TOP Doctors for Pulmonology

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Pulmonology is in the field of internal medicine. It deals with the prevention, diagnosis and treatment of diseases of the lungs, bronchi and pleura. These include, for example:

  • Bronchial asthma
  • Chronic bronchitis and chronic obstructive bronchitis
  • Chronic obstructive pulmonary disease (COPD)
  • Phthisis
  • Pulmonary emphysema (lung distension)
  • Severe pneumonia
  • Pulmonary hypertension (high blood pressure in the pulmonary arteries)
  • Pleurisy (pleurisy)
  • Cystic fibrosis
  • Pulmonary fibrosis
  • Sleep apnea (nocturnal breathing)
  • Pulmonary embolism
  • Interstitial lung disease (lung tissue disease)
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Pulmonology is an area of medicine that focuses on the health of the respiratory system. Pulmonologists treat everything from asthma to tuberculosis. 2020-03-10 Pulmonology
Profiles of Doctors for Pulmonology
Pulmonology

Pulmonology in Germany specializes in the research and diagnosis of diseases of the lungs and respiratory tract. Pulmonology in Germany focuses on the following main areas: Thoracic surgery, respiratory disorders, tuberculosis and thorax tumors.

List of diseases that are treated by clinics specializing in pulmonology in Germany

  • Respiratory disorders
  • Diseases of the lower respiratory tract
  • Lung tissue diseases
  • Pathological changes of pulmonary arteries
  • Pleural diseases
  • Lung cancer

Range of diagnostic services

  • Functional lung analysis: spirometry, pneumotachograph of a forced exhalation — "flow-volume" curve, plethysmography of the whole body, hyperactivity of the bronchi test, provocative inhalation allergy test, strength of respiratory muscles test, ergospirometry
  • Test of arterial blood gases at rest and under load, determination of biochemical need for oxygen
  • Allergology
  • Sleep Medicine Center: Screening of sleep disorders
  • Endoscopy: Flexible bronchoscopy, transbronchial lung biopsy, endobronchial ultrasound diagnosis (EBUS), bronchoalveolar lavage (BAL, including therapeutic bronchoscopy), stiff bronchoscopy under anesthesia
  • Sonography of pleural cavity and lungs
  • Exploratory puncture of pleural cavity with ultrasound navigation
  • Puncture of kidneys controlled by ultrasound or computed tomography
  • Pulmonary artery pressure measuring
  • Bronchial carcinoma (I-ELCAP Protocol: lung cancer early detection project)

Range of therapeutic measures

German clinics perform treatment of almost all pulmonological diseases associated with the control of breathing, the dysfunction of gaseous exchange between the blood and exhaled air, the functional activities of the lower respiratory tract, pulmonary tissues and pleural cavity.

The main focus areas of pulmonology in Germany:

  • Therapy of interstitial lung diseases ("pulmonary fibrosis")
  • Sarcoidosis therapy, localized inside and outside the lungs
  • Therapy of bronchial asthma that proves difficult to heal
  • Pulmonary hypertension therapy
  • Opening of bronchial lumen that was impassable due to neoplasms (using laser therapy, stentinga and a new alternative therapy method: combination of laser and X-ray ("afterloading") irradiation)
  • Multimodal and molecular treatment of bronchial carcinoma

Video-assisted thoracoscopic surgery — VATS

There is a huge number of diseases of respiratory organs, the majority of them leave no trace after special treatment (lung infarction, cystic fibrosis, pulmonary embolism, pneumonia, tracheobronchitis, etc.). At the same time German specialists with vast experience are, for example, unable to completely cure chronic obstructive pulmonary disease. If a patient suffers from a complex disease of the lungs or esophagus, which is impossible to diagnose and especially to cure without surgical intervention, proven methods of thoracic surgery are able to help the specialists. One of these methods is the video-assisted thoracoscopic surgery, or VATS.

VATS in the area of pulmonology in Germany counts as a minimally invasive surgery, which can be used only on the early stages of lung cancer. The whole operation is carried out through three small incisions 2-3 centimeters in length, though one of which a mini-camera is introduced. Using it a surgeon can visualize any part of the thorax. A pouch for removed tissues is used to carefully extract malignant nodules from the lungs. After this surgery the patient recovers rather quickly without experiencing much pain.

Diagnosis and treatment of tuberculosis in Germany

The most accurate method of diagnosing this dangerous disease used in pulmonology is the polymerase chain reaction technique (sputum examination). Together with it German doctors use following endoscopy based methods: tracheobronchoscopy (tuberculosis treatment with the use of bronchoscope), thoracoscopy (examination with the use of thoracoscope), transbronchial biopsy (in the case of detected pathologies of the bronchi), therapeutic bronchoscopy or bronchoscopic lavage (sampling of lavage fluid during bronchoscopy) and pleural puncture. Together with these modern methods for diagnosing tuberculosis, following traditional techniques are used: Tomography and radiography. After the correct diagnosis was established, pulmonologists prescribe drug treatment, however, in advanced forms of tuberculosis only surgical intervention in conjunction with chemotherapy and medications can be effective.

Latest News in Pulmonology

Pulmonary Cystic Fibrosis: The Best Therapies

01.05.2019

Cystic fibrosis patients suffer from chronic mucus congestion. Other organs such as the liver or pancreas are also affected and are literally blocked. In addition to respiratory problems threaten digestive disorders and underweight.

Cause of Germany's most common metabolic disease, which is also called cystic fibrosis, is a congenital gene defect. It leads to dysfunction of the mucous glands and affects the lungs particularly badly. Because of frequent infections, they lose their performance over the years. However, thanks to state-of-the-art therapies, sufferers can count on ever-increasing life expectancy: children born today with hereditary disease have the opportunity to reach the age of 50. However, the causes of cystic fibrosis can not be treated, but their symptoms.

Ingredients for oral and inhalation release the mucus and facilitate coughing. Because CF patients are particularly prone to respiratory infections, they often need to take antibiotics. Because their pancreas is also clogged, patients often lack enzymes that are important for digestion. These can be taken in tablet form. New types of drugs are still under development, which will enable a "repair" of the genetic defect and thus perhaps a complete cure.

The hand is an effective remedy: both pressure and tapping on the chest as well as shaking the patient promote the drainage of mucus. Experts talk about "drainage", which some patients can follow on their own, as well as breathing therapy devices that are used under the guidance of the doctor, and special gymnastic exercises that clear the mucus from the airways and promote fitness.

Because the lung tissue is damaged, it is increasingly difficult for patients to breathe independently. Many need an oxygen device. In advanced cases, organ transplantation is possible.

Smoke-free by steam?

18.03.2019

For people who want to quit smoking, e-cigarettes do not "Gentle exit" from the addiction. This is what the German Society for Pulmonology and Respiratory Medicine (DGP).

Vapor can help, temporarily refrain from tobacco products. But it also leads to a new dependence, the consequences of which experts still can not accurately estimate. E-cigarettes and smoking cessation are also topics at the 60th Congress of the DGP, the from March 13th to 16th, 2019 in Munich.

A recent study in the New England Journal of Medicine (NEJM) on 886 smokers examined whether e-cigarettes help with smoking cessation better than nicotine replacement products such as chewing gum or plaster. The authors came to the conclusion that the e-cigarette is the more successful approach: after one year of steaming twice as many study participants were abstinent as with nicotine gum and Co.

Professor med. Stefan Andreas, Head of the Pulmonary Clinic Immenhausen near Goettingen, comments this conclusion: "Who smokes e-cigarette is by no means abstinent - he just replaces one dependence with another."

So the results show that 80 percent of e-cigarette smokers who had succeeded on tobacco cigarettes to abstain from inhaling e-cigarettes regularly after one year. Only 9 percent of those who used patches and Co. took one year to use these products later.

The consequences of the long-term consumption of e-cigarettes, is not yet foreseeable today Andreas emphasizes: "Since the e-cigarette has only been on the market for a few years, there is no long-term studies on their health effects. It took 50 years to study the effects of tobacco smoking."

However, animal studies and some studies in humans show that the vapor is the tissue in the bronchi Page 2/4 and alveoli abnormally altered.

Many other studies show that smoking cessation with e-cigarettes increases the chances of actually quit smoking, even reduce it. After a meta-analysis of 38 studies, the likelihood of successful smoking weaning was with e-cigarettes around 28 percent lower than without e-cigarettes. Lots of smokers who switch to the e-cigarette, return in the long term to the tobacco cigarette back.

The study in the NEJM was accompanied by two editorials. In both became strict regulations required for the sale and marketing of e-cigarettes. German experts have long called for a ban on the advertising of tobacco products to protect young people, which also includes e-cigarettes. Also the European Respiratory Society warns in a recent report that the benefits of e-cigarettes for smoking cessation is not occupied and health damages are by no means excluded can.

"We have to realize that the tobacco companies are expanding their market with the e-cigarette have to attract a larger audience," explains Andreas. "closing the industry has no interest in selling it through successful smoking cessation reduce."

The pulmonologist calls for professional weaning programs for smokers, which are available free of charge and nationwide. Of that there would be far too few in Germany.

On the possible consequences of the e-cigarette and healthy ways of cessation of smoking Andreas speaks at a press conference which took place on 14 March 2019 as part of the 60th DGP Congress in Munich. Experts will present at the symposium also successful smoking cessation strategies.

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