Federal Scientific and Clinical Center – Gastroenterology, Coloproctology, Surgery

Detailed information can be obtained on the website https://fnkc-fmba.ru

About the center

FSBI “FEDERAL SCIENTIFIC AND CLINICAL CENTER for specialized types of medical care and medical technologies of the FMBA of Russia” (FSCC FMBA of Russia) is one of the country’s largest multidisciplinary medical institutions for the provision of specialized medical care, combining a consultative and diagnostic center and more than 40 departments.

The mission of the Center is to increase the availability and quality of specialized medical care for patients.

Gastroenterology

The gastroenterology department opened its doors for patients with diseases of the gastrointestinal tract in 1985. For three decades, the department has been providing care to gastroenterological patients among the leading gastroenterological clinics. The department provides examination using modern diagnostic methods and qualified specialized treatment, which includes both drug therapy and physiotherapeutic procedures.

The department has single and double superior rooms with all amenities.

The following diseases are treated:

•  gastritis, including Helicobacter-associated gastritis, duodenitis;
• peptic ulcer of the stomach and duodenum;
• gastroesophageal reflux disease, achalasia cardia, esophagitis of various etiologies;
• chronic cholecystitis, cholelithiasis, gallbladder cholesterosis, postcholecystectomy syndrome;
• hepatitis of various etiologies, including viral, cirrhosis of the liver;
• chronic pancreatitis;
• diseases of the small and large intestine: celiac disease, Crohn's disease, ulcerative colitis, irritable bowel syndrome, microscopic colitis, diverticular disease.

Methods for studying gastroenterological patients

Ultrasound diagnostics:  

• Ultrasound of internal organs, ultrasound of hollow organs.

X-ray research methods:

• fluoroscopy of the esophagus, stomach and duodenum, passage of barium through the small and large intestines;
• irrigoscopy (x-ray examination of the colon);
• computed tomography (CT) of the abdominal organs;
• magnetic resonance imaging (MRI) of the hepatobiliary zone and MR cholangiography (examination of the biliary tract).

Endoscopic methods:

• video esophagogastroduodenoscopy (EGDS) with a rapid urease test for the presence of Helicobacter pylori, a test for lactase deficiency, and a biopsy;
• colonoscopy with biopsy;
• colonoscopy with polypectomy;
• colonoscopy with confocal microscopy;
• endoscopic retrograde cholangiopancreatography (ERCP).

In case of a pronounced gag reflex or increased sensitivity to pain, endoscopic examinations are possible under sedation or general anesthesia.

Radioisotope diagnostics:

• study of liver function, biliary tract (liver scintigraphy, hepatocholescintigraphy);
• radioisotope breath test for Helicobacter pylori infection.
• The center has a wide range of laboratory tests, both general and for patients with diseases of the gastrointestinal tract:
• biochemical blood test (liver program);
• state of the blood coagulation system (short and extended coagulogram);
• determination of antibodies to Helicobacter, parasites;
• PCR diagnostics of viral hepatitis B and C with determination of the genotype of the virus;
• tumor markers;
• laboratory examination of stool - coprogram, reaction to occult blood, oviworm, pancreatic elastase, bacteriological studies - stool analysis for dysbacteriosis, pathogenic intestinal microorganisms.

The following studies can also be carried out at the hospital:

• study of gastric juice (pH-metry 2-hour and 24-hour);
• determination of bacterial overgrowth in the small intestine (hydrogen breath test).

In the department's consultation room and consultation and diagnostic center for patients with diseases of the gastrointestinal tract, daily consultations with gastroenterologists are carried out with the possibility of conducting both outpatient and inpatient examinations and treatment.

The department employs highly qualified gastroenterologists who have completed residency and advanced training courses in the specialty “Gastroenterology”.

Coloproctology department

The Coloproctology Department was created on May 23, 2017.

Our advantages:

The department provides a full range of highly qualified medical care to patients with coloproctological and oncological diseases of the abdominal cavity and anal canal.

Priority directions:

provision of high-tech medical care - surgical treatment for oncological diseases of the abdominal organs using laparoscopic technologies.

Surgical interventions

Operations performed for proctological diseases:

• hemorrhoidectomy;
• excision of anal fissure, anal polyps and condylomas;
• excision of the epithelial coccygeal duct;
• excision of fistulas in the anorectal region (if necessary, with perineal plastic surgery).

Conservative and surgical treatment of other diseases of the anorectal region

Surgical intervention is performed mainly using modern technologies using proprietary developments.

Operations performed for inflammatory diseases of the rectum and colon, developmental anomalies or benign formations (ulcerative colitis, Crohn's disease, colitis, Hirschsprung's disease, diverticular disease, villous tumors and adenomatous polyps of the intestine of various locations):

• resection of a section of intestine;
• subtotal or total coloproctectomy;
• removal of ileo- and colostomy;
• transanal full-thickness excision of villous tumors of the rectum, use of the TEM technique (according to indications);
• removal of villous tumors and polyps of the colon and stomach during endoscopic examination - colonoscopy with excision (biopsy) of gastrointestinal formations.
• Operations performed for cancer of the rectum or colon, as well as for tumors of the anal canal:
• right hemicolectomy;
• left hemicolectomy;
• resection of the transverse colon;
• resection of the sigmoid colon;
• anterior resection of the rectum (it is possible to perform the operation without laparotomy incisions (surgical incisions on the anterior abdominal wall); only three punctures of 1 cm each);
• abdominal-anal resection of the rectum (it is possible to bring down the overlying colon - the colon is not brought to the anterior abdominal wall);
• abdominoperineal extirpation of the rectum (it is also possible to bring the colon into the perineal wound - there is no removal of the colon to the anterior abdominal wall);
• if necessary, combined operations are performed on the liver, spleen, urinary system and pelvic organs.

Reconstructive operations of any level of complexity, if possible (after some operations it is impossible to perform one or another surgical procedure at the request of the patient):

• closure of ileostomy;
• colostomy closure;
• reconstructive operations after Hartmann, Mikulicz operations and other operations with removal of the small or large intestine to the anterior abdominal wall.