeding mothers should consult a doctor on how to prepare for the test.

The urease test is a painless and safe removal of a fragment of the gastric mucosa (the so-called biopsy) during gastroscopy. A biopsy can detect the presence of Helicobacter pylori . The test result is known from 15 minutes to 24 hours after the test. Diagnostics for Helicobacter pylori is not necessary during gastroscopy in every patient. Although infection is common, there are only a few well-defined indications for seeking and, more importantly, treating Helicobacter pylori infection. This decision should be made by a physician each time. It is a mistake to implement antibacterial treatment only on the basis of the so-called serological test. It should also be remembered that although the urease test is an excellent method for assessing the effectiveness of antibacterial treatment, it should not be performed within 4 weeks of completing antibiotic treatment.

Gastroenterology

Gastroenterology, gastrology is a branch of medicine dealing with the function and diseases of the digestive system, in particular the esophagus, stomach, duodenum, small and large intestines and pancreas. A related field is hepatology, which deals with diseases of the liver, bladder and bile ducts. Inflammatory, infectious, neoplastic and functional diseases are of interest to gastrology and hepatology. Classic examples are gastro-oesophageal reflux disease, Helicobacter pylori peptic ulcer disease, bile duct stones, fatty liver, liver inflammation and cirrhosis, tumors of the esophagus, stomach and intestines (especially colon), and bowel syndrome irritable.

Colonoscopy

Colonoscopy is an endoscopic examination of the large intestine. It is the best examination of the large intestine available, allowing for the direct and most accurate assessment of the large intestine, removal of polyps and sampling for histopathology. The examination is performed using a colonoscope, i.e. a flexible probe 130-160 cm long, equipped with a vision track. During the examination, the image of the inside of the intestine is displayed on the monitor and assessed by the doctor. During the examination, it is also possible to take a biopsy and to take therapeutic measures, e.g. polypectomy or stopping bleeding. Colonoscopy requires preparation (cleaning) of the large intestine prior to the examination.

Proctology

Proctology is a field of surgery covering the diagnosis and treatment of diseases of the colon and rectum. In the proctology clinic we treat, among others:

haemorrhoids - hemorrhoids, incl. using hemorrhoids banding,
anal canal fissures or fistulas,
solitary rectal ulcer,
defecation disorders.

Banding hemorrhoids (rubberizing the hemorrhoids) is a procedure performed by a specialist physician, which consists in putting on elastic bands to close the varicose veins. Treatment is slightly onerous for the patient.

Dietetics

Dietetics is a branch of medicine dealing with the proper nutrition of adults and children and is often an important element in the treatment of many diseases. Among the diseases of the so-called diet-dependent people can be mentioned, among others:

digestive system,
liver,
pancreas,
urinary system,
metabolic eg diabetes,
cardiovascular system (hypertension, atherosclerosis, ischemic heart disease),
allergies in adults and children (celiac disease).

Sigmoidoscopy

Simoidoscopy is an endoscopic examination of the end of the large intestine - rectum, sigmoid colon and descending colon. The examination, like the colonoscopy, is diagnostic or therapeutic. It is based on the assessment of the mucosa and enables the removal of polyps or stopping bleeding.

USG

Ultrasound (USG) is an examination that uses ultrasound waves. The use of ultrasound waves in diagnostics is safe and they do not have any harmful effects, even in the case of repeated tests. For this reason, ultrasound examination is called non-invasive and can be performed even in young children and pregnant women. Ultrasonography has been used in all medical specialties. In gastroenterology, it is the primary examination of abdominal organs such as the liver, gallbladder and bile ducts, pancreas and spleen. Using ultrasound, it can be determined whether there are focal lesions (tumors) in the abdominal organs, liver cirrhosis, inflammatory changes in the pancreas or gallbladder stones. In specialized gastroenterological centers, ultrasound is also used to assess the intestines, especially in patients with Crohn's disease, ulcerative colitis and diverticulitis. In our ultrasound laboratory we perform the following tests:

abdominal
kidney
bladder
prostate (prostate)
kernels
penile
thyroid
breasts

Correct examination technique and interpretation of ultrasound images require extensive experience and specialist knowledge of the examiner. In our clinic, ultrasound examinations are performed by specialist doctors with many years of professional experience in the field of gastroenterology and ultrasonography.

Anna Skowrońska-Szcześniak

Specjalizacja: endokrynolog

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Dr n. med.

Andrzej Lewicki

Specjalizacja: urolog

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Dr n. med.

Tomasz Wocial

Specjalizacja: gastroenterolog

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Dr n. med.

Ireneusz Gierbliński

Specjalizacja: gastroenterolog

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Dr Witold Gerke

Specjalizacja: specjalista chorób wewnętrznych, radiolog

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Endocrinology

Endocrinology is a branch of medicine that deals with disorders of the functioning of the internal glands (cerebral pangs, parathyroid glands, thyroid, adrenal glands, testes and ovaries) responsible for secreting hormones. Disorders in the secretion of hormones lead, among others, to for overactive or underactive thyroid gland, menstrual disorders or infertility. In our clinic, we conduct full endocrine diagnostics of adults and children in cooperation with experienced doctors.

Genetic research

A gene is a conventional unit of inheritance that causes the occurrence of a specific feature of an organism. Genetic diseases are a heterogeneous group of diseases caused by an abnormal structure or number of genes or chromosomes. Each cell of the human body (except the egg or sperm) has a complete set of genetic information in the form of 23 chromosomes inherited from the mother and 23 chromosomes inherited from the father. The chromosome is a double-stranded DNA molecule. Genetic testing is the analysis of a person's genetic material, that is, DNA. DNA is a chemical compound found in chromosomes, on which individual, unique information concerning, among other things, the appearance and disease predisposition of each person is "written". Genetic diseases are congenital, and accompanying abnormalities are often detectable early in life, in fetal life, or shortly after birth. Not all genetic diseases are inherited. Some are caused by a new mutation that took place in the egg or sperm cell before fertilization, much less often in one of the cells of a human embryo at a very early stage of its development. Not all genetic diseases are accompanied by ailments, it often happens that we learn about a genetic disease at an adult age. By increasing the quality of medical care and patients' awareness of risk factors, we offer a modern diagnostic tool. To perform a genetic test, a sample of the patient's biological material is needed - blood or saliva. The tests are performed at the doctor's request, after receiving a referral. Before the examination, the patient also fills in a document entitled "Informed consent to the collection of biological material." Reading takes a maximum of 25 business days from downloading the material. To obtain the result, you must visit the doctor who ordered the test.

Children's endocrinology

Laboratory tests

Also known as: laboratory diagnostics, medical analytics, laboratory medicine is a discipline of medicine whose task is to determine the composition and biological and physicochemical parameters of blood or other materials taken from the patient. They are used for prophylactic purposes, diagnosis or treatment monitoring. Laboratory tests are carried out using the techniques of:

microscopic
biochemical
immune
bacteriological
instrumental analysis

Surgery and Oncology

Surgery of the gastrointestinal tract is a branch of medicine that deals with the surgical treatment of diseases of the digestive system (including those with neoplastic origin). In the case of severe or complicated diseases, gastrologists in our clinic cooperate with surgeons. The development of endoscopy accelerated the penetration of these two fields - gastrology and surgery. Specialists in both fields use surgical endoscopy. In turn, the improvement of endoscopic procedures sometimes allows to avoid surgery. Classic examples of surgical intervention in gastrointestinal neoplasms are: cancer of the esophagus, stomach, pancreas, bladder and bile ducts, and large intestine. In non-neoplastic diseases, surgical intervention is necessary, among others, in complicated or non-pharmacologically treatable peptic ulcer disease, gallbladder stones and complications of inflammatory bowel diseases (stenosis, toxic distension or perforation).

Clinical oncology

Clinical oncology is a branch of medicine dealing with the prevention, diagnosis and treatment of neoplastic diseases. In our clinic, clinical oncologists offer consultations on optimal diagnostics, planned surgical and adjuvant treatment, e.g. chemotherapy or radiotherapy. We mainly deal with cancers of the gastrointestinal tract - esophagus, stomach, colon and rectum, pancreas, bile ducts and liver.

Cardiology

Cardiology is a field dealing with the diagnosis and treatment of cardiovascular diseases, such as arterial hypertension, atherosclerosis or coronary artery disease.

Cardiac diagnostics

EKG - Echocardiography allows the assessment of heart function. It consists in connecting the electrodes to the chest and reading the voltage difference (potential) between them. The ECG record is obtained in the form of an electrographic curve on graph paper or on a monitor screen. The test result allows for the diagnosis of ischemic heart disease.