It looks into reflux, bloating, chronic constipation or diarrhoea, abdominal pain, digestive bleeding, unexplained weight loss or anaemia. It also places the patient in relation to colorectal cancer screening, which depends first on age and family history.
Colorectal cancer screening
Faecal immunochemical test
A test for blood not visible in the stools. It is the first-line screening test for people with no symptoms or particular history: simple and done at home, it is repeated at regular intervals. A positive test leads to a colonoscopy.
Colonoscopy
It examines the colon and rectum, allows polyps to be removed before they progress and biopsies to be taken. It is offered straight away in case of a family or personal history, suggestive symptoms or a positive faecal test.
Examining the upper digestive tract
Upper gastrointestinal endoscopy (gastroscopy)
It examines the oesophagus, stomach and duodenum: gastritis, ulcer, complicated reflux, Barrett’s oesophagus, coeliac disease. Biopsies can be taken during the procedure.
Testing for Helicobacter pylori
This bacterium promotes ulcers and certain stomach cancers. It is detected by a breath test, stool test or biopsy during gastroscopy, and its eradication is checked after treatment.
The liver and bile ducts
Liver function tests and serology
Transaminases, gamma-GT and hepatitis B and C serology, to detect liver damage that is often silent.
Abdominal ultrasound
It looks for fatty liver, gallstones or an abnormality of the pancreas and spleen. Elastography may be added to assess liver fibrosis.
The use of endoscopy is decided after a consultation, according to screening recommendations, symptoms and medical history. None of these tests is systematic.
The information on this page is general and does not replace a doctor’s advice. The indication for a test is decided by the doctor after reviewing the file and examining the patient.
A question? Need a personalised check-up?
Send your request to the coordination team: the programme is adapted to your age, medical history and risk factors.