INTERNAL MEDICINE


cardiology
Stomach and intestine disease
liver disease
lung disease
kidney disease
obesity surgery


CARDIOLOGY

Cardiovascular diseases were among the most common human diseases. These are also the leading cause of death. If cardiac and circulatory diseases remain untreated for a long time, there is a risk that the heart muscle will be damaged or that you may suffer a sudden cardiac death.

Common cardiovascular diseases

Heart failure: The required pumping power for the blood supply can not be provided because the heart is too weak
Hypertension (hypertension): when the blood pressure value in rest several times more than 140/90 mmHg
Cardiomyopathy: The heart muscle is thickened and / or the heart cavities are dilated
Cardiac arrhythmia: The heart beats due to a disruption in impulse formation
Coronary heart disease (CHD): The heart vessels, which serve the blood circulation of the heart muscle, are constricted
Heart muscle inflammation: usually the result of a viral infection such as of the Pfeiffer's glandular fever
Heart valve diseases: The heart valve is narrowed or does not close properly, so the normal blood flow in the heart muscle is disturbed
Peripheral arterial disease: an irregular supply of blood from the arms and legs because the arteries are narrowed

treatment

bypass surgery
Heart valve surgery
Combined bypass and valve operations
Pacemaker Surgery
vascular surgery
Multiple valve replacement
minimally invasive procedures
Surgery without a heart-lung machine
heart transplants
Correction of congenital heart defects at any age
Heart surgery in premature babies, newborns and children
Interventional intraluminal stent placement in the descending main artery
rhythm surgery
Surgery for cardiac tumors

STOMACH AND INTESTINE DISEASE

The digestive organs include the pharynx, stomach, small intestine, rectum, pancreas, bile and liver.
Each of these organs has a function which is important for the decomposition of food. Any failure of these organs affects our functioning and health.
Such diseases are never pleasant. Most often, symptoms such as bloating, loss of appetite, constipation and diarrhea occur. Often, these disorders are accompanied by intense cramps, here a strict diet is necessary, sometimes even a surgical procedure.

Common stomach and intestine disease

Intestinal diseases such as celiac disease
ulcer diseases
Cancers of the gastrointestinal tract
Liver diseases such as cirrhosis and hepatitis
inflammatory bowel diseases such as Crohn's disease and ulcerative colitis
Biliary diseases
dysfunction

treatments

manometry
Barostat measurement in the spectrum
Anorectal endosonography
defecography
Long-term acid measurement
Provocation test in the esophagus
H2 breath test
Transit time measurement in the colon
liver transplantation

LIVER DISEASE

The human liver has many vital tasks, e.g. Dietary ingredients such as sugars and fats. Pollutants such as alcohol and drugs are broken down in the liver.
Common causes of liver disease include obesity, overeating, alcohol and medications or even hepatitis viruses.
When the liver values change, this usually indicates a disease such as viral infections, liver cirrhosis or fatty liver inflammation. If the cause is resolved quickly and effectively, the liver can recover well.

diseases

  • Fatty liver
  • Fatty infections
  • Cirrhosis of the liver (shrink care)
  • Viral infection by hepatitis viruses

LUNG DISEASE

disease

Lung disease is a disease of the bronchi (respiratory tract), alveoli (pulmonary vesicles), pleura (pulmonary fur) and blood vessels of the lungs.
Worldwide, lung disease is the second leading cause of death.

diseases

  • Lung cancer
  • Lung hypertension
  • Pulmonary fibrosis (connective tissue multiplication between pulmonary vesomes and blood vessels)
  • Chronic obstuctive respiratory disease mit/without pulmonary emphysema
  • Pneumonia (pneumonia)
  • Bronchial asthma
  • Pulmonary embolism (blockage of a blood vessel in the lungs)

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KIDNEY DISEASE

Usually creeping come kidney disease, which can be significantly delayed by a diet or other lifestyle. 
In the case of kidney failure, permanent dialysis may be necessary. A kidney transplant, for which a suitable donor has to be found first, is an alternative to dialysis.
Two tests are carried out for early detection of kidney disease. 

  1.  Albumin Measurement (urine test)
  2. Creatine measurement (blood test)

OBESITY CHIRURGIE

All surgical measures to combat obesity are covered by obesity surgery. 
In most cases, many procedures are performed only on the gastric tract, in individual cases the procedures can additionally extend to the intestinal tract.

Diseases

  • Morbid obesity (disease overweight
  • Fatty addiction (excessive multiplication or formation of adipose tissue, disease obesity)
  • Type II diabetes (insulin resistance of body cells)
  • Metabolic syndrome (precursor or concomitant syndrome of type II diabetes)


Finding obesity

Obesity is categorized internationally with the Body Mass Index

BMI under 18.5 = underweight
BMI 18.5-24.9 = normal weight
BMI 25.0-29.9 = overweight
BMI 30.0-34.9 = Obesity 1
BMI 35.0-39.9 = Obesity 2
BMI over 40.0 = Obesity 3

The use of obesity surgery is tested from a degree of obesity.

Aim of obesity surgery

The goal of strong weight loss can be done by 2 basic principles

  1. The reduction of the stomach, so little food can be ingested
  2.  The shortening of the intestinal tract, so less nutrients and calories are supplied to the body.

Treatments

1. Hose stomach

The hose stomach is completely removed except for a hose shaped residual stomach. The production site of the hormone ghrelin is removed. The patient has fewer hot hunger attacks as a result of this procedure and the feeling of satiety occurs faster.

2. Adjustable gastric band

A silicone band is placed around the stomach, separating the stomach into a small upper part and the residual stomach. Thus, when eating, the food first enters the upper stomach and then slowly into the lower stomach. Thus, after just a few bites, a feeling of satiety occurs. The advantage of a gastric band is that you can remove it completely again.

3. Roux-Y-gastric bypass
The intestines and stomach are changed surgically. The stomach is tied off in the upper part. The upper stomach is quickly filled and the patient has such a quick feeling of satiety. The food then does not enter the duodenum as usual, but immediately into the small intestine. In the middle small intestine, food and digestive juices mix. Due to the brevity of the small intestine, fewer calories are absorbed. Most of the food is excreted unprocessed by the body. In a gastric bypass, the duodenum and residual stomach are not removed but remain connected to the small intestine in order to pass digestive juices from bile and pancreas. Through this method, a patient can reduce up to about 75% of his body weight, for this reason the gastric bypass is performed only in severely overweight persons. 
One drawback of the gastric bypass is poor nutrient utilization, so patients must consume vitamin and nutrient preperates for life