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.
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.
- clinical and laboratory
- X-ray,
- endoscopic,
- ultrasound (US)
- computed tomography (CT).
- 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.
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),
- Ulcer of duodenum and stomach;
- Gastritis of various genesis;
- Non-ulcerous functional dyspepsia
- Hepatitis of various genesis
- Steatosis
- Liver Cirrhosis
- Chronic cholecystitis
- Biliary dyskinesia
- Chronic pancreatitis
- 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