Gastroenterology in France

Gastroenterology is the field of medicine focused on the normal function and diseases of the digestive system or the gastrointestinal (GI) tract, including the esophagus, stomach, small intestine, pancreas, gallbladder, bile ducts, liver, as well as colon and rectum. Doctors who specialize in gastroenterology are called gastroenterologists. They are trained to diagnose and treat conditions of the digestive system. Some of the conditions that these specialists can treat include:

• Ulcers
• Acid reflux
• Irritable Bowel Syndrome (IBS)
• Polyps or growth that can occur in the large intestine (colon)
• Hepatitis C
• Jaundice (yellowing of the skin)
• Bloody stool
• Hemorrhoids
• Colon and bowel cancer
• Pancreatic cancer
• Esophageal cancer
• Gastric cancer
• Colitis
• Pancreatitis 

While gastroenterologists can treat diseases of the digestive system, they do not perform surgery. If surgery is required they will work with or refer patients to a gastrointestinal surgeon. The following are a range of nonsurgical procedures that gastroenterologists perform:

• Colonoscopy to detect colon polyps and colon cancer
• Endoscopic ultrasound to examine the upper and lower GI tract
• Sigmoidoscopy to assess blood loss or pain in the bowel
• Endoscopic retrograde cholangiopancreatography to identify tumors, gallstones, or scar tissue in the bile duct
• Capsule endoscopy to examine the small intestine
• Liver biopsy to examine fibrosis and inflammation
• Polypectomy to remove a polyp.

How Long Should I Stay in France?

The type of procedure that you undergo determines your length of stay in France. Most procedures are performed on an outpatient basis, meaning you can leave the hospital or clinic on the same day. However, you generally need to stay in France for around a week for follow up appointments and to let your body recover before you can travel. If you undergo a diagnostic procedure, your doctor will discuss the results and create a treatment plan during the follow-up appointment.

What's the Expected Recovery Time?

Recovery time for gastroenterology procedures range from a day to 2 weeks, or sometimes longer, depending on the type of procedure. During the recovery period, it is important to avoid any strenuous activities. Your gastroenterologist will let you know the specific time you can resume your normal activities, go back to work, and perform vigorous exercises.

What Aftercare is Required?

It is crucial that you follow all of the instructions closely, to prevent the problem from getting worse or from reoccurring, you may need to make some dietary and lifestyle changes. You may also need to attend follow-up checkups to monitor your condition. You can have the checkups at home with your local doctor, or with your gastroenterologist in France.

What's the Success Rate?

Advances in gastroenterology have increased the safety and success rate of treatments. The diagnostic procedures offer high accuracy in finding problems within the gastrointestinal tract, and the treatments are found to be highly successful to treat conditions in the digestive system. For example, a colonoscopy now has a 94% success rate in capturing all colorectal cancer. Still, there are some risks to the procedures that you will need to be aware of, such as a tear in the intestine’s lining, excessive bleeding, adverse reaction to the equipment or medication used during the procedure, organ perforation, infection, and incomplete removal (for removal of polyps).

Are there Alternatives?

In most cases, there is no alternative to seeing a gastroenterologist if you experience problems in your digestive system and it is found to be caused by something else that is outside the gastroenterologists’ scope of practice, they will refer you to the relevant specialist.

Gastroenterology in and around France

About France

France, renowned for its architecture, art, cinema, cuisine, fashion, literature, music, and wine, with the most significant attraction being its glorious capital city, Paris - home to the famous Eifel Tower. With its small medical tourism industry, France sees far fewer medical tourists than its neighbors Germany and Spain, however, many travel each year for Gastroenterology procedures among other popular procedures. Other than Paris, popular locations for private medical centers, include Bordeaux, Lyon, and Montpellier.

Popular Parts of France

France has welcomed more than 80 million visitors in the past few years. The country does have a lot to offer, from culture to iconic landscapes, making it an ideal place to spend a memorable holiday. 

• Paris, the capital of France, is an international center of culture, fashion, art, and gastronomy. Hundreds of writers have written about their love of this city, and it is easy to see why. With thousands of years of history, the city is filled with iconic monuments. Some of the most famous and most visited landmarks are the Eiffel Tower, Arc de Triomphe, and Notre Dame. This stunning city is also known for its art nouveau cafes with pretty chairs lining the terrace and the beautiful banks of the Seine that are perfect for romantic walks. 
• Bordeaux is known for its wine, lively restaurant scene, and the futuristic La Cité du Vin. Tourists can take a tour of a winery and taste some of the world’s best wines. Complete the wine tour by visiting La Cité du Vin, an ultra-modern cultural center that provides comprehensive information about wine production. Other than the wine, there are countless things that tourists can do in this city. Visit Place de la Victoire, a pretty square with amazing architecture, or visit Musée D’Aquitaine to see historical collections from all around the Aquitaine region.
• Lyon is the third-largest city in France and it is famous for its cuisine and historical landmarks. The city was an important area for silk production and had lots of trade with Italy and tourists can see the Italian influence in the city’s architecture. The city attracts travelers to come and visit its many museums such as the Museum of Fine Arts of Lyon, Museum of Miniatures, and Textile Museum. Tourists who love cinema will be delighted to explore the Lumiere Institute. Since Lyon is famous for its gastronomic scene, tourists should taste its famous specialties in a Bouchon.
• Nice is the second-largest tourist destination in France. Located on the Mediterranean coast, the city is brimming with stunning beaches, hilltop lookouts, and glamorous restaurants. Thanks to its Mediterranean climate, it is always filled with sun-seekers all year round. The city in the past also attracted many artists such as Henri Matisse, Marc Chagall, Pablo Picasso, and Pierre-Auguste Renoir. The city pays tribute to the artists in its top museums, the Musée Chagall and the Musée Matisse.
• Marseille is the second most populated city in France. Found by Greek sailors in 600 BC, it is one of the oldest cities in Europe. With a complex history, it is now a melting pot of different cultures. Discover the city by shopping in one of the colorful markets like the Noailles market. Do not forget to visit the Calanques to admire its beauty, wander around the interesting Mucem, get lost in Le Panier, and stroll around the scenic Corniche.     

Weather and Climate in France

France generally enjoys mild summers and cold winters except in the Mediterranean area, which enjoys mild winters and hot summers. Spring starts in March and ends in April and the streets in spring are bursting with colors, making it a beautiful time to visit the country. It rains a lot during this season but the weather will start to brighten up in April. The temperature ranges between 7.5 °C in early March and 13.6 °C in May. June is when the summer starts and this season is a high season for tourism. The average temperature in summer is around 24 °C and the season experience little rainfall (around 11 days every month). 

Autumn lasts from September to November. With an average of 12 °C, the temperature is still pretty mild to enjoy some outdoor activities. The temperature will slowly decrease in November when it reaches an average of 7.5 °C. Autumn is also the season of grape harvests, meaning it is a great time for wine tours. Winter is during the months of December to February and the weather can be really cold during this season with an average temperature of 5 °C. Despite the cold, December can be a delightful time to visit the country since it is one of the most festive months in France.

Getting Around in France

France has 34 airports, but the busiest are the airports in Paris: Paris Charles de Gaulle and Orly. Paris Charles de Gaulle Airport is the largest airport in France and the second largest in Europe. The airport serves domestic and international flights. It connects France with almost every country around the globe. It also serves budget airlines such as EasyJet and Norwegian Air Shuttle. While Charles de Gaulle airport serves as the main airport, Orly Airport serves as a secondary hub for domestic and overseas territories flights. 

Traveling around France is easy. The wide range of airports let tourists travel around the country quickly by domestic flights. The country also has a great rail system since it is the creator of the earliest high-speed train system. The TGV (Train a Grande Vitesse) connects 150 cities in the country and Europe. It speeds up to 200 miles per hour. Other than the TGV, there are also Intercity trains, TER, and AutoTrain. The easiest way to buy train tickets is online. The prices vary widely but you will get good bargains if you book early. Before getting on the train, remember to validate your ticket in yellow machines known as compostage de billets.

Taxis can be found easily around France and you can hail a taxi from a taxi rank (station de taxi) outside railway stations, airports, or main areas in cities. You can also hail one directly from the street or by telephone. The taxis are metered and the base fare is around €4.10. If there are more than four passengers, there will be an extra fee of €2.50 and the driver can charge an extra €2 if you have a lot of luggage and Taxis are usually more expensive in Paris.

Tourist Visas in France

France is a member of the Schengen Agreement. Therefore, holders of ordinary passport from 62 countries including Australia, Malaysia, Singapore, and the United States do not need a visa to enter the country for short stays of up to 90 days. Other nationals not listed need to apply and obtain a visa before entering the country. It is advisable to always check at the nearest France embassy or consulate for a France visa.

Additional Information

1. Local Currency: The official currency in France is the Euro (€). US$1 converts to €0.85.
2. Money & Payments: ATMs (known as DAB - distributeurs automatiques de billets) are widely available in the country, particularly in airports, train stations, and street corners. Credit and debit cards are accepted almost everywhere, including shops, supermarkets, restaurants, and hotels. Tipping can sometimes be mandatory, usually around 10% in restaurants.
3. Local Language: French is the official language. Most people in large cities will speak English, especially in hotels and tourist sites. But it is better to know some French.
4. Local Culture and Religion: France has a diverse religion under secular principles. The major religion in the country is Christianity, but other religions such as Islam, Buddhism, and Judaism are freely practiced. 
5. Public Holidays: There are 11 official public holidays in France, including New Year’s Day, Easter Monday, Bastille Day, and Christmas Day.