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Gastroenterology is a branch of internal medicine. It deals with dysfunctions and diseases of the digestive system. In the narrower sense, this includes only the stomach and intestine, but in the broadest sense also other structures such as esophagus, liver, gallbladder and pancreas. Depending on their needs, gastroenterologists work with other specialists, such as colleagues in surgery, oncology or radiology.

Typical gastroenterological treatment fields are:

  • Reflux disease
  • Stomach ulcer
  • Cirrhosis
  • Hepatitis
  • Inflammatory bowel disease (ulcerative colitis, Crohn's disease)
  • Dysfunctions of the digestive tract (such as irritable stomach, irritable bowel)
  • Cancers of the digestive tract (such as stomach cancer, colon cancer)

To diagnose such diseases, the gastroenterologist uses different methods of examination. These include above all the ultrasound examination of the abdominal cavity and endoscopic procedures such as gastroscopy (gastroscopy), colonoscopy (colonoscopy) and laparoscopy (laparoscopy). During an endoscopy, smaller procedures can be performed if required. For example, the gastroenterologist can take tissue samples (biopsy), remove polyps or dilate narrowed bile ducts.

Various therapeutic approaches are available to the gastroenterologist. So he can treat chronic liver disease with drugs and remove growths of the intestinal wall (polyps) during a colonoscopy. Also bile duct stones can be removed and narrowed bile ducts can be extended. Gastroenterologists work with surgeons, radiologists and oncologists to treat gastrointestinal diseases.

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Gastroenterology is the study of the normal function and diseases of the esophagus, stomach, small intestine, colon and rectum, pancreas, gallbladder, bile ducts and liver. 2020-03-09 Gastroenterology

In following list of German physicians you will find the best gastroenterology surgeons. Here you can access the presentations of these experts and send them a direct request for trearment or estimated cost.

As a branch of internal medicine, gastroenterology is concerned with diseases of the gastrointestinal tract, the liver and the digestive tract hormone glands such as the pancreas. Gastroenterologists are studying how gastrointestinal disease develops and how common it is. In addition, they diagnose and treat these conditions and advise patients on how to protect themselves from them.

An important area of responsibility is the diagnosis and treatment of tumors of the gastrointestinal tract. Other common diseases are:

  • Diseases of the esophagus and stomach
  • Cirrhosis
  • Jaundice (hepatitis)
  • Chronic inflammatory bowel disease, eg. Ulcerative colitis

Important examination methods for the gastroenterologist are z. As the ultrasound examination of the abdominal cavity, the so-called endoscopy including endoscopic ultrasonography and other imaging techniques. This allows him to examine and treat diseases of the digestive system without surgery.

Various therapeutic approaches are available to the gastroenterologist. So he can treat chronic liver disease with drugs and remove growths of the intestinal wall (polyps) during a colonoscopy. Also bile duct stones can be removed and narrowed bile ducts can be extended. Gastroenterologists work with surgeons, radiologists and oncologists to treat gastrointestinal diseases.

The gastrointestinal tract is the main part of our digestive system. Phrases such as "something beats me on the stomach" or "love goes through the stomach" reveal much about its great importance. How important our digestive organs are to general wellbeing often becomes clear to us only when they no longer function properly. That is why you should treat them carefully, because a conscious lifestyle can contribute much to a healthy stomach and intestine.

German physicians enjoy a high reputation and trust in Germany. If you need a gastroenterological operation, send an inquiry today!

During the gastroenterological diagnostics in Germany following test methods can be used, depending on patient's indications:

  • modern laboratory test methods including immunoassays;
  • functional tests;
  • endoscopic methods of diagnostics including capsule endoscopy;
  • gastroscopy;
  • colonoscopy;
  • ultrasound examination;
  • X-ray examinations can also be utilized as additional methods if necessary;
  • magnetic resonance imaging and computed tomography, radiography, etc.

Capsule endoscopy

Nowadays capsule endoscopy is one of the most advanced methods that is used in gastroenterological diagnostics in Germany. With its help a specialist is able to examine in details the whole digestive tract, including the parts of the small intestine that are not accessible for other examination methods. In the course of the diagnostic the patient swallows a miniature camera which is surely protected by a capsule. The number of images per second can be adjusted depending on the movement speed of the camera inside the gastrointestinal tract.

The capsule endoscopy procedure should be used in the stomach megalgias of an unknown origin, long lasting anaemia, Crohn's disease, and pathologies of the small intestine that are characterized by malabsorption. Additionally using the capsule endoscopy it is possible to detect hidden bleedings, tumoral neoformations, parasitic and inflammatory diseases.

With endoscopy, body cavities and hollow organs can be viewed. For this, the internist pushes a flexible rubber tube or a thin metal tube, the so-called endoscope, into an artificially created or naturally existing body opening.

The areas of the small intestine that are inaccessible to conventional endoscopes can be examined by the doctor with a further development of endoscopy, the so-called capsule endoscopy. The patient chooses to swallow a capsule with a camera. Through the intestinal activity, the capsule migrates through the entire intestine and takes pictures at regular intervals.

Another new endoscopic examination method of the small intestine is the double balloon endoscopy, which can be used primarily to clarify unclear bleeding or for the detection of rare small intestinal tumors.

The thoracic cavity (thoracoscopy, mediastinoscopy), the large airways up to the bronchi (bronchoscopy), the gastrointestinal tract (gastro-, colo-, recto-, proctoscopy) and the abdominal cavity (laparoscopy) can be examined endoscopically. In addition, some joints can be examined in this way (arthroscopy). Endoscopy is sometimes combined with other medical methods, such. B. with surgical procedures for tissue sampling (biopsy) or with an X-ray examination.

An endoscopic examination performed on natural orifices such as the mouth or anus is usually painless, but is sometimes considered uncomfortable. Patients are therefore locally anesthetized and additionally receive a tranquilizer

With a new procedure, the so-called narrow-band imaging, the gastroenterologist can examine the fine structure of the mucosa of the gastrointestinal tract without staining. He also recognizes early forms of cancer, even at a size of a few millimeters. In combination with ultrasound (endoscopic ultrasound) he can even determine how deep in the intestinal wall altered cells are present.

The risk of endoscopy is that tissue is irritated or damaged by the endoscopic examination. Thus, after endoscopy, the occurrence of weak and in most cases harmless bleeding is possible. Mostly, the doctor can still breastfeed with the help of the endoscope during the procedure. In addition, pathogens can enter the body through endoscopic examination. In order to avoid infections, antibiotics are therefore sometimes prescribed as a precautionary measure.

Particularly important is an embarrassing compliance with the hygiene regulations for cleaning and reprocessing the endoscopes and the accessories. The cleaning is done today usually with high quality semi or fully automatic washing machines. Bacteriological controls of the devices are mandatory every six months. In addition, corresponding certificates are issued.

Overall, however, endoscopy is a very gentle and safe examination. The advantage of the method is that it provides very accurate examination results and can often replace more complex procedures.


Gastroscopy in Germany is performed using the most modern endoscopic equipment fitted with a high definition camera. Using this method a gastroenterological diagnostics of upper parts of the digestive tract is performed. This method allows doctors to examine in detail all the parts of the esophagus and duodenum which is particularly important when searching for cankers.

When necessary tissue samples can be obtained during the procedure to perform a subsequent laboratory analysis. The test provides an opportunity to find bacterial colonies that cause gastritis, gastric ulcers, and atypical cells that indicate malignant processes in the gastrointestinal tract organs.


Colonoscopy is one of the most informative methods of gastroenterological diagnostics of the colon. Timely performed procedure makes it possible to detect a disease in the organ at an early stage, including cancer that progresses without evident clinical manifestations. Another reason to perform a colonoscopy are bleedings and pains of unknown origin, polyps of the colon. During the procedure a biopsy can also be performed.


Solid organs such as pancreas and liver are also parts of the digestive tract. Diagnostic sonography plays a particularly important role in their examination which can also be performed using contrast agent.

One of the innovative methods of gastroenterological diagnostics is the so called endoscopic ultrasound that implies the use of an endoscope equipped with an ultrasonic sensor. During the examination the doctor receives precise data about the pancreas, bile duct and has an opportunity to get the material for laboratory study. Additionally, using the endoscopic ultrasound the gastroenterological diagnostics of esophagus, stomach, and rectum can be carried out.

New opportunities of gastroenterological diagnostics in Germany

To perform an effective treatment the most sparing and effective methods are used:

  • scaled endoscopy;
  • inner and distant lithotripsy;
  • different methods of resection of mucous membrane and neoplasms in different parts of the gastrointestinal tract;
  • interventional removal of stones in pancreas and bile ducts;
  • stenting and dilation, etc.

Gastroenterological diagnostics in Germany makes it possible to detect the most serious diseases of the gastrointestinal tract on the early stages, to develop optimal treatment tactics and to provide an adequate aftercare for the patient. The experience of specialists of the Culminasceum clinic makes it possible to cope with the most difficult cases in cooperation with surgery, radiology and other departments of the clinic.

Latest News in Gastroenterology

What Parkinson's early on?


Parkinson's associate many with slow movements and trembling hands. But these are not the first symptoms of the disease, explains Prof. Rüdiger Hilker-Roggendorf of the German Society for Parkinson's in the "Neue Apotheken Illustrierte".

Possible first signs of Parkinson's are therefore sleep disorders, problems with smelling and mood swings. Patients should go to the doctor if these symptoms are more frequent and there is no obvious explanation for smoking as the cause of the olfactory disorder. This is especially true for those who have close relatives with Parkinson's.

Parkinson is not curable. The sooner the disease is recognized, the better doctors can counteract and get the symptoms as long as possible, explains the neurologist. Here, drugs are used, but also other forms of treatment such as physiotherapy and occupational therapy.

Parkinson's is a nerve-related motor disorder that primarily affects older people. The cause of the disease called shaking palsy is the dying of nerve cells in the brain. They no longer produce dopamine, which helps the body to control movements. Numerous disorders are the result: shaking, tense muscles and gait and balance disorders. Add to that a quiet and monotonous language as well as a rigid facial expression. Additional symptoms may include sleep disorders, depression and mental retardation, including dementia.

Parkinson's disease is the second most common neurodegenerative disease after Alzheimer's disease. In the Federal Republic according to health insurance data currently about 400,000 people are suffering from the incurable disease, writes the German Parkinson Society. On average, the patients are 60 years old at diagnosis. Men are affected more frequently than women.

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