About The Department of Medical Gastroenterology and Hepatology

​​The department provides care for patients with liver diseases and gastrointestinal disease requiring medical treatment.​​

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Liver diseases


The Department treats patients with severe, rare or unresolved acute and chronic liver diseases and evaluates patients for liver transplant, and functions as a third refferel center for patients with liver diseases requiring specialist intensive care in Denmark. 

  • Treatment of patients with acute liver failior.
  • Act on chronic liver failior.
  • Treatment of all liver diseases where the standard treatment has failed.
  • Evaluation of patients for livertransplant.
  • Treatment of complications in cirrhosis (portal hypertension with varicose bleeding), ascites, coma hepaticum and hepatorenal syndrome.
  • Treatment of fulminant liver failure.
  • Diagnostic evaluation and treatment of rare, congenital diseases.
  • Medical treatment and diagnostic evaluation of liver cancer.

 

Medical gastrointestinal disease


The main area of focus is intestinal failure, home parenteral nutrition and inflammatory bowel disease.  The department is a referral centre, taking in patients from the eastern regions of Denmark. 

The clinic has a long history in managing intestinal failure patients, who temporally or permanently have lost bowel function. The department is a referral centre taking in patients from the eastern regions of Denmark.

Multidisciplinary approach 

A team that offers a professional and multidisciplinary approach to patients with intestinal failure requiring parenteral or enteral nutrition for longer periods, staffs the unit. 

We perform a nutritional assessment, design the nutrition regime and manage metabolic derangement, fistula/wound and stoma related issues. For the patients with chronic intestinal failure, we continue to offer support for education and training with nutritional support at home, home parenteral nutrition (HPN).


Intestinal fai​lure
Management of this condition has been a key role of the department for several years. Patients are referred from other hospitals due to the acute loss of gastrointestinal function following surgery, with bowel resection and often a diverting stoma. Underlying disease includes inflammatory conditions, vascular disease, complications following surgery and radiation enteritis. 

The task of the department is to perform nutritional assessment, design a nutrition regime, manage any metabolic derangement and to offer nutrition support until gastrointestinal function is re-established.​

Home pare​​​nteral nutrition

The department has been offering this service to patients since the early 1970s. Not all patients with intestinal failure regain nutritional autonomy and therefore they need continuous support with parenteral nutrition. 

The specific task is to perform nutritional assessment, design a nutrition regime and educate patients, relatives or home-care nurses in managing home treatment with parenteral nutrition (HPN). 

A multidisciplinary approach is a key element, involving specialist nurses, gastroenterologists and the hospital pharmacy.  At present more than 130 patients are being supported by the team, making the department one of the largest centres for HPN in Europe.​

Difficult in​flammatory bowel disease cases

The department is a regional referral centre for more difficult inflammatory bowel disease (IBD) cases.  The IBD treatment is multi-disciplinary and department specialists in gastroenterology closely collaborate with the department of abdominal surgery, obstetrics, radiology and other services, all dedicated to accurately diagnosing and managing IBD and improving patients’ quality of life. 

Inflammatory bowel disease (IBD)

Also this unit has a long history evaluating and taking care of patients with inflammatory bowel disease, primarily patients who present with severe complications, fistula etc.
The unit has close collaboration with the department of surgical gastroenterology at Rigshospitalet.

Patients are typically suffering from inflammatory bowel disease and intestinal failure with a need for intravenous nutritional support. Rare cases with diarrhoea and malabsorption of unknown aetiology are also taken in. The department is staffed by a team that offers a professional and multidisciplinary approach to patients with gastrointestinal disease. 




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