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Dr. med. Guido Csomos image

Department of internal medicine (gastroenterology, nephrology)

Dr. med. Guido Csomos
internal medicine, gastroenterology

About the department

The department of internal medicine (gastroenterology, nephrology) at Academic Regio Hospital Pinneberg offers a broad diagnostic and therapeutic spectrum for comprehensive care for various therapeutic conditions. The department is divided into gastroenterology (diseases of the digestive organs), nephrology (kidney diseases), and general internal medicine. It has extensive modern diagnostic and therapeutic procedures using high-resolution endoscopes of the latest devices. A highly qualified team of doctors and nursing staff works closely with the general and visceral surgeons in the intestinal centre and ensures high-quality patient care. The close cooperation with the in-house radiological practice also guarantees rapid diagnostics using the latest imaging methods (CT, MRT, nuclear medicine).

In addition to gastroenterology and nephrology, the department of internal medicine treats patients with diseases of the respiratory tract, infectious and metabolic disorders, diseases of the bones and joints, diseases of the blood and the blood-forming organs, rheumatological and hormonal diseases. Specialists use ultrasound to examine the abdominal organs and vessels, thyroid gland, vessels supplying the brain, lymph nodes, leg arteries and leg veins.

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Treatment and diagnostic focus of the department


  • Inflammatory changes in the airways 
  • Obstructive pulmonary disease (chronic bronchitis) 
  • Pulmonary emphysema 
  • Bronchial asthma 
  • Varicose veins in the oesophagus 
  • Inflammatory disease of the gastrointestinal tract 
  • Benign and malignant tumours of the gastrointestinal tract 
  • Inflammatory diseases of the kidneys
  • Rejection reactions after a kidney transplant
  • Acute kidney failure 


  • Bronchoscopy 
  • Spirometry 
  • Body plethysmography 
  • Measurement of the CO diffusion capacity 
  • Oesophago-Gastro-Duodeno-Jejunoscopy 
  • B-mode sonography and duplex sonography
  • Contrast-enhanced upper abdominal sonography 
  • Colonoscopy 
  • Spiral enteroscopy 
  • Functional diagnostic of the small intestine 
  • Sonography of the kidneys 
  • Kidney puncture

Treatment options: 

  • Drug therapy 
  • Minimally invasive surgery 
  • Obliteration of varices (varicose veins) in the oesophagus and stomach 
  • Bougienage of stenoses and placement of stents in the oesophagus and large intestine 
  • Polypectomy 
  • Mucosectomy
  • Stone removal 
  • Dialysis catheter 
  • Hemodialysis (blood washing) 
  • Physiotherapy 
  • Other treatment procedures
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