Achievements

Spausdinti

In the latter years research trends of the Centre are more directed towards studies on chronic liver disease pathogenesis with other damages of abdominal organs and optimal combination of therapeutic and surgical treatment.

One of the significant achievements of the Centre is adaptation of methods of diagnostic research and treatment in medical practice (fundamental immunological, morphological and virusological diagnostic); quite time taking monitoring of the patients, observation and treatment system is designed with the crucial purpose to stop progressive chronicle liver diseases and to avoid complications and to assign modern medical help. At the Centre specialists are observing patients before and after liver transplantation.

Since 1991, the Centre has been actively developing pedagogical activity which includes teaching students and residents of the 5th-6th, lately the 4th years courses and improving the qualification of physicians in the fields of gastroenterology (tutor prof. A. Irnius), hepatology (tutor assoc. prof. D. Speiciene), dietetics (tutor dr. E. Gaveliene), abdominal organs’ sonoscopy (tutor prof. J. Valantinas), gastroenterological pharmacology, functional pathology of digestion and nonmedicamental therapy of diseases. Every year about 150 students enrolled in the Centre and about 100 physicians improve their skills during the courses. Majority of gastroenterological oriented courses are prepared and held in the Centre. After 1991 about 1500 physicians improved their skills during the various gastroenterological courses. Since 1992 a medical residency is in place that satisfies EU requirements; physicians’ gastroenterologists are being trained towards their qualifications. Several dozen of specialists successfully finished their residency years. The scientific research in the Centre is provided by gastroenterology PhD. There are 4 ongoing projects at the moment. Since the existence of the Centre over 30 study books and other glossary materials were published by the Centre pedagogues.

Every year around 2100 patients are treated in the Departments of Hepatology and Gastroenterology. Over 200 liver biopsies; 50 pancreas and other organ puncture biopsies; more than 100 abdominal ascites punction diagnosed and treated every year.

The following performed in the Centre:

Endoscopic diagnosis and minimally invasive surgery department perform per year:

1. about 7000 diagnostic Esophagoscopy Gastroscopy Duodenoscopy (EGD). During the EGD intervention:

-          polipectomia (40);

-          mucosectomy (endoscopic submucosal dissection) (15);

-          control of bleeding (170 – 200);

-          endoscopic sonoscopy (80 with 20 fine needle aspiration (FNA));

-          gastroduodenal stenting with self-expanding metal stents (5);

-          feeding tube records (110);

-          percutaneous endoscopic gastrostomy (PEG) (10);

-          endoscopic stenting – 50/per year;

2. about 2600 diagnostic colonoscopy. During the colonoscopy intervention:

-          polipectomia (700);

-          control of bleeding (10);

-          argon plasma coagulation (10);

-          stenting (5);

3. about 500 endoscopic retrograde cholangiopancreatography:

-          stenting plastic stents (100);

-          stenting with self-expanding metal stents (20);

-          papilosfincterotomia (150);

-          stones from the bile and pancreatic duct removal (170);

-          polipectomia (3);

Innovations:

  1. The department is involved in colorectal cancer screening program.
  2. Various interventional procedures by endoscopic control (fine-needle biopsy, pancreatic pseudocysts drainage) and endoscopic tests are performed. Endosonoscopy test is used to determine a stomach, esophagus, pancreas, gall bladder and bile ducts tumor stages; stomach and esophageal subepithelium derivatives diagnostic.
  3. Since 2007 the department perform a stomach endoscopic submucosal dissection (mucosectomy type). Pathological change in a stomach (it could even be an early stage of a gastric cancer without evidence of spread) could be eliminated before a muscle tissue is consumed by injecting solutions and specific modified scalpels. Such procedure also performs on a colon and a rectum in the future.
  4. Since 2006 endoscopic esophageal varicose veins ligation of rubber rings in patients with liver cirrhosis is performed.
  5. Most intervention procedures are performed in VII surgical block which part of the Endoscopic diagnosis and minimally invasive surgery department: endoscopic retrograde cholangiopancreatography (stones removal from a bile and pancreatic duct, complex pancreatic and biliary stenting); gastrointestinal stenting, extension procedures; complex polipectomia, mucosectomy; percutaneous endoscopic gastrostomy; endoscopic sonoscopy inquiryies.
  6. For over 4 years department uses stenting technique with self-expanding metal stents of bile duct, stomach-duodenum, colon and esophageal.
  7. Since 2008 considerable experience in treating patients with chronic pancreatitis has accumulated.
  8. The department use a high-resolution endoscopes with narrow band imaging (NBI) technology which allows to identify early tumor lesions in gastrointestinal mucosa. It is planned to apply a chromoendoscopy with indigo carmine,lugol, methylene blue and other coloring agents.
  9. The department perform an enteroscopy (small bowel endoscopy) and direct bile duct endoscopy (with biopsy and direct lithotripsy).

Every year the 2nd department of Gastroenterology provides diagnostic and treatment to 700 patients suffering from digestive diseases and disorders. Modern gastroenterological diseases diagnostic and treatment methods performed

Atnaujinta 2014-10-31
Straipsnis parodytas: 10643 kartų(kartus)
 

Siekdami pagerinti Jūsų naršymo patirtį lankantis Santa.lt svetainėje, naudojame slapukus (angl. cookies) – tai nedidelės informacijos rinkmenos, kurias jūsų naudojamo įrenginio naršyklė priima iš svetainės kurioje lankotės. Surinkta informacija iš slapukų mums padeda efektyviau nustatyti naršymo įpročius, veiksmus bei nustatymus (pvz., kalbą, šrifto dydį ir kitas rodymo parinktis), o jums nereikia jų kaskart pasirinkti lankantis svetainėje ar naršant įvairiuose jos puslapiuose. Kad interneto svetainė veiktų, nebūtina leisti naudoti šiuos slapukus, bet sutikus su slapukų politika, naršyti jums bus paprasčiau. Išsamesnė informacija suteikiama AllAboutCookies.org. Galite ištrinti visus jau esančius jūsų kompiuteryje slapukus, o dauguma naršyklių nustatytos taip, kad slapukai nebūtų įrašomi jūsų įrenginyje. Su slapukais susijusi informacija nenaudojama jūsų tapatybei nustatyti ar kitais nei pirmiau aprašytais tikslais. Daugiau apie slapukus ir kaip jų atsisakyti - privatumo politikoje.

EU Cookie Directive plugin by www.channeldigital.co.uk