Dr. med. Lars Griem

Certificates of competence and additional training
11. 11. 2014 - Certified Intestinal Tumour Centre
1. 7. 2011 - Expertise for dose-intensive examinations and therapeutic interventions in gastroenterology
11. 2. 2005 - Certificate as a doctor specialising in nutrition (German Academy for Nutritional Medicine) Trained nutritionist, additional qualification in nutritional medicine
11. 2. 2003 - Specialist knowledge in abdominal sonography
15. 9. 2004 - Specialist knowledge in echocardiography
8. 9. 2004 - Specialist knowledge in sonography of the extracranial vessels supplying the brain
22. 5. 1998 - Specialist knowledge in emergency medical services

Pre-operative and post-operative endoscopic diagnostics and therapy
(approx. 1000 bariatric patients per year)

Gastroscopy including

• Treatment of tumour-postoperative stenoses by balloon dilatation or stenting
• Sclerotherapy for gastric bypass patients with post-operative secondary weight gain or dumping syndrome
• Endoscopic gastric band removal for band penetration
• Gastro-gastric fistula closure
• Placement and removal of gastric balloons

48 h capsule pH-metry
Acid measurement in the oesophagus

Oesophageal manometry
Pressure measurement of the oesophagus

Double balloon enteroscopy
Assessment and treatment of inflammatory or neoplastic or chronic bleeding in the entire small intestine. In patients who have undergone gastric bypass surgery: assessment and treatment of the stomach - including gastric bleeding - as well as visualisation and treatment of biliodigestive anastomosis.

Capsule enteroscopy
Diagnostic clarification of the small intestine - mainly for bleeding, chronic inflammation and neoplasia.

Colonoscopy
Colon cancer screening, polypectomies, haemostasis, dilatation of stenoses, stent placement, diagnosis and treatment of chronic inflammatory bowel diseases (Crohn's disease, ulcerative colitis, lymphocytic colitis, collagenous colitis, intestinal spirochetosis).

Proctoscopy
Diagnosis and treatment of anal fissures, haemorrhoids, incontinence investigations, clarification of anal itching, removal of mariscus, treatment of genital warts

Hepatology
Diagnosis and treatment of liver diseases (hepatitis A, B, C, D, E; autoimmune liver diseases, primary sclerosing cholangitis, primary biliary cirrhosis, Wilson's disease, haemochromatosis, alpha 1 fetoprotein deficiency)

Nutritional medicine
Clarification of food intolerances such as lactose, fructose, histamine, gluten and sorbitol intolerance in close co-operation with various specialists.