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シェバ医療センター
Sourasky Medical Center (Ichilov)
Assuta Medical Center
Hadassah Medical Center
Rambam Medical Center

イスラエルのトップ肛門科センター

  • シェバ医療センター, イスラエル
  • Sourasky Medical Center (Ichilov), イスラエル
  • Assuta Medical Center, イスラエル
  • Hadassah Medical Center, イスラエル
  • Rambam Medical Center, イスラエル

イスラエルでの医学評価を受ける:その分野の最高の専門医をお選びください

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Einat Shacham Shmueli

26年の経験

Dr. Einat Shacham‑Shmueli is a senior medical oncologist at the Gastrointestinal Clinic, Cancer Center, Sheba Medical Center. She treats cancers of the colon, stomach, and pancreas. She also manages metastatic disease. She uses precision diagnostics and biomarkers, systemic therapies, and radiotherapy. Care is provided within a multidisciplinary team.

She has authored more than 25 peer‑reviewed papers on GI oncology, tumor biology, and new treatments. Her work includes studies on stenting for malignant colonic obstruction. She serves as an investigator in international programs, including the NCI, the Radiation Therapy Oncology Group, and the Cancer Therapy Evaluation Program.

Education: MD, Tel Aviv University. Oncology residency, Tel Aviv Sourasky Medical Center. Advanced training in GI oncology, UCSF. Accreditations: Board certified in Oncology and Gastroenterology. Member, Israel Society of Oncology and Radiotherapy.

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更新済み: 05/27/2022
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イスラエルでの肛門科に関するFAQ

これらのFAQはBookimedを通じて医療支援を求める実際の患者からのものです。回答は経験豊富な医療コーディネーターと信頼できるクリニック代表者が行います。

Where are the best proctology clinics located in Israel?

The best proctology clinics in Israel are located in Tel Aviv, Jerusalem, Ramat Gan, and Haifa. These centers utilize advanced robotic surgery and digital imaging. Leading facilities include JCI-accredited institutions like Sourasky Medical Center (Ichilov), Assuta Medical Center, and Hadassah Medical Center.

  • Tel Aviv: Sourasky Medical Center (Ichilov) treats over 1,800,000 patients annually with advanced proctology care.
  • Jerusalem: Hadassah Medical Center offers specialized colorectal surgery led by board-certified expert Dr. Alon Pikarsky.
  • Ramat Gan: Sheba Medical Center is a top-ranked facility providing comprehensive services across 1,990 specialties.
  • Haifa: Rambam Medical Center serves Northern Israel, hosting Nobel Prize-winning doctors and advanced diagnostics.

Bookimed Expert Insight: Israeli medical centers often integrate proctology within larger surgical departments to provide multidisciplinary care. For example, Sourasky Medical Center (Ichilov) operates 240 departments. This allows proctology patients to access immediate consultations with oncologists or gastroenterologists if complex issues arise during diagnosis.

Patient Consensus: Patients note that major hospitals in Tel Aviv and Jerusalem offer the most advanced procedures. Many prefer minimally invasive laser treatments and find the English-speaking staff very helpful during recovery.

Are Israeli proctologists board-certified, and how is their expertise verified?

Israeli proctologists hold board certification in general surgery. There is no separate sub-specialty board for proctology in Israel. Expertise is verified through Israeli Medical Association (IMA) residency, professional society diplomas, and hospital leadership at JCI-accredited centers like Sourasky Medical Center (Ichilov).

  • General surgery board: Surgeons complete a 6-year residency. They must perform 600+ surgical procedures.
  • Specialized society membership: The Israeli Society of Colon and Rectal Surgery validates advanced clinical knowledge.
  • Hospital leadership: Top experts lead specialized units at major facilities like Sheba Medical Center.
  • Registry verification: Licensing is confirmed via the Israeli Ministry of Health online database.

Bookimed Expert Insight: Israeli doctors often hold dual certifications. Dr. Alon Pikarsky at Hadassah Medical Center and Dr. Gideon Goldman at Sourasky Medical Center both possess decades of experience. High-volume centers like Sheba Medical Center handle over 45,000 surgeries annually. This surgical volume ensures that general surgeons focusing on proctology maintain exceptionally high practical skill levels.

Patient Consensus: Patients note that state regulation here is equivalent to Western standards. They recommend checking if staff speak English and verifying specific case volumes during the first consultation.

What advanced treatments for hemorrhoids are available?

Advanced hemorrhoid treatments in Israel focus on minimally invasive techniques like Laser Hemorrhoidoplasty (LHP) and Doppler-guided ligation. These procedures target blood supply to shrink tissue with minimal pain. Specialized centers in Tel Aviv and Jerusalem provide same-day discharge and recovery within 48 hours for most patients.

  • Laser treatment: LHP takes 20 minutes under local anesthesia with no bleeding.
  • Doppler-guided ligation: DHAL-RAR precisely seals feeding arteries to prevent recurrence.
  • Rubber band ligation: Effective for grade 1–2 cases with minimal downtime.
  • Stapled hemorrhoidopexy: Repositions prolapsed tissue for advanced cases using circular stapling.

Bookimed Expert Insight: Israeli proctology centers, such as Sourasky and Hadassah, prioritize organ-preserving techniques. Data shows a preference for THD over traditional surgery because it preserves the anal sphincter. This approach maintains a success rate above 90% while keeping recurrence below 10% after 2 years.

Patient Consensus: Patients note that laser options allow a return to work the next day without the pain associated with older methods. Many emphasize confirming the hemorrhoid grade first to ensure the simplest effective treatment is chosen.

When should I see a proctologist instead of a general doctor?

See a proctologist in Israel if rectal bleeding, anal pain, or bowel habit changes persist beyond 2 weeks. Specialists like Dr. Gideon Goldman at Sourasky Medical Center provide expert care. Consult a colorectal surgeon when conservative treatments for hemorrhoids or fissures fail to show improvement.

  • Rectal bleeding: Seek evaluation for any blood in stool to rule out colorectal cancer.
  • Physical changes: Consult for unexplained lumps or swelling that may indicate abscesses or cysts.
  • Surgical necessity: Visit a specialist if conditions like fistulas require advanced surgical intervention.
  • Routine screening: Schedule a colonoscopy if you are 45+ or have a family history.

Bookimed Expert Insight: Data from major Israeli hubs like Sheba Medical Center shows that patients visiting specialized proctology departments access over 1,900 sub-specialties. Choosing a facility with JCI accreditation ensures your diagnostics meet global safety standards. Leading surgeons often hold deputy director roles, providing a higher level of oversight for complex rectal resections.

Patient Consensus: Patients note that general doctors often lack specialized tools like anoscopes, which can delay an accurate diagnosis. They recommend insisting on a specialist consultation immediately if symptoms linger to avoid worsening conditions like chronic fissures.

How long does recovery normally take after major colorectal surgery in Israel?

Major colorectal surgery in Israel typically requires a 5 to 10-day hospital stay. Patients generally return to normal activities within 3 to 4 weeks. Full physical recovery usually takes 2 to 3 months. Israeli centers follow protocols like ERAS to accelerate healing through early movement.

  • Hospital stay: Expect 3 to 7 days for laparoscopic cases or 10 days for open surgery.
  • Bowel function: Activity typically resumes within 2 to 3 days post-procedure at Israeli facilities.
  • Activity restrictions: Avoid lifting over 4 kg for 6 to 8 weeks to prevent complications.
  • Work return: Patients usually require 4 to 6 weeks of leave for office-based roles.

Bookimed Expert Insight: Data shows that choosing JCI-accredited centers like Sourasky Medical Center or Sheba Medical Center often provides access to robotic surgery. This technology, used by specialists like Dr. Gideon Goldman, can reduce recovery time by 50% compared to traditional open methods. These high-volume centers perform over 34,000 surgeries annually, which correlates with more streamlined post-operative care protocols.

Patient Consensus: Patients emphasize the importance of walking daily starting from day 1 and hydrating aggressively to wake up the bowels. Many suggest stocking up on prune juice and stool softeners to manage the fatigue and constipation common in the first month.

What should I ask my proctologist in Israel before a procedure?

Patients should confirm a proctologist's experience with procedures like rubber band ligation or rectal resection. Ask about the surgical setting, such as JCI-accredited Assuta or Sheba Medical Center. Enquire about recovery timelines and post-operative support before returning to Australia.

  • Procedure volume: Ask how many specific surgeries the proctologist performs annually to gauge expertise.
  • Surgical approach: Confirm if the doctor uses minimally invasive or robotic techniques for faster recovery.
  • Clinical credentials: Check if the specialist holds board certifications or memberships in international coloproctology societies.
  • Follow-up care: Discuss how remote follow-up or telemedicine involves local GPs once back in Australia.

Bookimed Expert Insight: Israeli specialists often hold dual board certifications in oncology and gastroenterology. This is common at centres like Sheba Medical Center. It allows them to manage complex cases, such as malignant obstructions requiring stenting. Patients should ask if their specialist has this integrated expertise.

Patient Consensus: Patients find it helpful to request written aftercare instructions in English. They note that asking about bowel preparation and red-flag symptoms provides peace of mind while recovering.

Which advanced minimally invasive surgical techniques for proctology are available in Israel?

Israeli proctology centres specialise in minimally invasive techniques. These methods preserve the anal sphincter and help patients recover faster. Options include robotic-assisted surgery for rectal cancer and laser treatments for haemorrhoids or fistulas. Surgeons also perform transanal endoscopic microsurgery (TEM) to remove tumours without external incisions.

  • Robotic surgery: Surgeons use robotic systems to treat rectal cancer in complex cases.
  • Laser haemorrhoidoplasty: This 20-minute outpatient procedure uses laser energy to shrink haemorrhoid tissue.
  • Transanal microsurgery: Specialist surgeons at clinics like Sourasky remove rectal polyps through the anus.
  • Colonic stenting: Dr Einat Shacham Shmueli provides stenting at Sheba for malignant colonic obstructions.

Bookimed Expert Insight: Israeli surgical centres like Sheba and Sourasky manage large patient volumes. Sheba treats over 2,000,000 patients annually. This scale allows departments to maintain sub-specialised proctology units. In these units, surgeons perform only specific minimally invasive procedures. This high level of repetition typically leads to better patient outcomes and faster surgical times.

Patient Consensus: Patients in Israel often travel for the quick turnaround. Many report returning to normal activities within 48 hours after laser treatments or outpatient haemorrhoid procedures.

What is the typical recovery time for anal fissure surgery in Israel?

Patients in Israel typically return to light activities 3–4 days after anal fissure surgery. Most return to work and normal routines within 1–2 weeks. Pain subsides quickly, but complete internal healing generally takes 4–6 weeks for most cases.

  • Initial recovery: Return to driving or desk work within 3–4 days post-surgery.
  • Functional recovery: Normal daily routines and most work resumed within 7–14 days.
  • Complete healing: Surgical wounds typically require 4–6 weeks for full internal closure.
  • Procedural impact: Lateral internal sphincterotomy (LIS) often allows for a faster recovery period.

Bookimed Expert Insight: Israeli proctology units like the one at Sourasky Medical Center treat over 1,800,000 patients annually. High surgical volumes mean specialists like Dr Gideon Goldman have refined post-operative protocols. These centres often use day-case surgery. This means patients go home the same afternoon to begin recovery.

Patient Consensus: Patients in Israel note that managing bowel habits is crucial for a smooth first week. They highlight that while the first few days are sore, discomfort drops significantly after 14 days.

Can I obtain a second opinion for proctology issues in Israel?

Patients can obtain a second opinion for proctology issues in Israel through remote teleconsultations or in-person appointments. JCI-accredited centres like Sheba Medical Center and Sourasky Medical Center provide expert reviews. They handle cases involving haemorrhoids, rectal resections, and colorectal cancers.

  • Specialist expertise: Dr Gideon Goldman at Sourasky leads a dedicated proctology department for complex cases.
  • Remote reviews: Specialists provide revision of MRI results starting from $400 for international patients.
  • Treatment planning: Consultations with a personalised treatment plan range from $300 to $500.
  • Board-certified doctors: Experts like Dr Einat Shmueli at Sheba hold dual certification in oncology and gastroenterology.

Bookimed Expert Insight: Sheba Medical Center and Sourasky Medical Center treat over 1,800,000 patients each year. Their proctology departments have handled virtually every clinical scenario due to this volume. Large centres like Sheba also provide dedicated English-speaking coordinators. This helps Australians who need clear communication during medical reviews.

Patient Consensus: Patients note it is important to bring complete copies of all prior endoscopy, pathology, and imaging reports. Many who travel to Israel suggest requesting a specialist in anorectal conditions rather than a general surgeon.

What are common non-surgical treatments for haemorrhoids offered in Israel?

Non-surgical haemorrhoid treatments in Israel include rubber band ligation, sclerotherapy, and infrared coagulation. Centres like Sheba Medical Center and Sourasky Medical Center provide these in-office procedures. Specialists use these methods to shrink tissue without invasive surgery. Most patients return to normal activities immediately.

  • Rubber band ligation: Doctors place medical bands to stop blood flow to internal haemorrhoids.
  • Sclerotherapy: Specialists inject a chemical solution to shrink grade 1 or 2 haemorrhoids.
  • Infrared coagulation: Practitioners use infrared light to create small burns that shrink tissue.
  • Proctology consultations: Specialists like Dr Gideon Goldman provide tailored treatment plans after rectal examinations.

Bookimed Expert Insight: Israeli hospitals often use telemedicine for the initial consultation. This allows international patients to review MRI results with a proctologist before flying. This step can save several days of travel time for those seeking office-based therapies.

Patient Consensus: Patients note that Israeli clinics provide clear support through English-speaking coordinators. This helps navigate the process from the first digital rectal examination to the final session.

How should I choose the best proctologist for my treatment in Israel?

Prioritise board-certified specialists at JCI-accredited facilities like Sheba Medical Center or Sourasky Medical Center. Evaluate surgeons based on their specific experience with modern techniques. These include robotic surgery and stenting. Leading Israeli doctors often hold international memberships and research roles at global oncology institutions.

  • Specialist leadership: Dr Gideon Goldman heads the proctology department at Sourasky Medical Center.
  • Clinical credentials: Dr Alon Pikarsky at Hadassah Medical Center holds board certification from 1998.
  • Oncology expertise: Dr Einat Shacham Shmueli specialises in colonic obstruction stenting at Sheba.
  • Hospital scale: Sheba Medical Center treats over 1.9 million patients across 159 departments.

Bookimed Expert Insight: Israeli proctology centres often combine robotic surgery with academic partnerships. For instance, Sheba Tel HaShomer is an academic partner of Tel Aviv University. This connection gives patients access to doctors who lead international research trials. It also provides multidisciplinary teams for complex cases that private clinics might miss.

Patient Consensus: Patients note it is important to confirm how often a doctor treats their exact condition. They appreciate clinics that use digital imaging and provide English-speaking coordinators for support in Israel.

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