Ulcerative colitis Treatment in Dr. GASTRO Gastroenterology Clinic
About the clinic
Ulcerative colitis care at Dr. GASTRO Gastroenterology Clinic in Bratislava, Slovakia, includes testing, medicines, endoscopy, and surgical guidance. An FOB stool test is around $20, rectosigmoidoscopy around $200, and colonoscopy around $400–$600. Dr. Boris Pekárek, MD, PhD, has over 20 years of gastroenterology experience and heads the Gastroenterology Department at the National Cancer Institute.
Tests for ulcerative colitis
The clinic is a private outpatient and day-surgery center established in 2023. Its physicians include specialists from the National Cancer Institute. The clinic holds an official operating permit and medical license from the Bratislava Self-Governing Region.
- Consultation: Includes a medical history, physical examination, and treatment plan.
- Laboratory tests: May check CRP, sedimentation rate, stool blood, stool infections, and fecal calprotectin.
- Colonoscopy with biopsy: Assesses the extent of bowel inflammation and takes tissue samples for testing.
- Rectosigmoidoscopy: Examines the rectum and lower colon, including areas affected by proctitis or left-sided colitis.
- Other tests: Gastroscopy with biopsy, FOB stool testing, and CT or MRI imaging to assess complications.
Endoscopy and sedation
High-definition scopes with virtual chromoendoscopy help detect early changes in the bowel lining. CO2 is used during colonoscopy, and sedation or analgosedation is available for endoscopic exams. Colonoscopy usually takes 15–30 minutes; the visit takes about an hour, including preparation and consultation.
Preparation includes a low-residue diet for five days, bowel cleansing, and fasting without fluids for about four hours. Patients rest in a private recovery room for 30–60 minutes before going home. Initial findings are available immediately, while biopsy results usually arrive within one month. Polyps or abnormal lesions can be removed during the same session. Therapeutic endoscopy can also control bleeding or widen a stricture.
Medicines and supportive care
- Medication therapy: Options include 5-ASA medicines for mild disease, corticosteroids for acute inflammation, and immunosuppressants for longer-term control.
- Biologics and JAK inhibitors: Biologic options include infliximab, vedolizumab, and ustekinumab. Oral JAK inhibitors may be used after biologic treatment fails.
- Monitoring: The plan includes drug selection, dose adjustment, and regular consultations to support remission.
- Lifestyle support: Guidance covers smaller meals, avoiding fatty and spicy foods, fluids, fiber during remission if tolerated, and reducing smoking, alcohol, and stress.
Surgery for complicated disease
For drug failure, complications, or high cancer risk, the clinic’s ulcerative colitis guide describes colectomy. The surgery removes part or all of the colon, sometimes creating a pouch from the small intestine. Patients can request a consultation through Bookimed to discuss the available care options.
Highlights
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Treatments prices in the clinic
| diagnostics | Price | |
|---|---|---|
| Gastroscopy with biopsy | $198.42 - $385.81 | |
| Basic check-up | $165.35 - $220.46 | |
| Colonoscopy | $352.74 - $606.28 |
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Dr. GASTRO Gastroenterology Clinic: more details about the clinic
Dr. GASTRO Gastroenterology Clinic is a specialized medical center established in 2023. Located in Bratislava, Slovakia, it operates as a private outpatient and day surgery center. The clinic focuses on adult gastroenterology, with a primary emphasis on preventing and detecting digestive system cancers early.
Accreditations and Professional Background
The clinic holds an official operation permit and medical license issued by the Bratislava Self-Governing Region. The medical team includes specialists who maintain roles within the Slovak Gastroenterological Society, including positions in the Oncological and Endoscopic sections. The clinic's physicians have extensive experience from the Gastroenterology Department of the National Cancer Institute (NOÚ), which serves as a tertiary referral center for complex neoplastic lesions.
Specialists at the clinic participate in professional groups focused on colorectal cancer screening and oncological gastroenterology. This expertise supports the clinic's mission to identify and remove precancerous lesions during a single endoscopic session when possible.
Specialized Gastroenterological Services
The clinic provides diagnostic and therapeutic services for conditions affecting the esophagus, stomach, and intestines. Specialists offer consultations and assessments for inflammatory bowel disease, liver disorders, and functional gastrointestinal conditions, as well as diagnostic evaluations involving the gallbladder and pancreas.
Endoscopic Procedures
Endoscopy at the clinic includes both upper and lower gastrointestinal tract evaluations. Physicians perform gastrofibroscopy to visualize the esophagus, stomach, and duodenum. This procedure helps diagnose ulcers, reflux esophagitis, hiatal hernias, and celiac disease through tissue biopsies.
For the lower digestive tract, the clinic offers the following procedures:
- Kolonoskopia – a full examination of the rectum, large intestine, and terminal ileum.
- Rektosigmoskopia – a targeted, less invasive examination of the rectum and the end of the large intestine.
- Polypektómia – the surgical removal of polyps during an ongoing colonoscopy to prevent colorectal cancer.
Diagnostic accuracy is supported by FOB tests, which identify hidden blood in the stool. This screening tool helps detect tumors, ulcers, or fissures in early stages.
Technology and Patient Comfort
Dr. GASTRO uses high-definition endoscopes for all visual examinations of the digestive tract. These devices feature virtuálna chromoendoskopia, which uses special colored light to enhance mucosal details. This technology allows for precise identification of early-stage lesions that might be missed under standard light.
To reduce physical discomfort during and after procedures, the clinic uses carbon dioxide (CO2) insufflation. This gas is absorbed by the body faster than room air, so post-procedure bloating is minimized. Patients may also request analgosedation – a combination of medications administered intravenously to ensure a painless experience and eliminate anxiety.
Dedicated recovery zones are available for patients to rest after procedures involving sedation. These areas provide privacy and safety monitoring before the patient returns home.
International Patient Services
The clinic treats international patients and offers flexible scheduling to accommodate travelers. Specialists provide consultations in languages including English and Czech. Online consultations are available for initial assessments and discussing diagnostic findings. The clinic is located in the Ružinov district and provides parking for patients visiting the facility.
Additional services
Patient reviews
Charles Tannock
Vlasta Slovinec
Lucia Hanusova
Wendy Anggrainy
Igor Fomenko
Plynárenská 7 A, 821 09 Ružinov, Slovakia
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