Clinic for Gastroenterology

‘Our department’s mission is to detect and treat diseases of the internal organs. The patient, with his or her individual concerns and complaints, is always the focus of all our efforts.’
(Chief Physician Dr. med. Cornelius Moser)

The Clinic for Gastroenterology treats patients with diseases of the gastrointestinal tract and of the liver. The responsibilities also include problems with the endocrine glands (endocrinology) and diseases of the kidney (nephrology). Certified by the German Diabetes Society (DDG – Deutsche Diabetes Gesellschaft), this treatment facility also specialises in diabetes mellitus, together with all of the problems associated with the disease; together with the Clinic for Cardiology, it covers the entire spectrum of internal medicine.

Abdominal pain, jaundice, weight loss, diarrhoea or internal bleeding are only some of the symptoms treated in the Clinic for Gastroenterology. The mission also extends to viral and bacterial diseases (infectology) and problems with the lungs (pneumology). In the context of treatment of cancer (oncology), since 2012, the Municipal Hospital of Pirmasens has met the stringent requirements of a colorectal centre. An interdisciplinary tumour conference is held on a weekly basis.

Interdisciplinary treatment concepts are created thanks to dovetailing with the Clinic for General and Abdominal Surgery, specialists in private practice as well as national centres of excellence. In addition to its specialities, the Clinic for Gastroenterology offers a comprehensive treatment spectrum for General Internal Medicine.

Gastroenterologie

GastroenterologieThe Clinic for Gastroenterology covers a broad spectrum in the field of Internal Medicine. In additional to General Internal Medicine, the emphases here are on diagnostics and treatment of complaints of the digestive and metabolic organisms as well as infectiological and malignant diseases. Patients with acute and chronic kidney failure are treated through a cooperation arrangement with MVZ Nephrocare in Pirmasens; this includes execution and initiation of procedures in haemodialysis. A large Central Endoscopy department permits not only routine diagnostics but also emergency interventions – round the clock and without delay. Patients with diabetes mellitus receive optimal support and consultation by diabetologists and diabetes consultants during their stay.

Patients benefit from a holistic treatment approach based on proven partnerships in a cooperative system among the disciplines, general practitioners and specialists as well as secondary facilities.

Very great importance is attached to the training and continuing training of medical staff. At the same time, the Clinic for Gastroenterology offers a variety of seminars and workshops and presents the results obtained at scientific congresses.

Internal Medicine – Gastroenterology

  • Powerful, exceptionally well-equipped Central Endoscopy with four video towers for diagnostic and therapeutic endoscopic examinations of the oesophagus, the stomach, the large and small intestines, the biliary tract, the pancreas, and the bronchial system
  • Capsule endoscopy unit
  • Ultrasound examinations of all abdominal organs and the thyroid with latest ultrasound systems, including sonographically controlled tissue sampling or tumour treatments, as well as contrast-enhanced sonography
  • Recovery room for sedated patients

 Examinations

  • Esophagogastroduodenoscopy (EGD)
    • Video- and chromoendoscopy with biopsy
    • Treatment of oesophageal varices (ligation, sclerotherapy, histoacryl injection)
    • Dilatation and corrections of stenoses (bougienage, endoprostheses)
    • Treatment of bleeding stomach and intestinal ulcers (injection therapy, hemoclips, fibrin glue)
    • Mucotomy for intraepithelial neoplasias
    • Polypectomy
    • Argon-plasma coagulation treatment of bleeding tumours
    • Percutaneous endoscopic gastrostomy (PEG) and insertion of nasal feeding tubes
    • Gastropexy with percutaneous insertion of feeding tube
    • Insertion of metal stents in malignant pyloric stenoses
  • Ileo-colonoscopy:
    • Balloon dilatation of benign and malignant stenoses
    • Argon-plasma coagulation treatment of stenosing or bleeding tumours
    • Rectoscopy
    • Polypectomy (mucotomies, among other things)
    • Insertion of rectal stents for inoperable rectal carcinomas
  • Single-balloon endoscopy:
    • Diagnostics of diseases of the small intestines via oral and rectal access
    • Treatment of intermediate gastrointestinal bleeding
    • Tumour diagnostics
    • Polypectomy
  • Endoscopic retrograde cholangiopancreatography (ERCP):
    • Video endoscopy with biopsy and brush cytology
    • Endoscopic papillotomy of the bile and pancreatic ducts
    • Calculus extraction from the bile and pancreatic ducts, mechanical lithotripsy
    • Dilatation of benign and malignant duct stenoses
    • Insertion of plastic and metal stents in the bile duct
  •  Bronchoscopy
    • With broncho-alveolar lavage (BAL)
  • Capsule endoscopy
    • Percutaneous transhepatic cholangiography
    • Insertion of percutaneous bile duct drainage (Munich-type prostheses)
    • Percutaneous insertion of self-expanding metal stents
    • Rendezvous procedures in connection with ERCP
  •  Endoscopic ultrasound
    • Staging of tumours of the gastrointestinal tract
    • Fine-needle biopsies of gastrointestinal und mediastinal tumours
    • Assisted insertion of cystogastric drainage tubes
    • Transgastric necrosectomies
  • Sonography
    • Diagnostic examinations including contrast-enhanced ultrasound (CEUS)
    • Duplex and Doppler sonography of the intra-abdominal vessels
    • Sonographic assisted organ puncture
    • Insertion of abscess drainage tubes
  • Functional diagnostics:
    • ph-metry of the oesophagus
    • H2 breath tests (lactose, fructose intolerance, bacterial miscolonisation, etc.)
    • Body plethysmography (lung function check, bronchospasmolysis)
    • Blood gas analysis
    • Non-invasive tests of the functioning of the pancreas and small intestine
    • C13 breath test (helicobacter diagnosis)
    • Tests of endocrinological function

What follows is an overview of the variety of diseases treated in the Clinic for Gastroenterology:

  • Diagnosis and treatment of gastroenterological diseases
    • Chronic inflammatory intestinal diseases
    • Diseases of the biliary tract
    • Diseases of the pancreas
  • Infectiological diseases
    • Infectious diarrhoea
    • Pneumonia
    • Chronic hepatitis
  • Metabolic disorders
    • Diabetes mellitus with complications (interdisciplinary concepts)
    • Diabetic foot syndrome (with interdisciplinary foot ward)
    • Metabolic syndrome
    • Thyroid and parathyroid diseases
  • Oncological diseases
    • Areas of focus: Oesophagus, stomach, colon and pancreatic cancer
    • Liver cell cancer
    • Lung cancer
    • Thyroid cancer
  • Pneumological diseases
    • Pneumonia
    • Pneumothorax
    • Malignant pleural effusion
    • Bronchitis
    • Chronic respiratory diseases
    • Non-invasive forms of ventilation
  •  Nephrological diseases and problems
    • Diagnosis and treatment of chronic kidney diseases
    • Initiation and completion of haemodialysis treatments – peritoneal dialysis
    • Consultation for nephrological care for patients with kidney diseases in other departments
    • Shunt systems
    • Cooperation with MVZ Nephrocare in Pirmasens

Chief Physician Dr. med. Cornelius MoserChief Physician Dr. med. Cornelius Moser
Gastroenterologist, Endocrinologist and Diabetologist

 

 


Authorisations to provide advanced training

  • Full authorisation to provide advanced training in Internal Medicine, focus on Gastroenterology, 36 months (chargeable for Intensive Care Medicine)
  • Authorisation to provide advanced training in Internal Medicine and General Medicine pursuant to the Rules on Additional Certification of 2006 for 24 months.
  • Full authorisation to provide advanced training in Internal Medicine
  • Full authorisation to provide advanced training for additional training in Diabetology, 18 months

Leitender Oberarzt Dr. med. Michael MullenManaging Senior Physician Dr. med. Michael Mullen
Specialist for Internal Medicine, Gastroenterologist, Diabetologist, Emergency Medicine
 

 

Oberärztin Dr. med. Michaela Bortscheller-KellerSenior Physician Dr. med. Michaela Bortscheller-Keller
Specialist for Internal Medicine and Nephrology, Hypertensiology

 

 

Authorisation to provide advanced training

  • Authorisation to provide advanced training in Internal Medicine and Nephrology, 18 months


Birgit VesperSenior Physician Birgit Vesper
Specialist for Internal Medicine
Coordination Colorectal Centre of Pirmasens

 

 

Martin BayerSenior Physician Martin Bayer
Specialist for Internal Medicine

 


In addition to round-the-clock emergency outpatient treatment, the Clinic for Gastroenterology also offers consultation hours as follows:

Gastroenterological private consultation
By appointment

Indication consultation (planning of endoscopic procedures, etc.)
By appointment

To provide patients with optimal care, the Clinic for Gastroenterology works on prevention, diagnosis and treatment on a case-by-case basis, in conjunction with specialised cooperation partners. These include, amongst others:

Colorectal Centre of Pirmasens

Visit the website: www.darmzentrum-pirmasens.de

MVZ Nephrocare in Pirmasens
Visit the website: www.dialyse-ps.de

Dr. med. Burkhard Scheuer, Internal Oncology in Pirmasens
Bitscher Straße 3
66955 Pirmasens

Westpfalz-Klinikum Kaiserslautern

  • Institut für Pathologie, Prof. Dr. Uwe Ramp
  • Klinik für Strahlentherapie, Dr. med. Eveline Marasas

Visit the website: www.westpfalz-klinikum.de

Ambulante EndoskopieEndoscopy offers extensive possibilities for diagnosis and treatment. It is also gentle on the patient, much less unpleasant than often thought, as well as largely unproblematic and low-risk. In an entire array of endoscopic possibilities, gastroscopy is the most common outpatient examination, alongside the colonoscopy.

Upon referral by physicians working in endoscopy, for instance, outpatient examination appointments are arranged with the patient through the secretariat of the Clinic for Gastroenterology. The examinations are regularly preceded by informed-consent discussions where, among other things, physician and patient discuss the precautions to take in terms of medications and diet prior to the treatment. All preparatory measures aim to make the examination as safe and pleasant as possible for the patients, but also to make the results themselves more meaningful as well.

Prior to the examination, the physician and patient discuss whether a (usually useful) brief anaesthesia is desired or required. In this case, an accompanying person should certainly be enlisted to collect the patient after the examination, particularly since a patient will not be able to operate a motor vehicle at all on the day of the examination. Following the examination, all sedated outpatients are cared for in a recovery room, looked after by medical specialists and appropriately monitored.

Inpatient treatments in the Clinic for Gastroenterology are typically made following medical referral. The patient or the referring physician phones in to register the patient through the secretariat. Naturally, medical emergencies are admitted round the clock via the outpatient service.

If at all possible, the following things should be brought along:

  • Health insurance chip card or declaration of cost coverage of the private health insurance scheme
  • Card exempting the patient from payments, together with receipts documenting deductible amounts already paid
  • Identity card
  • Physician’s referral slip


By the time of the medical consultation and the admission examination, the following things should be in hand (if available):

  • Recent findings of examinations or X-ray images
  • Medical information, doctor’s letters relative previous hospital stays as well as pre-existing conditions and operations
  • Vaccination certificate and emergency pass
  • Overview of medications regularly taken

Even without prior registration, all colleagues in private practice are cordially invited to attend the following continuing training courses certified by the Medical Association of Rhineland-Palatinate:

 Here you will find the current scheduled offerings in continuing training in PDF format

Contact the doctors

Chief Physician: Chief Physician Dr. med. Cornelius Moser
Dr. med. Cornelius Moser

Telephone:
06331/714-1401

dr.moser@kh-pirmasens.de

Leitender Oberarzt Dr. med. Michael MullenManaging Senior Physician:
Dr. med. Michael Mullen
Gastroenterologist, Diabetologist

Telephone:
06331/714-1401
dr.mullen@kh-pirmasens.de

Contact the clinic

Sekretariat Romy MüllerSecretariat:
Romy Müller

Telephone:
06331/714-1401
Fax:
06331/714-1401
inmed@kh-pirmasens.de

Registration for endoscopy (outpatient appointments)
Telephone:
06331/714-1401


Registration for diabetes consultation
Telephone:
06331/714-1409