Examinations

Examinations

  • General Biological overview and nutritional check ups.
  • Biological tests to assess the state of your digestive system (state of the flora, state of the permeability , malabsorption, presence of food “allergy”).
  • Biological balance in case of ADD/H: evaluation of the intestinal permeability, hypersensitivity to food “allergens”, hypersensitivity to insulin, exposure to phosphates and heavy metals, imbalance of fatty acids into the cell membrane (oméga3…)
  • Overview of glucose control.
  • Biological overview for cardiovascular prophylaxis (evaluation of omega-3 index, the state of oxidative stress…)

Endoscopic tests are provided at the request of the general practitioner or following a consultation with a gastroenterologist who recommended the exam.

The endoscopy of the digestive system uses a video-endoscopic device with electronic transmission of the picture. A microprocessor placed behind the lens at the end of the endoscope receives the image and transfers it to a TV monitor.
The quality of the picture is excellent.
A system of air injection allows for an expansion of the digestive cavities during the entire test and a suction system applied after the exam removes both the air inserted (and excess liquids).

After each use, the device is carefully cleaned, disinfected and sterilized.

Biopsies are very frequently performed and are completely painless.
Endoscopies can be made without pre-medication and are not painful. However, they are better tolerated with sedation but then require a 45-minutes observation period during which the patient will be provided light food after the exam.
Injections are made intravenously with Modazolam (Dormicum) and spasmolytic (Buscopan)-based products.

The rate of complications is negligible since these are diagnostics only. Indeed, therapeutic endoscopic treatements such as polypectomy must be performed in hospital for obvious safety reasons.
The objectives and the procedures are explained in details to the patient before each exam.

Results of the exam are provided the same day, as well as a possible treatment if needed.
The results of the biopsies are communicated to the general practitioner a few days later.

The patient must be on an empty stomach for 6 to 8 hours before the gastroscopy takes place and, if possible, not to have smoked for a period of 12 hours. An anesthesia of the pharynx (and an intravenous pre-medication if requested before the introduction of the endoscope through the mouth. A device is placed between the dental arches to help maintain the mouth open. The exam takes place with the patient lying down on his/her left side and the device easily glides through the esophagus, the stomach and the duodenum thanks to air pushed into the system. A gastroscopy takes about 8 minutes and is not painful.

The patient is lying down on his/her left side. The endoscope is inserted into the anus a pushed gently but continuously together with air so as to allow its travel through the colon. This insertion can create some cramps which is why a spasmolysis is typically recommended.
The colon needs to be perfectly clean so as to allow a good visibility.

Three types of exams can be performed:

  1. Recto-sigmoidoscopy: Exam of the last 50 centimeters (20 inches) of the colon. The preparation involves an enema at home using Fleet (available in pharmacies) half an hour before the exam. The recto-sigmoidoscopy takes about 10 minutes.
  2. Left colonoscopy: Exam of the half of the colon. The required preparation consists of two enemas: the first one 2 hours ahead of time, and the second one half an hour before the exam. The left colonoscopy takes about 15 minutes.
  3. Full colonoscopy: Exam of the entire colon. For the three days before the exam, the patient will need to undertake a fiber-free diet (i.e. no vegetables, no fruits]. The preparation consists of the drinking of a saline solution the night before and the morning of the exam. Its objective is to wash out the system. This solution is available in pharmacies and can be prescribed by your general practitioner or your gastroenterologist (Colopeg, Klean-Prep, Fleet Phosphosoda….). By the end of the preparation, stools must be liquid and clear. This exam typically requires a pre-medication and takes 20 to 30 minutes.

This is an exam of the anus. The patient is lying down on his/her left side. It takes about 5 minutes.