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Therapeutic Department №1

Alexei Lezhnin

Head of the Therapeutic Department №1

Phthisiologist

Adress: Ligovsky Ave., 2-4
Tel.: +7 (812) 775-75-50


The department specializes in the treatment and comprehensive diagnostics of various lung diseases. The department's specialists provide highly qualified medical care necessary for an accurate diagnosis and optimal treatment selection.

The department's specialists provide medical assistance in the following areas:

differential
diagnostics

conservative
therapy

endoscopic
diagnostics


Therapy Specialists

Alexei Lezhnin


Phthisiologist

Evgenia Istomina


Phthisiologist, pulmonologist, therapist

Advanced diagnostics of lung diseases

The Department's specialists perform differential diagnostics to identify tuberculosis among similar radiographic forms of other lung diseases (pneumonia, sarcoidosis, oncological processes, etc.).

Modern diagnostic methods are used to verify the diagnosis:

  • morphological: histological and cytological examination of biological material;
  • bacteriological: identification of the pathogen (including Mycobacterium tuberculosis) and determination of its sensitivity to antibacterial (or anti-tuberculosis) drugs to select effective therapy;
  • biochemical: examination of biological fluids;
  • immunological: assessment of the body's immune response (blood tests, samples);
  • chemical: examination of biological fluids and fabrics.
  • Modern treatment of pulmonary tuberculosis

    In our Department treatment is based on advanced standards, with an emphasis on conservative methods as the foundation of therapy. Our main principle is individualized therapy, which ensures maximum effectiveness and safety for each patient.

    Treatment is strictly tailored to each individual patient based on three fundamental factors:

  • data on the pathogen's drug susceptibility;
  • consideration of individual tolerance to anti-tuberculosis drugs;
  • attention to comorbidities.
  • Associated medical care

  • efficacy monitoring: regular monitoring to assess response to therapy and timely adjustments to the regimen;
  • patient support: consultations on nutrition, regimen, and quitting bad habits (including smoking);
  • physiotherapy and breathing exercises: as indicated, to improve lung function and accelerate the resolution of inflammatory changes.

  • Endoscopy Specialists

    Irina Tabanakova


    Endoscopist, CMS

    Igor Mamenko


    Endoscopist, thoracic surgeon, CMS

    Gleb Beliaev


    Endoscopist, thoracic surgeon, CMS

    The Department's endoscopy service specialists have the most extensive experience in Russia performing diagnostic endobronchial procedures. The endoscopy room is equipped with state-of-the-art equipment, including EBUS-TBNA (endobronchial ultrasonography with transbronchial aspiration biopsy of lymph nodes and mediastinal masses), EUS-NA (endoscopic transesophageal ultrasonography with biopsy), confocal endomicroscopy (Cellvizio), cryobiopsy of lung tissue and mediastinal lymph nodes, and a medical laser for photodynamic therapy of intraluminal tumors of the trachea and bronchi. The full range of diagnostic endoscopic examinations is available to patients on an outpatient basis and under sedation.

    Therapeutic endoscopic manipulations:

  • restoration of the trachea and bronchi in tumor and cicatricial stenosis (rigid bronchoscopy, cryo- and laser destruction, stenting);
  • intraluminal photodynamic therapy;
  • transbronchial biopsies of the lung and intrathoracic lymph nodes;
  • esophageal bougienage;
  • endoscopic submucosal resections and myotomies of the esophagus;
  • esophageal stenting and endoscopic gastrostomy;
  • fibrocolonoscopy, removal of epithelial lesions of the intestinal mucosa.

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