Gastroenterology

At our Department of Gastroenterology, we diagnose and treat gastrointestinal disorders, affecting the oesophagus, stomach, intestines, liver and pancreas. Thanks to our highly experienced team of IKEM physicians and state-of-the-art technical equipment we can help patients with a wide range of digestive disorders and troubles. The most frequent symptoms include abdominal pain, heartburn, indigestion, gastric reflux, changes of defecation, gastrointestinal bleeding, weight loss or poor digestion.

Gastroenterological Examination

Initial examination

If you decide to visit our clinic without a referral card for a specific medical procedure, you will have to undergo an initial examination with our gastroenterologist. The doctor will, based on the initial consultation regarding your symptoms, suggest a further procedure for successful diagnosis and treatment. Basic examinations include abdominal ultrasound examination, endoscopic examination of the digestive tract, blood tests, consultations with other medical specialists or oesophageal manometry and pH-metry.

Abdominal ultrasound examination

Ultrasound examination of abdominal organs is a painless examination performed using an ultrasound probe placed on the abdomen. This examination includes no risks; therefore, it might be repeated as needed. The patient has to be fasting for 4-6 hours before the examination. He/she should avoid coffee and other caffeine drinks and come with a full bladder.

Endoscopic examination

Endoscopy allows us to visualise the inner part of hollow organs using an optical device (endoscope). Endoscopic examinations enable us to evaluate the condition of the digestive tract and therefore it is important not only in case of specific troubles, but also as a prevention of cancer in patients over 55. Although this examination is unpopular among patients, this is not the case at our clinic. We use state-of-the-art Olympus endoscopic equipment that ensures accuracy, speed and thus patient comfort.

We provide 3 different types of endoscopic examination –colonoscopy, gastroscopy and sigmoidoscopy. Gastroscopy (oesophagogastroduodenoscopy) is an endoscopic examination of the upper part of the digestive tract (oesophagus, stomach and duodenum). Colonoscopy is an endoscopic examination of the entire length of the colon. Indications for this examination include colon diseases and colorectal carcinoma screening.  According to symptoms, it is possible to examine only a certain part of the colon (up to 40 cm), then it is a sigmoidoscopy.

Endoscopic Examination – procedure

Endoscopic examinations are a type of surgical procedure and it is necessary to follow the instructions available under the following link: How to prepare for an endoscopic examination. You can also receive them from our medical staff at the initial examination. Prior to an endoscopy, the patient receives premedication (nitrous oxide) or Entonox to calm down and relieve the pain. After the initial medication, the gastroenterologist starts the endoscopy to assess the condition and appearance of the mucous membranes. This examination enables the doctor not only to painlessly take samples of the mucous membrane (called a biopsy), but also to perform various therapeutic interventions, for example stopping bleeding, polyp’s removal, treating oesophageal varices or inserting feeding tubes.

Oesophageal manometry and pH-metry

These methods are used to diagnose gastric reflux disorders. These diseases are most often manifested by heartburn, flatulence or upper abdominal pain and may lead to serious complications in other organs. Early treatment may alleviate or eliminate the symptoms of this disease.

Oesophageal manometry is a special diagnostic method which can detect functional oesophageal disorders that cannot be detected by conventional diagnostic procedures. Using Manoscan (device for oesophageal manometry) we can observe the function of the oesophagus and sphincters during the bite passage and initiate appropriate treatment accordingly. This is a painless examination; and only at the beginning will you feel the catheter insertion. The patient must be fasting for at least 6 hours prior to examination.

Thanks to a portable pH meter we can continuously monitor a patient´s current pH level (acidity) in the oesophagus-stomach transition area for 24 hours.

The results of these examinations form the basis for treatment of gastric reflux diseases. In Pavel Kolar´s Centre of Physical Medicine we have established a programme for non-invasive treatment using specialised physiotherapy which is able to cure the cause of the disease. If you suffer from similar symptoms or just want to know more about our approach to the treatment of these diseases, see our section on GERD physiotherapy.

How to make an appointment?

If you suffer from digestive problems or you already have a referral from your GP, feel free to contact us. Care and comfort are our priority from the very first contact. Client service is provided by our trained specialists who will make an appointment with you and undertake a medical history.  Then you will be offered   the earliest date available of your choice and you will be forwarded to the most suitable medical specialist.