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RYGB also addresses GERD, combining weight loss and reflux control. AI-powered diagnostics aid personalized planning.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":{"status":"missing","reason":"not_collected"},"languages":{"status":"missing","reason":"not_collected"}},"cities":{"status":"missing","reason":"not_collected"},"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Severe obesity (BMI 40 or higher)","BMI 35-39.9 with type 2 diabetes, hypertension or sleep apnea","BMI 30-34.9 with metabolic disease in selected patients","Obesity with severe gastroesophageal reflux or Barrett's esophagus","Inadequate results from non-surgical weight-loss measures"],"contraindications":["Anesthesia unsafe due to severe cardiopulmonary disease","Uncontrolled psychiatric illness","Untreated substance or alcohol use disorder","Untreated active eating disorder such as binge eating","Pregnancy","Active malignancy or life-limiting illness (relative)","Severe coagulopathy or advanced liver disease with portal hypertension (relative)","Prior complex upper GI surgery with unsuitable anatomy (relative)"],"operation_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for uncomplicated primary laparoscopic RYGB"},"anesthesia":["general"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; staged approach is uncommon"},"stages":[{"code":"surgery","label":"Laparoscopic Roux-en-Y gastric bypass operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of admission/first session"}}],"qualifier":"Single-stage primary procedure; follow-up checks are not counted as treatment sessions"},"hospital_nights":{"value":{"min":1,"max":3,"unit":"nights","qualifier":"Typical uncomplicated laparoscopic RYGB hospital stay"},"source":"parsed_details"},"treatment_conditions":["inpatient"],"rehabilitation_days":{"min":14,"max":21,"unit":"days","qualifier":"Light activities from 1-2 weeks; desk work by 2-3 weeks. 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complications","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Some of the facilities participating in medical tourism may not have the capability, such as a modern Intensive Care Unit, imaging capabilities and interventional radiology, etc., to optimally care for major post-operative complications.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that individual outcomes for the desired procedure are available during informed consent when possible","scope":"procedure","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Individual surgeon outcomes for the desired procedure should be made available as part of the informed consent process whenever possible.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that postoperative follow-up with a qualified local bariatric surgery program is established","scope":"procedure","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Prior to undergoing surgery, the patient should establish a plan for postoperative follow-up with a qualified local bariatric surgery program to monitor for nutritional deficiencies and long-term complications, and to provide ongoing medical, psychological and dietary supervision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Check that the facility is accredited and preferably a bariatric center of excellence","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Patients should undergo procedures at an accredited JCI institution or preferably a bariatric center of excellence.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An offer of unproven therapy outside true clinical trials is a warning sign","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Certain countries may offer unproven therapies to patients outside true clinical trials, and it can be difficult to differentiate between acceptable medical innovation and unacceptable patient exploitation.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home doctor needs it, because what was done during surgery may be unclear","document":"operative report","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Often an operative 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leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Laparoscopic RYGB; desk work typically after 2-3 weeks, physically demanding work often 4-6 weeks"},"complication_rate_pct":{"min":3,"max":6,"unit":"percent","qualifier":"Major 30-day complications after primary laparoscopic RYGB; 90-day mortality below 0.5%."},"contraindications":["Anesthesia unsafe due to severe cardiopulmonary disease","Uncontrolled psychiatric illness","Untreated substance or alcohol use disorder","Untreated active eating disorder such as binge eating","Pregnancy","Active malignancy or life-limiting illness (relative)","Severe coagulopathy or advanced liver disease with portal hypertension (relative)","Prior complex upper GI surgery with unsuitable anatomy 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Short flights often allowed from about 1 week, longer flights from about 2 weeks."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"First postoperative surgical review, from the day of surgery"}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Dietary, nutritional and laboratory review, from the day of surgery"}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Weight-loss and nutritional review, from the day of surgery; continued periodic lifelong follow-up"}}],"indications":["Severe obesity (BMI 40 or higher)","BMI 35-39.9 with type 2 diabetes, hypertension or sleep apnea","BMI 30-34.9 with metabolic disease in selected patients","Obesity with severe gastroesophageal reflux or Barrett's esophagus","Inadequate results from non-surgical weight-loss measures"],"main_risks":["Anastomotic leak","Bleeding","Infection","Venous thromboembolism","Anastomotic stricture or marginal ulcer","Internal hernia and small bowel obstruction","Dumping syndrome","Nutritional deficiencies (iron, B12, calcium, vitamin D, folate)","Gallstones","Weight regain","Anesthesia-related risks","Rarely, need for reoperation or death"],"pain":"Moderate postoperative abdominal and shoulder-tip discomfort for the first several days, usually controlled with oral analgesics; laparoscopic approach causes less pain than open.","preparation":["Multidisciplinary evaluation (surgeon, dietitian, psychologist, medical review)","Preoperative blood tests, ECG and other cardiopulmonary assessment as indicated","Upper endoscopy or other upper GI evaluation when indicated","Preoperative low-calorie or liver-shrinking diet for 1-4 weeks","Smoking and nicotine cessation","Sleep apnea evaluation and optimization of diabetes and blood pressure","Fasting before surgery per anesthesia instructions","Education on postoperative diet stages and lifelong supplementation"],"recovery_timeline":[{"phase":"Hospital stay (days 0-3)","description":"Monitoring, early walking, clear liquids, pain and nausea control, clot prevention.","restrictions":["No driving while on opioid analgesics","Sip fluids only as directed"]},{"phase":"Weeks 1-2","description":"Liquid then puréed diet at home; incisional soreness and fatigue gradually improve.","restrictions":["Avoid heavy lifting"]},{"phase":"Weeks 3-6","description":"Progress to soft foods; return to desk work and light activity.","restrictions":["Avoid heavy lifting and strenuous exercise until cleared"]},{"phase":"Weeks 6-12","description":"Transition to regular textures in small portions; resume full activity; rapid weight loss with supplementation and lab monitoring.","restrictions":["Avoid NSAIDs and smoking as advised"]},{"phase":"Months 3-18","description":"Continued weight loss until plateau; ongoing nutritional follow-up.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":21,"unit":"days","qualifier":"Light activities from 1-2 weeks; desk work by 2-3 weeks. 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Later reviews remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the bariatric program is multi-disciplinary and will support dietary and exercise habits long term","scope":"treatment_type","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Long-term success in bariatric surgery depends on lifelong compliance with dietary habits, nutritional guidelines and exercise as part of a multi-disciplinary bariatric program.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that all medical records and documentation are provided and returned to you for your local area","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Surgical providers should ensure that all medical records and documentation are provided and returned with the patient to their local 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stay.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V6","item":"prescriptions","audience":"uk","volatile":false,"text":"Bring prescription medicines and a doctor's letter stating the quantity needed for your stay","source":{"url":"https://www.gov.uk/foreign-travel-advice/greece/health","host":"gov.uk","quote":"Bring prescription medicines with you and carry a letter from your doctor stating the quantity required during your stay.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V7","item":"ghic","audience":"uk","volatile":false,"text":"To get medically necessary state healthcare in Greece, UK travelers need a Global Health Insurance Card (GHIC) or a European Health Insurance Card (EHIC)","source":{"url":"https://www.gov.uk/foreign-travel-advice/greece/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Greece, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( 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