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The Clinic is fully licensed to conduct further professional training in internal medicine (6 years) and has been assigned by the University of Göttingen to teach the entire area of Internal Medicine. Approx. 5000 inpatients are treated each year in the Medical Clinic (143 beds), including about 1500 on the Internal Medicine Intensive Care Ward. A comprehensive Internal Medicine Emergency Outpatient Unit is integrated within the Clinic. The Internal Medicine Intensive Care Ward has 10 beds. All severe and life-threatening diseases relating to the area of internal medicine are diagnosed and treated.

In addition to activities relating to general internal medicine, the Medical Clinic also focuses on diagnosis and treatment in the following areas: 

• Diseases of the gastrointestinal tract, pancreas, gall bladder and liver (gastroenterology/hepatology) 
  
• Cardiology, internal intensive care medicine, angiology 
  
• Diabetes mellitus and metabolic disorders 
  
• Haematology and internal oncological medicine
  
  
  The Medical Clinic specialises in diseases of the stomach and intestine (gastroenterology), liver diseases (hepatology) and malfunctions of the gastrointestinal tract. The range of diagnosis and therapy includes all diseases of the gastrointestinal tract, e.g. of the oesophagus, stomach, small and large intestine (including inflammatory conditions such as colitis and Crohn's disease), liver, gall bladder and pancreas. In addition, infections such as hepatitis, diarrhoea, tuberculosis and gastrointestinal tumours are expertly diagnosed and treated. The spectrum of medical services also includes preparation and post-operative care in liver transplant operations. Nutritional medicine rounds out the medical spectrum, which includes the development of individual therapeutic nutrition and diet plans as well as artificial feeding via tubes, PEG or ports.
  
  With over 4000 investigations a year, the new Endoscopy Department is one of the most active of its kind. All diagnostic and therapeutic endoscopic procedures of the upper (oesophagus, stomach, duodenum) and lower digestive tract (rectum and large intestine), bile ducts, pancreas and liver are performed. Around 6000 ultrasound investigations of the abdominal cavity and thyroid gland are performed each year. Organ punctures (tissue biopsies from the stomach, large/small intestine and liver) are also processed and analysed in the Clinic's own Histology Lab.
  
  In addition to chronic inflammatory gastrointestinal diseases (e.g. colitis and Crohn's disease), hepatology, infectious diseases and gastroenterological oncology, the in-house trained specialist medical and technical staff also perform the complete range of modern gastroenterological functional diagnostic techniques. All modern gastroenterological specialist investigations and function tests are performed, e.g. outpatient and inpatient long-term pH probes, manometric investigations along the entire upper and lower gastrointestinal tract including the oesophagus, stomach, small and large intestine, ano-rectal area, secretin-cerulean tests (SP test, primarily exocrine pancreatic insufficiency), H2 breathing tests with glucose (bacterial overgrowth in the upper gastrointestinal tract), lactose (lactose intolerance) and lactulose (oro-cecal transit time), all 13C breathing tests to investigate the complete range of metabolic disorders (stomach, liver, pancreas etc.) including with urea (helicobacter pylori status) and octanoic acid (gastric emptying time), pentagastrin tests (fractionated gastric juice secretion analysis), various liver function tests, pancreolauryl test and D-xylose test in serum and urine. In addition, special gastroenterological biochemical techniques are performed on serum/EDTA plasma in urine and stools.
  
  All necessary diagnostic and therapeutic procedures are available in the specialist areas of cardiology and angiology. Particular areas of focus in cardiology and angiology include the diagnosis and treatment of patients with heart disease and vascular problems. The Clinic performs the entire spectrum of non-invasive (electrocardiograms, long-time and exercise ECG, signal-averaged ECG, cardiac frequency variability, echocardiography including Doppler, Color Doppler and oesophageal echocardiography, stress echocardiography, colour-coded vascular sonography, duplex sonography) and invasive diagnostic procedures as well as the modern techniques of interventional angiology. These include right-heart probes and angiograms of the major vessels. State-of-the-art imaging techniques, e.g. digital angiography and digital subtraction angiography, are available for these investigations. In the area of differentiated cardiac electrotherapy, both temporary and permanent pacemakers of all standard systems are fitted; electrodefibrillators and electric cardioversion are used in tachycardia (cardiac rhythm disorder). All the techniques of modern diagnosis and therapy are used on the Internal Medicine Intensive Care Ward. 

Medical Clinic specialist area: Diabetology: 

The treatment of individuals with diabetes is another area of focus for our Clinic. In the control of diabetes, we follow the recommendations of the German Diabetes Society (DDG). We provide excellent treatment for all types of diabetes, e.g.:

• Type 1 diabetes (insulin-dependent) 
  
• Type 2 diabetes 
  
• Pregnant diabetic patients  
  
• Pregnancy diabetes (also known as gestational diabetes) 
  
• Diabetes caused by diseases of the pancreas 
  

In consultation with you we create a treatment programme that is tailored to your needs. We offer all types of diabetes treatment in our Clinic: 

• Control with tablets (Type-2 diabetes) 
  
• Mixed insulin injections (conventional therapy) 
  
• Insulin before meals (more intensive insulin therapy) 
  
• Standard therapy for Type-1 diabetes (basal-bolus therapy) 
  
• Switching to insulin pump therapy 
  

You are given advice in one-to-one consultations with our DDG diabetes consultants and diet assistants.
Collaboration with other specialist departments in our hospital ensures early identification and treatment of all secondary conditions.  

Our Diabetes Team consists of: 

• A DDG-recognised diabetologist  
  
• Two DDG-recognised diabetes consultants
• Two diet assistants  
  
• A psychologist 
  

Out-patient education sessions for diabetics are held at our Clinic in close collaboration with office-based doctors and the Bremen Training Association.
The specialisms of haematology and internal oncological medicine are involved in the diagnosis and treatment of blood-related diseases and of benign and malignant tumours (cancers). The clinical areas of focus here are the diagnosis and treatment of chronic leukaemia, multiple myeloma (plasma cell myeloma), Hodgkin's disease and other malignant lymphomas and solid tumours. The diagnostic and therapeutic procedures conform to national and international standards. All the most recent diagnostic and therapeutic methods, e.g. chemotherapy and immunotherapy, are available. Their use is monitored and controlled by specialists. There is an Oncology Day Clinic with 8 beds. In collaboration with our central laboratory, we perform the diagnosis of haematological and oncological systemic diseases, including immunology. Peripheral blood count and bone marrow diagnostic procedures are performed as well as cytological organ punctures. Treatment can be given on an inpatient or semi-inpatient basis. It is possible to give chemotherapy and blood replacement products on the Day Therapy Ward of the Medical Clinic. In collaboration with the attached Institute of Radiology the necessary diagnostic procedures are performed with state-of-the-art computer tomography, MRI and nuclear medical equipment.

There is a weekly interdisciplinary Tumour Conference that decides on the prognosis and initiation of various therapies, including radiotherapy at the Radiotherapy Unit at the Klinikum Mitte. Patients with pathogen-induced diseases, e.g. hepatitis, HIV and AIDS, diarrhoea and tropical diseases, are treated on the Infectious Diseases Ward. A separate ward is available for the treatment of all forms of tuberculosis.