Santariškių g. 2, 08661 Vilnius
tel. (+370) 5 236 5000
faks. (+370) 5 236 5111
info@santa.lt

      

SANTAROS KLINIKOS

VILNIAUS UNIVERSITETO LIGONINĖ

Achievements

Spausdinti

Main work areas of the Centre: diagnosis, treatment, long-term monitoring of diabetes mellitus and its complications, thyroid, adrenal, pituitary gland diseases, application of modern technology in the treatment and diagnostics of endocrine diseases.

Over the year, about 1,500 patients with various endocrine diseases receive treatment in the Division of Endocrinology. Diabetic patients get a long-term blood glucose monitoring and the analysis of the results. They have their insulin pumps attached and undergo tests for the detection of autoimmune diabetes. Patients and their relatives are trained to live with the disease and control it. An attempt is taken to offer the most modern and effective treatment.

Another concern and common pathology is endocrine ophthalmopathy (EO) which is diagnosed and treated in collaboration with ophthalmologists and radiologists. Magnetic resonance of the orbit and ophtalmometry tests are assessed, and treatment with an infusion of steroid therapy is given in accordance with the latest international recommendations. If needed, eye socket radiotherapy, decompression, eye muscle plastic surgery are performed.

Adrenal pathology is diagnosed by doing hormone tests, diagnostic samples, computed tomography, scintigraphy with labeled isotopes, adrenal venous catheterisation. Up to 10 adrenal vein catheterizations take place over the year, and the number of procedures is increasing. Before the intervention, patients are fully examined in collaboration with cardiologists, nephrologists, radiologists. If pheochromocytoma is suspected, after having hormonal tests, scintigraphy with the J131 MIBG or somatostatin receptor scintigraphy is done. Surgical treatment is discussed in the interdisciplinary doctors’ consultation. In the case of any indications, surgical treatment is applied in the hospital's surgical departments.

Diagnostic samples are taken in the case of pituitary gland hormone hypersecretion, collaborating with neurosurgeons, ophthalmologists, radiologists. After neurosurgical operations patients are monitored and treated in the Endocrinology Outpatient Clinic.

Secondary and tertiary level endocrinological profile health care services are provided in the Endocrinology Outpatient Clinic for all the inhabitants of Lithuania. The clinic has 8 rooms where the adult patients are given consultations. Every year about 30 000 patients visit the Clinic to receive diagnosis and treatment of thyroid, parathyroid, pituitary gland, adrenal diseases, rare endocrine syndromes, obesity, metabolic syndrome, endocrine gland insufficiency after oncological diseases or caused by their treatment.

Planning and supervision of pregnancy are offered for patients with diabetes by applying continuous glucose monitoring, attachment of the insulin pump. Pregnant women with gestational diabetes and diabetes mellitus are monitored, trained and treated during the pregnancy closely cooperating with Obstetrician Gynecologists from the Perinatal Center and Pregnancy Pathology Department. About 1,600 consultations are held every year.

There is a working Diabetes School. A diabetes nurse teaches patients with gestational diabetes, T1diabetes and T2 diabetes and their family members to maintain self-control, nutrition, insulin injection techniques, the principles of insulin dose titration. About 2,000 patients are given consultations in one year. The consultations are aimed not only at treatment but also at teaching to control diabetes.

Prevention, diagnosis and treatment of the chronic complications of diabetes are offered, too.

Diabetic Foot Care Room provides diabetic foot care services. Preventive and curing treatment is provided for about 700 patients with diabetic foot during the year. In complicated cases, all necessary tests are done – Radiographic, Magnetic Resonance Imaging, Computed Tomography, microbiological cultures are taken from the ulcers, long-term treatment is applied. Vascular surgeons consult and perform surgical interventions in the case of peripheral vascular pathology. Cooperation with traumatologists is needed if there is pathology in the bones.

The Centre does ultrasound of the thyroid gland and ultrasound guided thin needle biopsy in a liquid medium. It cooperates with Surgeons who perform thyroid and parathyroid operations. Nuclear medicine specialists, radiologists perform thyroid and parathyroid gland scintigraphy, apply radioactive iodine therapy according to the defined indications.

Geneticists give consultations when neuroendocrine tumors, pheochromocytoma, medullary thyroid carcinoma are diagnosed.

Since 2012, on World Diabetes Day, blood glucose tests from the capillary blood have been done for patients and other people in the VUH SK Outpatient Clinic. About 500 people are examined every year and those who have hyperglycemia are recommended for further investigations. Lectures and educational activities in public places, on television and in the Press are initiated.

Atnaujinta 2016-03-21
Straipsnis parodytas: 7208 kartų(kartus)
 
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