Gazi Hospital Internal Medicine Departments provide services in nephrology, endocrinology, cardiology, rheumatology and gastroenterology branches besides general Internal Medicine. In whole hospital, medical centers and policlinics, diagnosis and treatment services are provided 24 hours a day, seven days a week. The Department of Internal Medicine carries out treatments, consultations, preoperative preparations and necessary interventions of the hospitalized patients in hospitals.
It is aimed to reduce the risk of illness of all our people by getting examined and consulting at regular intervals with the goal of “”patient-centered health care””, primarily to stay healthy. In this direction, with multi-disciplinary service approach, patients are evaluated with the necessary expertise, and firstly appropriate diagnosis is made and then our patients are treated..
Gastroenterology
Gazi Hospital Gastroenterology unit is equipped with the latest technology.
The aim of the department is to provide the highest quality, modern diagnosis and treatment services with the support of the technological innovations to the people with digestive system complaints or diseases.
The vision of the department of gastroenterology is to be referred to as a prestigious unit within the country. To this end, new developments are being pursued and the team combines modern technology with their own experiences and puts it into practice.
The aim of the department is to become an internationally recognized center for the practice of diagnosis, treatment unit and regular training of endoscopic procedures.
The department of gastroenterology serves in all means to patients with gastrointestinal and hepatic problems. Both inpatient and outpatient counseling services are provided besides diagnosis and treatment. In this context, a multi-directional service is provided with the surgery.
The gastroenterology department of Gazi Hospital is a center for consultation in terms of hepatobiliary diseases. Leading hepatologists in their field are applying innovative and comprehensive treatments for all liver diseases, including complications of cirrhosis. Liver biopsy and other imaging modalities are used for disease diagnosis.
On the other hand, monitoring of chronic liver diseases requires screening from time to time, especially in terms of tumor development, and the benefits of highly developed radiological imaging are provided in this regard. Gastroenterologists, surgeons and radiologists work together in the diagnosis and treatment of all liver diseases.
Clinical Equipment and Diagnostic Methods
All units have upper and lower gastrointestinal video endoscopy system and latest technology archiving system for visual documentation. The units also contain hemostatic instruments for stopping bleeding, which are used in emergency bleeding of the digestive system. On the other hand, radiology department provides assistance for imaging liver, gall bladder and pancreas with the most advanced Computerized Tomography, MR, color Doppler system. All tests are extremely accurate in determining diseases.
Upper GI Endoscopy
Diagnostic and therapeutic endoscopies are performed by specialist physicians in the department. In the areas visualized from the mouth to the duodenum, the diseases are diagnosed by taking samples from the tissues at the same time. Staining technology is effective in determining the boundaries of different wounds and in finding the wound to be biopsied. Findings are evaluated by pathologists.
In the department there are various types of upper and lower endoscopes, emergency intervention and injection therapy in the digestive system hemorrhage, sclerotherapy and band ligation in variceal bleeding, polypectomy, balloon dilatation in stenosis, foreign body removal, stent placement in unoperable obstructions due to cancer, ERCP for diagnosis and treatment, biopsy can be done.
Lower GI Endoscopy
Diagnostic and therapeutic colonoscopies are being applied intensively. This technique is used not only for visible or hidden digestive system hemorrhages but also for patients who have a high risk of developing colon cancer or have undergone previous polypectomy.
The group of patients with intestinal diseases and colon cancers is the most intensely concerned group. The team applies all new treatment systems to these special group of patients.
The most intensive application area of the experienced team is the removal of polyps endoscopically (polypectomy) in large bowel polyps, removal of flat polyps by endoscopic resection (surgery), dilatation of stenosis and treatment of bleeding areas.
It allows for safe and urgent interventions in the GI bleeding. The latest technology is used in both hemorrhage and other examination and treatment fields.
Endoscopic Retrograde Cholangiopancreatography
This technique is used for the removal of bile duct stones without surgery or for the treatment of bile duct tumors. The stones are treated with ERCP by displaying the main bile duct and intrahepatic branches.
Percutaneous endoscopic gastrostomy (PEG) is used to feed the patient through abdomen in elderly patients who can not eat in cases of obstruction due to some benign or malignant masses or neurological diseases.
Endocrinology
It is a scientific discipline dealing with endocrine system physiology and thyroid diseases, diabetes, obesity, lipids, osteoporosis, adrenal disorders, reproductive endocrinology, pituitary diseases and hormonal autoimmune diseases. Endocrinology and Metabolism Diseases provide clinic services in all of Gazi Hospital’s service areas.
Gazi Hospital is working to raise the quality of life by meeting the education and care needs of all diabetic individuals, to provide preventive health services to the individuals at risk and to raise awareness of whole health team working in Gazi Hospital.
Rheumatology
In addition to inflammatory rheumatic diseases such as rheumatoid arthritis, ankylosing spondylitis, systemic lupus erythematosus, diagnosis and treatment of painful soft tissue rheumatisms, osteoarthritis, known as calcification among the public, and other diseases are also being performed. If necessary, orthopedics, neurology and pain clinics services are provided for the treatment of diseases.
Nephrology
It provides service for patients with kidney diseases. These clinics are for nephrology consultations and hypertension patients. In clinics, diagnosis and treatment of kidney diseases, hypertension, interventions of preeclampsia patients and kidney biopsies are performed.
Hematology
It provides extensive hematology services such as diagnosis, treatment and genetic counseling in hemoglobinopathies, diagnosis and treatment of lymphoma, leukemia and coagulation disorders.
Intensive care
The treatment of inpatients in this department within the Internal Medicine Department is carefully carried out by experienced intensive care specialists. In intensive care unit, hemofiltration is performed in patients with advanced renal insufficiency and intoxication.
Check-up and Assessment of Health Risks
Beyond the standard check-up programs arranged according to age and gender differences in Gazi Hospital, your lifestyle, personal characteristics, habits, expectations and family predispositions are examined to determine your specific risks and a check-up program in line with your priorities are offered.
Immediately after your interview with your doctor, the examinations to be done are determined and consultations are requested from the relevant units when necessary.
With the Health Risk Assessment method, you can receive more detailed examinations with a program that is determined according to the risks you carry, unlike standard check-up programs, and you can take the necessary precautions for your health without losing time.
After the check-up program, all records about your health are stored and you can be in touch with your family doctor at any time to follow up your health status.
Diagnostic Methods in Heart Diseases
Effort Test (Stress Test)
Effort test can be applied in two ways
a. Effort ECG test:
The effort test is a test, where the patient, who is suspected to have coronary vessel stenosis, is walking on fast pace on the treadmill and electrocardiography is taken.
b. Stress Echocardiography:
In some special cases, ultrasonographic examination (EKO) of heart is performed immediately before and after the effort test, so that the accuracy of the diagnosis of heart disease is further increased compared to the normal effort test.
You have to be fasting for four hours before the effort test. The patients should bring sports shoes and sweat pants, if possible.
Echocardiography and Color Doppler
The technique which transforms sound waves to live images of the structure of the human heart, the diameters of the cavities, the working capacity of the heart muscle, and especially the structure and functions of the heart valves is called echocardiography (ECO). No preliminary preparation or fasting is required for this test and the entire test can be completed shortly.
Holter Monitor (Cardiac Rhythm or Blood Pressure Holter)
The cardiac rhythm is monitored 24 hours a day and the recording is performed with the device called holter. With this device, cardiac rhythm irregularities can be detected.
Blood pressure holter records blood pressure of the patients for 24 hours, showing fluctuations in real life conditions and pressure values during the sleep.
Hamit BAL, MD
Internal Medicine Specialist