Gastroenterology

If you have digestive problems (abdominal pain, heartburn, nausea, bloating, stool disorders – diarrhea / constipation), we suggest that you undergo a digestive examination at MCSC and get recommendations from highly qualified specialists.

THE GASTRO-STANDARD PROGRAM

Laboratory diagnostics:

1. Clinical blood test with leukocyte formula + ESR
2. Biochemical analysis of blood: creatinine, urea, glucose, potassium, sodium, chlorine, total cholesterol, total bilirubin, direct bilirubin, ALT, AST, GGTP, alkaline phosphatase, alpha-amylase, CRP
3. General analysis of feces

Instrumental diagnostics:

1. Electrocardiogram
2. Ultrasound diagnostics: abdominal organs and kidneys
3. Esophagogastroduodenoscopy + + PCR-diagnosis of biopsy on H.Pylori with determination of sensitivity to Clarithromycin and Levofloxacin (if necessary, biopsy)

Consultations:

1. Consultation of a gastroenterologist

THE GASTRO-OPTIMUM PROGRAM

Laboratory diagnostics:

1. Clinical blood test with leukocyte formula + ESR
2. Biochemical analysis of blood: creatinine, urea, glucose, potassium, sodium, chlorine, total cholesterol, total bilirubin, direct bilirubin, ALT, AST, GGTP, alkaline phosphatase, alpha-amylase, CRP

Instrumental diagnostics:

1. Electrocardiogram
2. Ultrasound diagnostics: abdominal organs and kidneys
3. Esophagogastroduodenoscopy + PCR-diagnosis of biopsy on H.Pylori with determination of sensitivity to Clarithromycin and Levofloxacin (if necessary, biopsy) 
4. Colonoscopy (biopsy, if necessary) 

Consultations:

1. Consultation of a gastroenterologist

GASTRO-PREMIUM PROGRAM

Laboratory diagnostics:

1. Clinical blood test with leukocyte formula + ESR
2. Biochemical analysis of blood: creatinine, urea, glucose, potassium, sodium, chlorine, total cholesterol, HDL, LDL, triglycerides, total bilirubin, direct bilirubin, ALT, AST, GGTP, alkaline phosphatase, alpha-amylase, CRP
3. Cancer markers: CA-242, CA 19-9, REA, AFP

Instrumental diagnostics:

1. Electrocardiogram
2. Ultrasound diagnostics: abdominal organs and kidneys
3. Esophagogastroduodenoscopy + PCR-diagnosis of biopsy on H.Pylori with determination of sensitivity to Clarithromycin and Levofloxacin (if necessary, biopsy) 
4. Colonoscopy (biopsy, if necessary)

Consultations:

1. Consultation of a gastroenterologist doctor of medical sciences 
2. Consultation of a geneticist

DIAGNOSIS OF INFLAMMATORY BOWEL DISEASE

Laboratory diagnostics:

1. Clinical blood test with leukocyte formula + ESR
2. Biochemical analysis of blood: total protein, albumin, creatinine, urea, glucose, potassium, sodium, chlorine, calcium, total cholesterol, total bilirubin, ALT, AST, GGTP, alkaline phosphatase, alpha-amylase, CRP, iron
3. Coagulogram: prothrombin, INR, APTT
4. Blood test for antibodies to intestinal infections (Salmonella, shigella, yersinia)
5. General urinalysis
6. General analysis of feces
7. Analysis of feces for clostridial infection (toxin A and B Cl.difficile)

Instrumental diagnostics:

1. Electrocardiogram
2. Respiratory hydrogen test for bacterial overgrowth syndrome
3. Ultrasound diagnostics: abdominal organs + intestines
4. CT enterography + angiography of the abdominal aorta and its branches 
5. Esophagogastroduodenoscopy + PCR-diagnosis of H.Pylori biopsy with determination of sensitivity to Clarithromycin and Levofloxacin , rapid test for lactase deficiency, biopsy for celiac disease, Whipple's disease, amyloidosis
6. Colonoscopy + stepped biopsy from the colon, PCR examination for Epstein-Barr virus, Mycobacteria DNA, Cytomegalovirus in a biopsy of the mucosa

Consultations:

1. Consultation of a gastroenterologist
2. Consultation of an enterologist

SCREENING FOR ULCERATIVE COLITIS

Laboratory diagnostics:

1. Clinical blood test with leukocyte formula + ESR
2. Biochemical analysis of blood: total protein, albumin, creatinine, urea, glucose, potassium, sodium, chlorine, calcium, total cholesterol, total bilirubin, ALT, AST, GGTP, alkaline phosphatase, alpha-amylase, CRP, iron
3. Coagulogram: prothrombin, INR, APTT
4. General urinalysis
5. General analysis of feces
6. Analysis of feces for clostridial infection (toxin A and B Cl.difficile)

Instrumental diagnostics:

1. Electrocardiogram
2. Ultrasound diagnostics: abdominal organs + intestines
3. Esophagogastroduodenoscopy + express diagnosis of H.Pylori (if necessary, biopsy) 
4. Colonoscopy (biopsy, if necessary)

Consultations:

1. Consultation of a gastroenterologist
2. Consultation of an enterologist

CROHN'S DISEASE SCREENING

Laboratory diagnostics:

1. Clinical blood test with leukocyte formula + ESR
2. Biochemical analysis of blood: total protein, albumin, creatinine, urea, glucose, potassium, sodium, chlorine, calcium, total cholesterol, total bilirubin, ALT, AST, GGTP, alkaline phosphatase, alpha-amylase, CRP, iron
3. Coagulogram: prothrombin, INR, APTT
4. General urinalysis
5. General analysis of feces
6. Analysis of feces for clostridial infection (toxin A and B Cl.difficile)

Instrumental diagnostics:

1. Electrocardiogram
2. Ultrasound diagnostics: abdominal organs + intestines
3. CT enterography 
4. Esophagogastroduodenoscopy + express diagnosis of H.Pylori (if necessary, biopsy) 
5. Colonoscopy (biopsy, if necessary)

Consultations:

1. Consultation of a gastroenterologist
2. Consultation of an enterologist

EGDS + FCS WITHOUT PAIN

Laboratory diagnostics:

1. Clinical blood test with leukocyte formula + ESR
2. Biochemical analysis of blood: creatinine, urea, glucose, potassium, sodium, chlorine

Instrumental diagnostics:

1. Electrocardiogram
2. EGDS + PCR-diagnosis of a biopsy specimen for H.Pylori with determination of sensitivity to Clarithromycin and Levofloxacin + FCS under intravenous sedation 

Consultations:

1. Consultation of a gastroenterologist on the results of the examination (interpretation of the results)

EGDS WITHOUT PAIN

Laboratory diagnostics:

1. Clinical blood test with leukocyte formula + ESR
2. Biochemical analysis of blood: creatinine, urea, glucose, potassium, sodium, chlorine

Instrumental diagnostics:

1. Electrocardiogram
2. Esophagogastroduodenoscopy under intravenous sedation + PCR-diagnosis of a biopsy for H.Pylori with determination of sensitivity to Clarithromycin and Levofloxacin

Consultations:

1. Consultation of a gastroenterologist on the results of the examination (interpretation of the results)

FCS WITHOUT PAIN

Laboratory diagnostics:

1. Clinical blood test with leukocyte formula + ESR
2. Biochemical analysis of blood: creatinine, urea, glucose, potassium, sodium, chlorine

Instrumental diagnostics:

1. Electrocardiogram
2. Colonoscopy under intravenous sedation

Consultations:

1. Consultation of a gastroenterologist on the results of the examination (interpretation of the results)

ENDOUSIES WITHOUT PAIN

Laboratory diagnostics:

1. Clinical blood test with leukocyte formula + ESR
2. Biochemical analysis of blood: creatinine, urea, glucose, potassium, sodium, chlorine

Instrumental diagnostics:

1. Electrocardiogram
2. EUS under intravenous sedation

Consultations:

1. Consultation of a gastroenterologist on the results of the examination (interpretation of the results)

* If changes are detected, additional examinations are recommended.