消化科

首都醫科大學宣武醫院消化科由消化病房、消化科門診、消化內鏡中心、胃腸功能檢查室組成，設有消化道早癌門診、結腸息肉門診、便秘門診、炎症性腸病門診、膽胰疾病門診肝病門診等專病門診，病房床位44張。我科目前共有醫師21人，護士和技術人員44人，高階職稱7人，年門診量16萬餘人次，每年收治住院病人2500餘人次。在醫療、教學、科研等方面均具備雄厚的實力。

消化科是國家衛計委專科及亞專科醫師培訓基地，衛生部臨床藥理基地，設有專業碩士、博士點。長期以來承擔了大量臨床教學工作，累計舉辦市級繼續教育專案10項，在臨床教學方面積累了豐富了經驗。自我科引進中國第一臺內鏡模擬訓練機後，目前已建立以多臺內鏡模擬訓練機為核心的規範化消化內鏡操作培訓體系。科室還承擔首都醫科大學臨床教學任務，負責首都醫科大學博士研究生、碩士研究生、臨床醫療系本科生、國際學院留學生的教學工作。同時我科還承擔著包括國家自然基金在內的多項科研課題。

為滿足廣大患者就診需要，消化內科門診節假日全年無休，週末有專家門診開放。目前門診普通胃腸鏡檢查預約時間1周左右，無痛胃腸鏡檢查預約時間2周左右。同時我科開通24小時急診內鏡綠色通道，建立了“急診-急診內鏡-病房”一體化診療體系，診治了大量消化道出血、消化道異物及梗阻性黃疸的患者。

我科消化內鏡中心擁有國內最先進的裝置，可開展包括電子胃鏡、電子結腸鏡、電子小腸鏡、十二指腸鏡、電子超聲內鏡、膠囊內鏡等多項內鏡檢查與治療技術，目前全年完成各種消化內鏡的檢查超過20000例，各種內鏡下治療超過1500例，包括各種消化道腫瘤(胃腸道早癌、粘膜下腫瘤等)的內鏡下微創切除術及胰膽疾病的內鏡下治療術，開展了EMR、ESD、IDUS、EUS-FNA、ERCP、MBM、金屬及塑膠支架的置入、肝硬化食管胃底曲張靜脈出血的套扎硬化治療等多項技術。

消化科以“厚德精術”為科訓，秉承“嚴謹、夯實、團結、敬業”的消化科精神，經過歷代人的努力，造就了一支高素質、精技術、團結、拼搏、甘於奉獻的醫療護理隊伍。我們將繼續牢記使命、不忘初心、砥礪前行，堅持“精專業水平，醫教研共舉，突出學科特色，全面協調發展”，努力提高科室的綜合實力及社會影響力，為患者提供最優質的醫療服務。

1. 消化道早癌篩查及內鏡下治療：食管癌、胃癌、大腸癌的早期診斷，早癌的內鏡下治療（內鏡下粘膜切除術(EMR)、內鏡下粘膜剝離術(ESD)），進展期消化道腫瘤的食道或腸道支架植入術。

2.消化系統危重症診治：24小時急診內鏡治療消化道大出血，急性重症胰臟炎的診治。

3.腸道疾病診治：小腸疾病的診斷和治療、膠囊內鏡、雙氣囊小腸鏡，腸道菌群移植治療。

4.超聲內鏡：消化道粘膜下腫物、膽囊胰臟、縱隔腫物的超聲內鏡檢查，及超聲內鏡引導下細針穿刺術活檢(EUS-FNA)。

5.肝膽胰臟疾病組：經內鏡逆行性胰膽管造影(ERCP)、十二指腸乳頭切開取石術、膽總管內引流術、胰管內引流術、膽總管金屬或塑膠支架植入術等。

6.胃腸動力疾病：便秘診斷和治療。賁門失遲緩症的經口內鏡下肌切開術(POEM)。吞嚥功能障礙的經皮內鏡下胃造瘻術。食道良性狹窄的內鏡引導下的食管擴張術。

Introduction of Gastroenterology Department:

The Gastroenterology Department of Xuanwu Hospital of Capital Medical University consists of a digestive ward, a digestive intensive care unit, a digestive clinic, a digestive endoscopy center and a gastrointestinal function examination room. It has a fatty liver clinic, a gastroesophageal reflux disease clinic, an ulcer disease clinic and parkinson disease constipation clinic, constipation clinic, follow-up clinic and other specialized clinics. There are 44 beds in the ward and 8 beds in the ICU. In recent years, under the leadership of the head of the department, Professor Zhang Mei, with the optimization of the professional structure as the core, a group of well-known experts and academic backbones with excellent skills have emerged, forming a reasonable talent echelon with a total of 21 physicians, nurses and technicians. There are 45 people, 95% of whom are masters and doctors and 6 have senior titles. It has strong comprehensive strength in medical, teaching, scientific research and other aspects.

Gastroenterology is the training base for specialist and sub-specialist physicians of the National Health and Family Planning Commission, and the clinical pharmacology base of the Ministry of Health, with professional master's and doctoral programs. It has undertaken a large number of clinical teaching work for a long time, has organized 10 municipal continuing education projects, and has accumulated rich experience in clinical teaching.

The Department of Gastroenterology gives full play to the resources and subject characteristics of the elderly and severe digestive system diseases, and has successively completed more than 30 major scientific research topics on elderly digestion. It led the establishment of the National Alliance for the Prevention and Control of Gastrointestinal Bleeding in the Elderly, established a data management platform for digestive diseases in the elderly, attracted more than 100 hospitals across the country, successfully held more than 10 high-level, large-scale alliance academic exchange activities, and more than 1,000 medical personnel. Greatly increased the academic influence of the department.

Gastroenterology ICU has become one of the largest gastroenterology ICUs in Beijing. Adhering to the development concept of “standardized diagnosis and treatment, precision medicine, and multidisciplinary cooperation”, it is good at gastrointestinal hemorrhage, acute severe pancreatitis, liver cirrhosis, hepatic encephalopathy, and sepsis. Diagnosis and treatment of critically ill patients with digestive disease and multiple organ failure are unique in the comprehensive assessment, diagnosis and treatment of critically ill digestive system in the elderly, realizing the greatest guarantee for the life safety of the elderly.

The digestive endoscopy center and gastrointestinal function examination room are equipped with various advanced equipment, which are good at endoscopic diagnosis and treatment and functional examination of digestive tract diseases. The 24-hour emergency endoscopy green channel has established an integrated diagnosis and treatment system of "Hospital Emergency-Emergency Endoscopy-Digestive ICU" to treat a large number of patients with gastrointestinal bleeding.

Projects carried out by the Center for Gastroenterology Endoscopy:

1. General gastrointestinal endoscopy

2. Painless gastrointestinal endoscopy

3. Endoscopic treatment of early cancer

4. Endoscopic resection of gastrointestinal polyps

5. Endoscopic submucosal dissection

6. Endoscopic mucosal resection

7. Foreign body removal surgery

8. Pigment magnifying endoscopy

9. Capsule endoscopy

10. Endoscopic hemostatic treatment: endoscopic injection, hardening, hemostatic clamp, argon coagulation, tissue glue bonding, spraying, etc.

Functional inspection projects:

Esophageal pressure measurement, 24-hour esophageal PH monitoring

Rectal pressure measurement

13C breath test to detect Helicobacter pylori

Hydrogen breath check

Gastrointestinal transit test

Gastroenterology takes " The pursuit of morality and skills" as its department motto, adhering to the gastroenterology spirit of "rigorous, solid, united, and dedicated". Through the efforts of generations, a team of high-quality, refined technology, unity, hard work and willingness has been created Medical care team. We will continue to keep our mission in mind, never forget our original intention, and move forward, adhere to the "precise professional level, joint medical, teaching and research, highlight the characteristics of the discipline, and comprehensive and coordinated development", and strive to improve the comprehensive strength and social influence of the department, and provide patients with the best quality Medical services.