{"id":987497968,"date":"2025-09-03T17:20:00","date_gmt":"2025-09-03T14:20:00","guid":{"rendered":"https:\/\/www.palmedromhealth.com\/?post_type=clinici&#038;p=987497968"},"modified":"2026-03-24T13:51:27","modified_gmt":"2026-03-24T11:51:27","slug":"clinica-360","status":"publish","type":"clinici","link":"https:\/\/www.palmedromhealth.com\/ro\/clinici\/clinica-360\/","title":{"rendered":"Clinica 360"},"content":{"rendered":"<p>Din dorin\u021ba de a diversifica gama serviciilor oferite, \u00eencep\u00e2nd cu anul 2018, am investit \u00een realizarea \u0219i dotarea unor noi departamente sub denumirea de Clinica 360.\u00cen prezent Clinica 360 cuprinde un segment de ambulator, o multitudine de specialit\u0103\u021bi medicale \u0219i chirurgicale, o unitate de spitalizare de zi organizat\u0103 \u00een 4 saloane cu paturi, un salon de post anestezie \u0219i un compartiment de endoscopie. De asemenea, din dotarea Clinicii fac parte un punct de recoltare analize medicale precum si un departament de explor\u0103ri func\u021bionale. Consider\u0103m c\u0103 siguran\u021ba serviciului medical \u00eempreun\u0103 cu dedicarea \u0219i implicarea ar\u0103tat\u0103 fa\u021ba de \u00eengrijirea pacien\u021bilor no\u0219tri \u0219i fa\u021ba de calitatea vie\u021bii acestora, sunt principiile care ne ajut\u0103 s\u0103 devenim un etalon al calit\u0103\u021bii \u00een cadrul ramurii medicale \u00een care activ\u0103m.<\/p>\n<p><strong>Element distinctiv<\/strong><\/p>\n<h6><strong>1. Endoscopie Interven\u021bional\u0103<\/strong><\/h6>\n<p>Am extins gama de servicii oferite pacien\u021bilor no\u0219tri prin introducerea unor proceduri endoscopice avansate, care permit diagnosticarea \u0219i tratarea afec\u021biunilor tractului gastrointestinal prin tehnici minim invazive:<\/p>\n<ul>\n<li><strong>Colangiopancreatografia Retrograd\u0103 Endoscopic\u0103 (ERCP)<\/strong><\/li>\n<\/ul>\n<p>ERCP este o procedur\u0103 minim invaziv\u0103 care combin\u0103 tehnica endoscopic\u0103 cu imagistica radiologic\u0103 pentru a examina \u0219i trata afec\u021biuni ale c\u0103ilor biliare \u0219i ale ductului pancreatic.<br \/>\nUn endoscop cu vedere lateral\u0103 este introdus prin cavitatea bucal\u0103 p\u00e2n\u0103 la nivelul duodenului (prima parte a intestinului sub\u021bire). Dup\u0103 identificarea papilei duodenale \u2013 locul de v\u0103rsare a ductului biliar \u0219i pancreatic \u2013 se injecteaz\u0103 o substan\u021b\u0103 de contrast cu ajutorul unui cateter, sub ghidaj radiologic, pentru o vizualizare clar\u0103 a canalelor. Ulterior, papila este incizat\u0103 (<em>sfincterotomie<\/em>), permi\u021b\u00e2nd introducerea unor instrumente auxiliare pentru tratarea calculilor biliari, tumorilor sau stricturilor.<\/p>\n<ul>\n<li><strong>ERCP cu protezare biliar\u0103<\/strong><\/li>\n<\/ul>\n<p>Pacien\u021bii cu tumori maligne biliare sau pancreatice se prezint\u0103 frecvent cu simptome secundare invaziei tumorale, precum stricturi ale c\u0103ilor biliare sau \u00eent\u00e2rzierea golirii gastrice.<br \/>\n\u00cen ambele cazuri, singura solu\u021bie curativ\u0103 este rezec\u021bia chirurgical\u0103, \u00eens\u0103 doar 15\u201320% dintre tumori sunt operabile \u00een momentul diagnosticului. \u00cen majoritatea situa\u021biilor, se indic\u0103 un tratament paliativ, iar endoscopia interven\u021bional\u0103 are un rol esen\u021bial \u00een controlul simptomatologiei.<\/p>\n<ul>\n<li><strong>Extrac\u021bia endoscopic\u0103 a corpurilor str\u0103ine<\/strong><\/li>\n<li><strong>Protezare endoscopic\u0103<\/strong> <em>(esofagian\u0103 \/ gastric\u0103 \/ colonic\u0103)<\/em><\/li>\n<li><strong>Polipectomie utiliz\u00e2nd tehnica EMR (Rezec\u021bia Endoscopic\u0103 a Mucoasei)<\/strong><\/li>\n<\/ul>\n<p>EMR este o procedur\u0103 minim invaziv\u0103 folosit\u0103 pentru \u00eendep\u0103rtarea leziunilor precanceroase sau a celor canceroase aflate \u00een stadiu incipient \u2013 cel mai adesea polipi.<br \/>\nTehnica permite \u00eendep\u0103rtarea exclusiv\u0103 a leziunii, p\u0103str\u00e2nd integritatea organului afectat. \u00cen func\u021bie de localizarea leziunii, procedura se realizeaz\u0103 \u00een timpul unei endoscopii digestive superioare (esofag, stomac, duoden) sau inferioare (colonoscopie).<\/p>\n<ul>\n<li><strong>Polipectomie utiliz\u00e2nd tehnica ESD (Disec\u021bia Submucoas\u0103 Endoscopic\u0103)<\/strong><\/li>\n<\/ul>\n<p>ESD este o procedur\u0103 avansat\u0103, minim invaziv\u0103, care permite rezec\u021bia \u201e\u00een bloc\u201d a leziunilor extinse, superficiale, precanceroase sau canceroase \u00een stadiu incipient. Comparativ cu EMR, ESD este indicat\u0103 pentru leziuni mai mari, complexe sau care invadeaz\u0103 superficial stratul submucos.<br \/>\nAvantajul major al ESD const\u0103 \u00een posibilitatea de a \u00eendep\u0103rta \u00eentreaga leziune dintr-o singur\u0103 bucat\u0103, ceea ce permite anatomopatologului s\u0103 evalueze complet marginea de rezec\u021bie \u2013 at\u00e2t \u00een profunzime, c\u00e2t \u0219i lateral. Astfel, c\u00e2nd marginile sunt negative (f\u0103r\u0103 \u021besut tumoral rezidual), rata de recidiv\u0103 tumoral\u0103 este practic zero.<\/p>\n<h6><strong>2. Videocapsula Endoscopic\u0103 (VCE)<\/strong><\/h6>\n<p>VCE este o procedur\u0103 non-invaziv\u0103 care utilizeaz\u0103 o camer\u0103 de dimensiunea unei capsule (aproximativ c\u00e2t o pastil\u0103 de vitamine) pentru a capta imagini din interiorul tractului digestiv.<br \/>\nPe m\u0103sur\u0103 ce capsula parcurge \u00een mod natural tubul digestiv, aceasta transmite mii de imagini c\u0103tre un dispozitiv de \u00eenregistrare \u2013 numit receptor \u2013 purtat de pacient la nivelul taliei.<br \/>\nAceast\u0103 tehnic\u0103 este deosebit de util\u0103 pentru diagnosticarea afec\u021biunilor intestinului sub\u021bire, o zon\u0103 dificil de accesat prin endoscopie sau colonoscopie conven\u021bional\u0103.<\/p>\n<h6><strong>3. Balonul Gastric Allurion<\/strong><\/h6>\n<p><strong>Balonul gastric Allurion<\/strong> este un dispozitiv pentru pierderea \u00een greutate, non-chirurgical \u0219i ingerabil, conceput pentru a reduce aportul alimentar \u0219i pentru a sus\u021bine adoptarea unui stil de via\u021b\u0103 s\u0103n\u0103tos.<br \/>\nSpre deosebire de baloanele gastrice clasice, balonul Allurion <strong>nu necesit\u0103 endoscopie sau anestezie<\/strong> pentru montare sau \u00eendep\u0103rtare.<br \/>\nBalonul este \u00eenchis \u00eentr-o capsul\u0103 vegetal\u0103, ata\u0219at\u0103 la un cateter sub\u021bire. Dup\u0103 ce este \u00eenghi\u021bit \u0219i pozi\u021bionarea sa \u00een stomac este confirmat\u0103 radiologic, balonul este umplut cu lichid prin cateter. Acesta r\u0103m\u00e2ne \u00een stomac aproximativ <strong>16 s\u0103pt\u0103m\u00e2ni<\/strong>, ocup\u00e2nd spa\u021biu \u0219i induc\u00e2nd senza\u021bia de sa\u021bietate, contribuind astfel la reducerea aportului alimentar.<br \/>\nLa finalul perioadei, o valv\u0103 automat\u0103 se deschide, balonul se desumfl\u0103 \u0219i este eliminat natural prin sistemul digestiv.<br \/>\nAceast\u0103 procedur\u0103 este ideal\u0103 pentru persoanele care caut\u0103 o solu\u021bie non-invaziv\u0103 pentru a-\u0219i <strong>\u00eencepe c\u0103l\u0103toria de sl\u0103bire sub supraveghere medical\u0103<\/strong>.<\/p>\n<p><b>Anul \u00eenfiin\u021b\u0103rii: <\/b>2002<\/p>\n<p data-start=\"81\" data-end=\"152\"><strong data-start=\"81\" data-end=\"150\">Lista principalelor echipamente sau tehnologii medicale utilizate<\/strong><\/p>\n<ul data-start=\"154\" data-end=\"1254\">\n<li data-start=\"154\" data-end=\"225\">\n<p data-start=\"156\" data-end=\"225\">Instala\u021bie mobil\u0103 de RX \u2013 diagnostic cu bra\u021b C, Model (Tip) OEC One<\/p>\n<\/li>\n<li data-start=\"226\" data-end=\"274\">\n<p data-start=\"228\" data-end=\"274\">Videocolonoscop \/ Videoduodenoscop HD Pentax<\/p>\n<\/li>\n<li data-start=\"275\" data-end=\"311\">\n<p data-start=\"277\" data-end=\"311\">Videogastroscop High Definition+<\/p>\n<\/li>\n<li data-start=\"312\" data-end=\"367\">\n<p data-start=\"314\" data-end=\"367\">Video endoscop \/ rectoscop \u2013 Sometech, Dr. Camscope<\/p>\n<\/li>\n<li data-start=\"368\" data-end=\"424\">\n<p data-start=\"370\" data-end=\"424\">Sistem de Video OtoRinoLaringoscop Vivideo HD-Pentax<\/p>\n<\/li>\n<li data-start=\"425\" data-end=\"493\">\n<p data-start=\"427\" data-end=\"493\">Ecograf Arietta 850 Deep Insight Fujifilm cu sond\u0103 convex\u0103 F2-5C<\/p>\n<\/li>\n<li data-start=\"494\" data-end=\"629\">\n<p data-start=\"496\" data-end=\"629\">Ecograf multidisciplinar VINNO E20, 2 sonde (convex\u0103, liniar\u0103), Doppler color, Panoview, videoprinter alb\/negru, PW (Power Doppler)<\/p>\n<\/li>\n<li data-start=\"630\" data-end=\"877\">\n<p data-start=\"632\" data-end=\"877\">Ecograf sta\u021bionar Doppler color VINNO G50, 2 sonde (phassed array monocristal, liniar\u0103), elastografie, MAM (multi angle mod M), Auto EF (frac\u021bia de ejec\u021bie), TVI (tissue velocity imaging), Doppler color, Doppler continuu CW, PW (Power Doppler)<\/p>\n<\/li>\n<li data-start=\"878\" data-end=\"916\">\n<p data-start=\"880\" data-end=\"916\">Frigider farmaceutic MLV-320 SIGMA<\/p>\n<\/li>\n<li data-start=\"917\" data-end=\"969\">\n<p data-start=\"919\" data-end=\"969\">Sistem testare efort Cardiax PC CARDIAX cu band\u0103<\/p>\n<\/li>\n<li data-start=\"970\" data-end=\"999\">\n<p data-start=\"972\" data-end=\"999\">Holter TA Meditech ABPM05<\/p>\n<\/li>\n<li data-start=\"1000\" data-end=\"1034\">\n<p data-start=\"1002\" data-end=\"1034\">Holter EKG CardioMera Meditech<\/p>\n<\/li>\n<li data-start=\"1035\" data-end=\"1080\">\n<p data-start=\"1037\" data-end=\"1080\">Auto Kerato Refractometru Lucid Ever VIEW<\/p>\n<\/li>\n<li data-start=\"1081\" data-end=\"1110\">\n<p data-start=\"1083\" data-end=\"1110\">Defibrilator DEFI B 220 V<\/p>\n<\/li>\n<li data-start=\"1111\" data-end=\"1141\">\n<p data-start=\"1113\" data-end=\"1141\">Autoclav Phoenix Blue 18 l<\/p>\n<\/li>\n<li data-start=\"1142\" data-end=\"1197\">\n<p data-start=\"1144\" data-end=\"1197\">Monitoare pacien\u021bi \u2013 Edan IM8B + imprimant\u0103 termic\u0103<\/p>\n<\/li>\n<li data-start=\"1198\" data-end=\"1254\">\n<p data-start=\"1200\" data-end=\"1254\">Aspirator chirurgical pentru ligaturare New Askir 30<\/p>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>\u00cenfiin\u021bat\u0103 \u00een anul 2002, Gastromed SRL reune\u0219te o echip\u0103 de speciali\u0219ti cu o vast\u0103 experien\u021b\u0103 \u00eentr-o varietate de domenii medicale.<\/p>\n","protected":false},"author":16,"featured_media":987497969,"template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":""},"specialitati":[6,35,70,75,271,40,41,44,48,51,53,55,58,77,60,80,81,63,68,82],"class_list":["post-987497968","clinici","type-clinici","status-publish","has-post-thumbnail","hentry","specialitati-boli-infectioase","specialitati-cardiologie","specialitati-chirurgie-generala","specialitati-chirurgie-vasculara","specialitati-dermatologie","specialitati-diabet-zaharat-nutritie-si-boli-metabolice","specialitati-endocrinologie","specialitati-gastroenterologie","specialitati-hematologie","specialitati-medicina-interna","specialitati-medicina-muncii","specialitati-nefrologie","specialitati-neurologie","specialitati-obstetrica-ginecologie","specialitati-oncologie-medicala","specialitati-ortopedie-si-traumatologie","specialitati-otorinolaringologie","specialitati-pneumologie","specialitati-reumatologie","specialitati-urologie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - 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