ENDOCRINOLOGY AND METABOLISM DISEASES CLINIC
25 Şubat 2020

Endocrinology and Metabolic diseases is a  department of internal medicine that deals with the following diseases:

Diabetes mellitus,

Thyroid diseases,

Lipid disorders,

Osteoporosis and Metabolic Bone Diseases,

Obesity,

hirsutism,

Polycystic ovarian disease and menstrual irregularities,

Hypertension,

Metabolic Syndrome,

Short stature

Gonad diseases and Infertility,

Pituitary and hypothalamus diseases,

Adrenal gland diseases,

Parathyroid diseases,

Other hormonal imbalances.

 

HISTORY:

Endocrinology and Metabolic Diseases Clinic started operating at the end of 2008 in our hospital. Our center unit provides service with its inpatient service located on the 2nd floor of our hospital, F-Block and  the polyclinics are  located on the same block  in the entrance floor. Later, Etlik district polyclinic was added. In October 2016, Obesity  clinic was opened in the Mevki building of our hospital. Our endocrinology outpatient clinic started to serve in the first of December. In February 2017, other units in our İskitler building  moved to our Mevki building.

Our polyclinic services are still continuing in both our Headquarters and Mevki building. In both polyclinic units, besides routine patient examination and treatment, thyroid and parathyroid ultrasonography, thyroid fine needle aspiration biopsy are performed and one-to-one diabetic patient education is given.

In addition, a collective training program is routinely applied to our diabetic patients in our central  clinic. Nuclear Medicine Clinic in our hospital (thyroid and parathyroid scintigraphy, I131 uptake, I131 whole body iodine screening, radionuclide therapy, gastric emptying study, somatostatin receptor scintigraphy etc.) are located in our Mevki building, while bone mineral densitometry and magnetic resonance imaging can be  held in the center building of Dışkapı or in Mevki building. In the interventional radiology unit within our Radiology Clinic, adrenal venous sampling and inferior petrozal sinus sampling can be done .

Endocrinology center serves our patients under the following main outlines :

* Diabetes diagnosis, treatment, education and insulin pump  applications

* Thyroid diseases, thyroid cancer diagnosis, treatment, follow-up and thyroid ultrasonography / doppler ultrasonography / elastosonography and thyroid fine needle aspiration biopsy

* Calcium diseases and parathyroid ultrasonography / doppler ultrasonography

* Pituitary and hypothalamus diseases

* Gonad and adrenal gland diseases

* Obesity treatment

* Insulin resistance, metabolic syndrome

*Hypertension

* Cholesterol height

* Hirsutism (hair growth)

* Osteoporosis (bone weakness)

Our clinic contains the following units:

1-Dışkapı Central Polyclinics: There are two endocrinology outpatient clinics where general patient admission and consultation services are provided, diabetes training room for diabetics, diabetes training room, dynamic test room, thyroid ultrasound and biopsy room. In the diabetes training room, one-to-one and also collective trainings are given by diabetes education nurses to all outpatient and inpatient diabetes patients, insulin applications and general dietary recommendations are explained. Outpatient diagnostic tests are performed in the dynamic test room. Thyroid and parathyroid ultrasonography / doppler ultrasonography / elastosonography and thyroid fine needle aspiration biopsy are performed in the ultrasonography room.

2- Endocrinology Service (Centralbuilding): Inpatient service provides diagnosis and treatment, dynamic tests and patient education services. There is a separate examination room for inpatients for thyroid and parathyroid ultrasound and fine aspiration biopsy applications. Interventional dynamic tests such as inferior petrozal sinus sampling, adrenal venous sampling and ovarian venous sampling can be performed by our inpatient radiology clinic for our inpatients when necessary.

The meeting room, where clinical research is conducted and academic meetings are held, is also in the central service. At the Endocrinology-Surgery council meetings on Wednesday every week, the surgical or medical treatment to be evaluated and determined with other departments (ENT, General Surgery, Neurosurgery, Urology, Pathology and Nuclear Medicine) is determined. In the meeting room, if necessary, diabetic foot council meets and surgical or medical treatment to be applied to diabetic foot wounds is evaluated as multi-disciplinary. Training activities for assistants, weekly literature discussions and seminars are held on Tuesday in the meeting room.

3- Diabetes education and dynamic test room: All kinds of endocrinological diagnostic tests can be applied in our clinic, either outpatient or by hospitalization when necessary; glucose tolerance test, ACTH stimulation test, insulin hypoglycemia test, glucose-growth hormone suppression test, dexamethasone suppression tests, water restriction test, salt loading test, 72-hour fasting test, TRH stimulation test, GnRH stimulation test, human chorionic gonodotropin test (pregnyl test), CRH warning test, GHRH warning test and other endocrinological diagnostic tests are performed by our experienced staff.

4- Mevki Building Polyclinics: In Mevki Building Our obesity outpatient clinic started to serve in October 2016 as the first endocrinology outpatient clinic. Our other polyclinics located in our İskitler annex moved to our Mevki building in February 2017. Apart from our diabetes and obesity outpatient clinic, there are two Endocrinology outpatient clinics and one outpatient diseases (pituitary diseases, parathyroid diseases, thyroid cancers, surrenal adenoma, rare diseases). In addition, thyroid and parathyroid ultrasound / dopler ultrasonography / elastosonography and fine needle aspiration applications are also performed. In the obesity policlinic, intragastric balloon applications are performed with the Gastroenterology Clinic and the patients who undergo common bariatric surgery with the General Surgery clinic are followed up.

In our clinic, current developments in our country and in the world are closely followed in the field of Endocrinology. In this sense, many modern and technological applications in the field of diagnosis and treatment have been added to the practice of our clinic and started to be implemented. Endocrinology department serves nearly four hundred ambulatory patients every day and it is one of the clinics in Ankara where the most endocrinological diseases are evaluated.

Our endocrinology and metabolic diseases specialty training. And our outpatient and inpatient diagnosis and treatment are carried out by our team of 7 specialists doctors and managed and controled by  2 professors and 2 associate professors,