Erebouni Medical Center
Medical Journal Erebouni

Department of Gastroenterology and Hepatology

General characteristics

The Department of Gastroenterology and Hepatology of Erebouni Medical Centre implements the diagnostics and the treatment of digestive system and liver diseases.

 

 

Esophageal diseases

  • Gastroesophageal reflux disease
  • Esophagitis Differential
  • Barrett's esophagus
  • Cardiospasm
  • Esophagospasm

Stomach diseases

  • Acute and chronic gastritis
  • Ulcer diseases
  • Gastric and duodenal ulcers

Inflammatory bowel diseases

  • Nonspecific ulcerative colitis
  • Crohn's disease
  • Small intestine diseases- enteritis, Whipple disease

Liver diseases

  • Hepatitis – viral, alcoholic, non-alcoholic or fatty liver, autoimmune and drug induced
  • Cirrhosis differential

Pancreatitis

  • Chronic pancreatitis
  • Autoimmune pancreatitis
  • Bile Duct Diseases – chronic cholecystitis, cholangitis, etc.

The fact, that digestive system and liver diseases often become chronic, deserves special attention, as well as contribute to the emergence of allergic reactions, many skin diseases, joints, endocrine system and the occurrence of food intolerance. This can have a significant impact on quality of life, reducing the working capacities up to causing depression, leading to the occurrence of cholelithiasis and urolithiasis, diabetes and other diseases.

 

Therefore, it is necessary and important timely begin treatment of patients by specialists. The earlier treatment is started, the more effective it is that makes it possible to avoid the recurrence of the disease in the future.

 


Indications for patients to apply to specialized consultation and treatment of gastroenterologist are:

 

  • Heartburn, nausea, vomiting, bitter taste and dryness in the mouth
  • Presence of abdominal pains
  • Appetite loss
  • Weight loss
  • Intestinal disorders (diarrhea, constipation, bloating, sense of discomfort in the lower parts of abdomen, pain and anal itching)
  • Noticeable changes in color of skin and mucous membranes, yellowness


During inpatient treatment of gastroenterological diseases the diet therapy and drug therapy in specific disorders are used. On the basis of the individual characteristics of the human body and the results of all diagnostics tests an individual treatment schedule is developed for each patient in which the daily routine, lifestyle and dietary patterns are taken into consideration.

In its diagnostic and treatment activities the department of gastroenterology is working closely with specialists from other specialized departments of MC Erebouni:   endoscopy, general and abdominal surgery, endocrinology, minimally invasive surgery, and others. In case, if during diagnostic examination of the patients are revealed the situation or disease which requires surgical correction and treatment (e.g. cholelithiasis or a peptic ulcer), patients are transferred to the appropriate department, where they undergo highly qualified surgical treatment, such as open or minimally invasive or laparoscopic surgery.

 

 

 

 

 

 

 

Equipping

Alongside with diagnostic facilities of diagnostic clinic of MC Erebouni the department additionaly use some clinical tests, which give the opportunity to identify rare and difficult diagnosed syndromes and diseases, and those diseases of the gastrointestinal tract, which are due to constant migration.

 

 In the department of gastroenterology of MC Erebouni is widely used high-tech examination methods, including:

  • clinical and laboratory
  • X-ray,
  • endoscopic,
  • ultrasound (US)
  • computed tomography (CT).
 
The department provides additional services:

  • Definition HP (microbe Helicobacter pilori) in biopsies during endoscopic examination of the stomach and the blood by ELISA.
  • Percutaneous liver biopsy to address the diagnosis and treatment of liver diseases (hepatitis, cirrhosis).
  • Enzyme-linked immunosorbent assay (ELIZA) for antibodies to gliadin - for early diagnosis of celiac disease.
  • ELIZA mitochondrial antibodies - diagnosis of primary biliary cirrhosis.
Main activities

Department provides treatment of patients with the following disorders of the gastrointestinal tract:

 

    Esophagus

  • I ncompetence of the cardiаc orifice
  • Reflex gastro-esophageal disease (erosive, non-erosive),
 
    Stomach, duodenum
  • Ulcer of duodenum and stomach;
  • Gastritis of various genesis;
  • Non-ulcerous functional dyspepsia

    Liver
  • Hepatitis of various genesis
  • Steatosis
  • Liver Cirrhosis

    Cholecyst and billiary ducts
  • Chronic cholecystitis
  • Biliary dyskinesia

    Pancreas
  • Chronic pancreatitis
 
    Small and large intestine and others
  • Syndrome of irritated intestine
  • Functional constipation
  • Chronic constipation
  • Dysbacteriosis,
  • Colitis, Crohn’s disease
  • Diverticular disease of colon
  • Nonspecific ulcerative colitis

The department uses the latest achievements of medicine, improved methods of diagnosis and treatment strategy including

  • Medicinal treatment
  • Diet therapy
  • Phytotherapy (herbal remedies)
  • Laser therapy
  • Physiotherapy
Staff
Ani  Kocharyan, MD Ani Kocharyan, MD Write a letter Head of Gastroenterology Department gastroenterologist PhD
Angela Grigoryan, MD Angela Grigoryan, MD Write a letter gastroenterologist
Tamara Kanayan, MD Tamara Kanayan, MD Write a letter gastroenterologist
Manvel Paskevichyan Manvel Paskevichyan Write a letter gastroenterologist
Lily Aleksanyan Lily Aleksanyan Write a letter gastroenterologist
Ani Avagyan Ani Avagyan Write a letter gastroenterologist
Price list

 

 


 

 

 

The Department of Gastroenterology and Hepatology

Price list for paid services

12.12.2018

 

              Service

Price (AMD)

 

Primary examination by the head of the department (head of service)

10,000

 

Secondary examination by the head of the department (head of service)

5,000

 

Examination and prescription by the head of the department

15,000

 

Examination and prescription by the doctor

10,000

 

Primary examination by the doctor

5,000

 

Secondary examination by the doctor

3,000

 

Cost of 1-day treatment (exams and drugs are not included)

20,000

 

Cost of 2-day treatment (exams and drugs are not included)

40,000

 

Cost of 3-day treatment (exams and drugs are not included)

60,000

 

Cost of 4-day treatment (exams and drugs are not included)

80,000

 

Cost of 5-day treatment (exams and drugs are not included)

100,000

 

Cost of 1-day treatment (drugs included, exams not included)

30,000

 

Cost of 2-day treatment (drugs included, exams not included)

60,000

 

Cost of 3-day treatment (drugs included, exams not included)

90,000

 

Cost of 4-day treatment (drugs included, exams not included)

120,000

 

Cost of 5-day treatment (drugs included, exams not included)

150,000

 

Day hospital treatment (exams and drugs are not included)

115,000

 

Inpatient treatment                                                                                                           

175,000

 

Inpatient treatment with concomitant disease               

215,000

 

Inpatient treatment with concomitant disease and /or complications                                  

265,000

 

Inpatient treatment -complicated with functional disorder of vital organs                                                                                               

315,000

 

Treatment of somatoform disorders (nonspecialized exams are included)

515,000

 

Liver biopsy

65,000

 

Compensation of supplemental drugs according to the actual excess cost

1,000

 

Compensation of supplemental drugs according to the actual excess cost 1

5,000

 

Compensation of supplemental drugs according to the actual excess cost 2

10,000

 

 

 

Coinsurance approved by the Order of the Minister of Health of the Republic of Armenia # 91-A of 27.01.2011;

 

Sepsis

180,000

 

Acute hemolytic reactions, anemia (Hb-60գ/լ and less or numbers of RBCs =1.7x10դԱ/1 and less) (with complications and /or concomitant diseases)

180,000

 

Short term care (1-3 days) completed, cost of 1 day 

7,000

 

 

 

 

 

 

Cost of ward

Code

    Ward

Price(AMD)

 

309

10,000

 

307

7,000

 

308

7,000

 

 

 

 

     Service

Price(AMD)

 

Primary examination by allergologist

10,000

 

Primary consultation and prescription by allergologist

15,000

 

Outpatient treatment course by allergologist (moderate level)

20,000

 

Cost of 1-day treatment (exams and drugs are not included)

20,000

 

Cost of 2-day treatment (exams and drugs are not included)

40,000

 

Cost of 3-day treatment (exams and drugs are not included)

60,000

 

Cost of 4-day treatment (exams and drugs are not included)

80,000

 

Cost of 5-day treatment (exams and drugs are not included)

100,000

 

Cost of 1-day treatment (drugs included, exams not included)

30,000

 

Cost of 2-day treatment (drugs included, exams not included)

60,000

 

Cost of 3-day treatment (drugs included, exams not included)

90,000

 

Cost of 4-day treatment (drugs included, exams not included)

120,000

 

Cost of 5-day treatment (drugs included, exams not included)

150,000

 

Day hospital treatment (exams and drugs are not included)

115,000

 

Inpatient treatment of the patient                                                                                                         

175,000

 

Inpatient treatment with concomitant disease              

215,000

 

Inpatient treatment with concomitant disease and /or complications                                 

265,000

 

Inpatient treatment -complicated with functional disorder of vital organs                                                                                              

315,000

 

Treatment of simple cases

135,000

 

Specific hyposensibilization

30,000

 

Treatment of somatoform disorders (nonspecialized exams are included)

515,000

 

Blood testing for allergies

40,000

 

Compensation of supplemental drugs according to the actual excess cost

1,000

 

Compensation of supplemental drugs according to the actual excess cost 1

5,000

 

Compensation of supplemental drugs according to the actual excess cost 2

10,000

 

 

 

Coinsurance approved by the Order of the Minister of Health of the Republic of Armenia # 91-A of 27.01.2011;

 

Serum sickness

65,000

 

Sepsis

180,000

 

Acute hemolytic reactions, anemia (Hb-60g/l and less or numbers of RBCs =1.7x10դԱ/1 and less) (with complications and /or concomitant diseases)

180,000

 

Short term care (1-3 days) completed, cost of 1 day

7,000


 
   
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