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Gastroenterology and Endoscopy

Dr. Michael Peters

Gastroenterology and Endoscopy in Marbella

Gastroenterology is a medical speciality that deals with the diagnosis and treatment of diseases and disorders of the digestive system. This speciality covers the examination of the gastrointestinal tract, including the oesophagus, stomach, intestines, liver, pancreas and gall bladder. Gastroenterologists are experienced in treating a wide range of conditions such as acid reflux, ulcers, inflammatory bowel disease, cirrhosis of the liver and bowel cancer.

In order to accurately assess and understand these complex diseases, gastroenterologists use various diagnostic procedures, with endoscopy being a cornerstone of their toolkit. Endoscopy uses a flexible tube with a camera to visualise and examine the inside of the gastrointestinal tract directly. There are several types of endoscopic procedures, each tailored to different parts of the digestive system:

  1. Gastroscopy: In this procedure, also known as upper endoscopy, the endoscope is inserted through the mouth to examine the oesophagus, stomach and the first part of the small intestine (duodenum). It is often used to diagnose and treat conditions such as ulcers, gastro-oesophageal reflux disease (GERD) and bleeding in the upper gastrointestinal tract.
  2. Colonoscopy: In this procedure, the endoscope is inserted through the rectum to examine the entire colon and rectum. It is an important tool for detecting bowel cancer, polyps and inflammatory bowel diseases. Colonoscopy is both a diagnostic and a therapeutic procedure in which biopsies and polyps can be removed.
  3. Capsule endoscopy: This innovative technique involves swallowing a small, pill-sized camera that captures images of the entire digestive tract, especially the small intestine, which is difficult to reach with conventional endoscopy. It is particularly useful for the diagnosis of unclear gastrointestinal bleeding and small bowel disease.

To ensure patient comfort and minimise discomfort during these procedures, sedation is often administered so that the patient is completely asleep and unaware of the procedure.

Specialities at the German Clinic Marbella

  • Ultrasound examination of the abdominal organs and intestines
  • Capsule endoscopy for small and large bowel endoscopy
  • (PillCam Colon2 , PillCam Crohns, PillCam UGI, PillCam SB3)
  • High-resolution video endoscopy with Pentax Imagina EPK i5500c processor and HD video endoscopes from the i10c series
  • LactoFan hydrogen breath tester for the detection of lactose intolerance, SIBO,
  • Fructose and sorbitol intolerance
  • Gastroscopy and colonoscopy with propofol sedation at the German Clinic Marbella including polyp removal
  • Echoendoscopy and therapeutic ERCP in collaboration with the
  • Hospital Quironsalud Marbella
  • Proctoscopy with haemorrhoid ligation therapy
  • PCR multiplex rapid tests (QIAstat-Dx Gastrointestinal Panel) for 24 bacterial, viral and parasitic gastrointestinal pathogens (Qiagen QIAstat-Dx syndromic testing system)
  • LacTest – easy to use at home – urine test for the detection of
  • Lactose intolerance
  • Gastric balloon for weight loss
  • Endoscopic reflux surgery (Esophyx)
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