Contents
About this program
The executive endoscopy check-up for men under 40 brings 87 tests and assessments — including brain MRI, MR angiography and upper GI endoscopy — into one two-day program at Acibadem Istanbul, from $3,500.
The Executive (Endoscopy) −40 Male Check-Up is the Executive program designed for men under 40. It keeps the nine specialist examinations, the cardiovascular work-up with 24-hour blood-pressure monitoring, the overnight sleep study and the 55-test laboratory panel of the Executive family, and replaces whole-body MRI with two targeted investigations for this age group: brain MRI with intracranial MR angiography, and an upper GI endoscopy under sedation with biopsy.
Endoscopy directly examines the oesophagus, stomach and duodenum and allows biopsies for Helicobacter pylori and gastritis — common, often silent and highly treatable when found early. Low-dose chest CT, carotid Doppler, thyroid and abdominal ultrasound and bone density measurement complete the imaging; PSA is performed on the physician’s recommendation.
What the executive endoscopy check-up for men looks for
Every item has a purpose. This is what each part of the day is looking for — in the words we would use to explain it to you at the final review.
Specialist examinations
The check-up (internal medicine) examination opens and closes the day: history, physical examination and the final review of every result. The cardiology examination integrates the ECG, cardiac imaging and your risk factors into a personal cardiovascular risk assessment. The urology examination covers prostate, bladder and kidney health and is read together with the PSA results. The ENT examination assesses the ears, nose, sinuses and throat, complemented by audiometry and tympanometry for hearing thresholds and middle-ear function. The chest diseases (pulmonology) examination reviews respiratory health and smoking-related risk, with a pulmonary function test measuring lung capacity and airflow for asthma, COPD and smoking-related change. The ophthalmology examination covers vision, eye pressure and the retina. The dermatology examination with dermatoscopy inspects moles and skin lesions for early skin cancer. The dental examination, with a panoramic X-ray on the dentist’s recommendation, looks at teeth, roots, jawbone and gums; professional scaling of both jaws is included. The dietitian consultation turns your body-composition analysis (muscle, fat and water, more informative than weight alone) and your laboratory results into a practical eating plan.
Imaging
Brain MRI with intracranial MR angiography looks at the brain tissue and the cerebral arteries (aneurysm, narrowing) without contrast. A low-dose chest CT is the screening tool for early lung nodules, most relevant for current or former smokers. Thyroid ultrasound looks for nodules and structural change, read together with the thyroid blood tests. A whole-abdomen ultrasound surveys the liver, gallbladder, pancreas, spleen, kidneys and bladder for stones, cysts, fatty liver and masses. Carotid Doppler ultrasound checks the neck arteries for plaque and narrowing — an early window on vascular ageing and stroke risk. Bone mineral density (DXA, whole body) measures bone strength to detect osteopenia and osteoporosis before a first fracture; it is routine over 40 and performed earlier on the physician’s recommendation.
Heart
A resting ECG records heart rhythm and electrical conduction. The exercise stress test looks at the heart’s response to effort (a signal of reduced blood supply), while echocardiography images the chambers, valves and pumping function; the cardiologist decides which of the two is appropriate for you. 24-hour blood-pressure monitoring captures hypertension patterns that a single reading misses, including night-time blood pressure.
Procedures and measurements
Upper GI endoscopy under sedation examines the oesophagus, stomach and duodenum, with biopsies for Helicobacter pylori, gastritis or early changes; it is carried out where the physician considers it necessary. An overnight sleep study (polysomnography) diagnoses sleep apnoea, a hidden driver of high blood pressure, heart-rhythm problems and daytime fatigue.
Laboratory panel (55 tests)
A complete blood count screens for anaemia, infection and abnormalities of the blood cells. Inflammation markers (erythrocyte sedimentation rate, high-sensitivity CRP) point to hidden inflammation; high-sensitivity CRP is also read as an additional cardiovascular risk marker. Sugar metabolism is assessed with fasting glucose, insulin and HbA1c, the basis for detecting pre-diabetes and type 2 diabetes early; HbA1c reflects the average blood sugar of the previous two to three months. The lipid profile (total, LDL and HDL cholesterol and triglycerides, plus lipoprotein(a)) is the core of cardiovascular risk assessment; lipoprotein(a) is an inherited risk factor that a standard cholesterol test does not show. Liver enzymes (ALP, ALT, AST, GGT) with albumin and total protein look for fatty liver, medication effects or viral injury before any symptoms appear. Kidney function (creatinine, blood urea nitrogen, electrolytes) with a complete urinalysis screens for early kidney disease and urinary infection; uric acid adds gout and metabolic risk. Thyroid function (TSH, free T4, free T3) detects an under- or over-active thyroid, which is common, often silent and usually straightforward to treat. Iron studies, vitamin B12, folate, vitamin D and the minerals zinc, magnesium, calcium and phosphorus explain fatigue, anaemia and bone-health risks that are easy to correct once they are known. Viral serology (hepatitis B status and immunity, hepatitis C, hepatitis A, HIV) identifies silent infections and shows whether vaccination is advisable.
A stool occult-blood test is a first-line screen for bowel cancer and bleeding polyps; the stool parasite examination screens for intestinal parasites. Pancreatic enzymes (amylase, lipase) screen for inflammation of the pancreas. Tumour markers (AFP, CA 15-3, CA 19-9) are supporting signals interpreted together with the examinations and imaging — they are not stand-alone cancer tests, and a raised value leads to a targeted follow-up rather than a diagnosis. Total and free PSA contribute to prostate assessment together with the urology examination; they are performed for men over 40 on the physician’s recommendation. Hormone levels (prolactin, total and bioavailable testosterone) give context for energy, mood, muscle mass and sexual health. Homocysteine is an additional vascular risk marker. A coagulation test (aPTT) checks clotting function, which is also relevant before any procedure. LDH is a general tissue-turnover marker read in context with the rest of the panel. Throat and urine cultures screen for bacterial infection.
Who should consider the executive endoscopy check-up for men
- Men under 40 who want the specialist-level Executive review with a direct look at the upper digestive tract rather than a whole-body MRI.
- Men with reflux, indigestion, a family history of stomach cancer or a previous Helicobacter pylori infection.
- Men with headaches, a family history of aneurysm or stroke, or a wish to include a brain MRI and MR angiography in their baseline.
As a general guide, a check-up every one to two years between 18 and 39 and yearly from 40; your physician may suggest a different interval based on your results and family history.
Every item of the executive endoscopy check-up for men is listed on this page, so you can see exactly what is covered before you book. A written quote for the executive endoscopy check-up for men is prepared before you travel, so there are no surprises on the day. Before you book the executive endoscopy check-up for men, tell the coordinator about any implant, allergy or chronic condition so the day can be planned around it.
How it compares with the other programs
Under 40, colonoscopy is not routine, which is why this variant stops at upper GI endoscopy; from 40 the Endoscopy and Colonoscopy (+40) variant adds colonoscopy with polypectomy. The Full Body MRI variant is the choice if you prefer a whole-body structural survey to endoscopy.
Related programs: Executive (Including Full Body MRI) Male Check-Up Program, Executive (Endoscopy and Colonoscopy +40) Male Check-Up Program — or browse all check-up packages and the Check-Up unit.
How long it takes
Because the program includes an overnight sleep study, it is planned across two days; most laboratory work, imaging and examinations are completed on the first day. A coordinator plans the sequence — laboratory first while you are fasting, then imaging and examinations — so that you move through the hospital without waiting, and stays reachable throughout the visit.
How to prepare
- Fasting. Do not eat for eight to ten hours before the appointment (an early start is planned so that blood is taken first). Plain water is usually allowed — confirm this with the team when your appointment is confirmed.
- Endoscopy. The same eight-hour fasting window covers the upper GI endoscopy. It is performed under sedation, so you should not drive for the rest of that day.
- Sleep study. The polysomnography is an overnight stay in the sleep laboratory: bring nightwear and your usual medicines, and avoid caffeine and alcohol that afternoon.
- MRI. Tell the team in advance about any implant, pacemaker, surgical clip, metal fragment or claustrophobia so the examination can be planned safely. Leave jewellery at the hotel.
- Bone density. You may be asked to pause calcium supplements for 24 hours before the measurement; wear clothing without metal zips or buttons.
- Exercise stress test. Bring comfortable shoes and clothing in case the cardiologist chooses the treadmill test; avoid a heavy meal in the hours before.
- Lung function test. Avoid a heavy meal beforehand and follow the team’s advice on inhalers, which may need to be paused for a few hours.
- Records and medicines. Bring previous reports, imaging and a complete list of your medicines. Take your usual medication unless the team tells you otherwise when confirming the appointment.
Results, report and follow-up
The large majority of laboratory results are ready the same day and are reviewed with you by the check-up physician before you leave; a written report in English follows, together with digital copies of your images and reports.
A few items take longer — pathology results (biopsies) and detailed radiology reports for MRI and CT and the sleep study analysis usually follow within a few working days. They are sent to you in English, and if anything needs discussion the physician arranges a call or an online consultation.
If a result needs a closer look, the relevant specialist is in the same hospital: additional imaging, a biopsy or a consultation can usually be arranged within days, and you decide how to proceed with the full picture in hand. Nothing in a check-up replaces care for existing symptoms — if you have a specific complaint, tell the team so the right specialist sees you first.
If you are unsure whether the executive endoscopy check-up for men fits your situation, share your age and any known conditions with the team and a physician will advise which program suits you. Results of the executive endoscopy check-up for men are reviewed with you by a physician and gathered into a written report in English. The written report from the executive endoscopy check-up for men is yours to keep and to share with your own doctor at home.
Price and what is included
Executive (Endoscopy) – 40 Male Check-Up Program starts from $3,500. This is a starting price for the complete program as listed on this page; the written quote you receive before travelling confirms the exact figure for your case, which can differ where an item depends on age or on the physician’s recommendation (for example mammography over 40, or a procedure that the physician decides is not needed).
Included: every examination, test and imaging study listed above, the physician review, the written report in English, hospital coordination and interpreter support. Not included: travel and accommodation, tests the physician recommends in addition to the program, and any treatment that follows from a finding — each is quoted separately before it is performed.
Why have the executive endoscopy check-up for men at Acibadem
Acibadem Healthcare Group runs JCI-accredited hospitals in Istanbul with their own laboratories, imaging centres and specialist departments under one roof — which is what makes a complete program possible in a single visit, and what makes follow-up simple when a finding needs one. International patients are supported by a dedicated team in 25 languages, from the written quote before travel to the report after it.
The executive endoscopy check-up for men is performed at Acibadem’s JCI-accredited hospitals in Istanbul, where laboratory, imaging and specialist departments work under one roof. Many international patients combine the executive endoscopy check-up for men with a few days in Istanbul; the coordinator can time the visit around your travel. For international patients, the executive endoscopy check-up for men can be arranged with airport and hotel transfers on request.
More questions about the executive endoscopy check-up for men
Is the endoscopy uncomfortable?
It is performed under sedation and analgesia by a gastroenterology team and usually takes 10 to 15 minutes. You rest afterwards for a short time and should not drive for the rest of the day.
Is the endoscopy always performed?
It is carried out on the physician’s recommendation, where it is considered necessary. If it is not indicated in your case, the program is adjusted and the quote reflects that.
What does the brain MRI look for?
Structural changes in the brain tissue and, with MR angiography, the cerebral arteries — for example an aneurysm or narrowing — without contrast and without radiation.
This page describes the content of a preventive program and is not medical advice. Screening tests have limits: a normal result lowers, but does not remove, the possibility of disease, and some findings need further tests to clarify. Discuss your individual situation with a physician.