Госпиталь Ruber Internacional — частный медицинский центр узкой специализации в Мадриде, Испания, специализирующийся на нейрохирургии, ортопедии и кардиологии. Клиника принимает взрослых и детей, предоставляя медицинскую помощь примерно 25 000 пациентам каждый год. Большинство пациентов приезжают из стран СНГ, Европы и Содружества, а также из США, Канады и Австралии.
\n","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":780,"price_to":1340,"currency":"USD","id":62101},"diagnostic":{"id":455,"name":"МРТ головного мозга","alias":"mrt-golovnogo-mozga"}},{"prices":{"price_from":1230,"price_to":1680,"currency":"USD","id":63284},"diagnostic":{"id":9,"name":"Колоноскопия ","alias":"kolonoskopiya"}}],"reviews":[],"clinic":{"id":6225,"alias":"hospital-ruber-internacional","name":"Госпиталь Ruber Internacional","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/6225-6ac3a2c7a2070.png","short_description":"Госпиталь Ruber Internacional — частный медицинский центр узкой специализации в Мадриде, Испания, специализирующийся на нейрохирургии, ортопедии и кардиологии. Клиника принимает взрослых и детей, предоставляя медицинскую помощь примерно 25 000 пациентам каждый год. Большинство пациентов приезжают из стран СНГ, Европы и Содружества, а также из США, Канады и Австралии.
\n","images":[{"base_url":"clinic/6756f35ff10ac","title":"Вид на фасад Hospital Ruber Internacional ночью, Мадрид, Испания"},{"base_url":"clinic/6756f34586526","title":"Медицинская команда Hospital Ruber Internacional в хирургических халатах, групповое фото в клинике"},{"base_url":"clinic/6756f34626a12","title":"Палата пациента в Hospital Ruber Internacional с современной кроватью и видом на сад"},{"base_url":"clinic/6756f34b1f0c3","title":"Вид снаружи Hospital Ruber Internacional в Мадриде, современное медучреждение"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Мадрид","id":346,"alias":"madrid"},"address":"40, 416114,-3.714781, Centro, 28013 Madrid, Испания"},"rating":{"rating":5,"google":4.5,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":3,"doctors_number":800,"year_foundation":1942},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Аккредитация Международной объединенной комиссии JCI","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"Международная организация по стандартизации ISO","country_code":"CH"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"HM Hospitales — это группа из 7 ведущих испанских клиник, которые расположены в Мадриде (Испания).
\n\nСпециализация — взрослая и детская онкология, неврология, нейрохирургия, кардиология и ортопедия.
\n\nВ 2018 году 5 госпиталей из 7 вошли в ТОП лучших частных клиник Испании по версии Организации мониторинга медицинской репутации MERCO.
\n\nЕжегодно хирурги HM выполняют более 26 000 операций, а лечение от рака здесь проходят около 2 500 пациентов.
\n","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":325,"price_to":650,"currency":"USD","id":13629},"diagnostic":{"id":6,"name":"МРТ одного отдела","alias":"mrt-odnogo-otdela"}},{"prices":{"price_from":600,"price_to":2000,"currency":"USD","id":13630},"diagnostic":{"id":39,"name":"Биопсия ","alias":"biopsiya"}}],"reviews":[],"clinic":{"id":310,"alias":"klinika-nm-hm-hospitales","name":"Клиника НМ (HM Hospitales)","short_description":"HM Hospitales — это группа из 7 ведущих испанских клиник, которые расположены в Мадриде (Испания).
\n\nСпециализация — взрослая и детская онкология, неврология, нейрохирургия, кардиология и ортопедия.
\n\nВ 2018 году 5 госпиталей из 7 вошли в ТОП лучших частных клиник Испании по версии Организации мониторинга медицинской репутации MERCO.
\n\nЕжегодно хирурги HM выполняют более 26 000 операций, а лечение от рака здесь проходят около 2 500 пациентов.
\n","images":[{"base_url":"clinic/5c618a022f30f","title":"Современное здание клиники HM Sanchinarro Hospital в Мадриде, Испания"},{"base_url":"clinic/5c618a022f236","title":"Современный фасад университетской клиники HM Hospitales в Мадриде"},{"base_url":"clinic/5c618a0209e17","title":"Линейный ускоритель Versa HD для радиотерапии в клинике HM Hospitales"},{"base_url":"clinic/5c618a021880a","title":"Современная операционная в HM Hospitales Мадрид с хирургическим оборудованием"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Мадрид","id":346,"alias":"madrid"},"address":"Av. de Montepríncipe, 25, 28660 Boadilla del Monte, Madrid, Spain"},"rating":{"rating":4.7,"google":2.1,"percent_of_satisfied_clients":94},"statistics":{"number_of_reviews":17,"doctors_number":0,"year_foundation":1990},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db98320c06c8.jpeg","name":"Аккредитация Европейского фонда управления качеством (EFQM)","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72be5c3ae.jpeg","name":"Сертификат независимой аудиторской компании TÜV","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Лучшие клиники мира 2021 по версии журнала Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":2,"total_pages":1}},"clinicsMeta":{"total_count":2,"total_pages":1},"clinicsCount":2,"clinicsCountByEntity":{"clinic_count":79},"doctors":{"doctors":[{"card_text":"Пионер эндоскопической ультрасонографии в Испании – д-р Лопес-Хамар возглавляет отделение эндоскопии пищеварительного тракта в больнице Ruber Internacional.
Доктор Хосе Мигель Эстебан Лопес‑Хамар — гастроэнтеролог. С 2007 года возглавляет отделения эндоскопии и заболеваний органов пищеварения в Hospital Ruber Internacional. Имеет более 20 лет опыта. Один из пионеров эндоскопического ультразвука (EUS) в Испании. Его работа охватывает диагностическую и интервенционную эндоскопию. Применяет инновационные, малоинвазивные методы при сложных заболеваниях ЖКТ.
\nВ Hospital Clínico San Carlos возглавлял отделение эндоскопии (2008–2012) и направление эндоскопических инноваций (2012–2014). Прошел международную подготовку в AMC Amsterdam, Institut Paoli‑Calmettes (Марсель) и больнице Чжуншань (Шанхай). Имеет степени MD и PhD Мадридского университета Комплутенсе. Специалист по гастроэнтерологии. Участвует в многоцентровых европейских исследованиях и клинических испытаниях. Член SEPD, SEED и ESGE.
","specialities":[{"id":"gst.001","name":"Гастроэнтеролог","illness_kind_id":13}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":6225,"alias":"hospital-ruber-internacional","name":"Госпиталь Ruber Internacional","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/6225-6ac3a2c7a2070.png","short_description":"Госпиталь Ruber Internacional — частный медицинский центр узкой специализации в Мадриде, Испания, специализирующийся на нейрохирургии, ортопедии и кардиологии. Клиника принимает взрослых и детей, предоставляя медицинскую помощь примерно 25 000 пациентам каждый год. Большинство пациентов приезжают из стран СНГ, Европы и Содружества, а также из США, Канады и Австралии.
\n","images":[{"base_url":"clinic/6756f35ff10ac","title":"Вид на фасад Hospital Ruber Internacional ночью, Мадрид, Испания"},{"base_url":"clinic/6756f34586526","title":"Медицинская команда Hospital Ruber Internacional в хирургических халатах, групповое фото в клинике"},{"base_url":"clinic/6756f34626a12","title":"Палата пациента в Hospital Ruber Internacional с современной кроватью и видом на сад"},{"base_url":"clinic/6756f34b1f0c3","title":"Вид снаружи Hospital Ruber Internacional в Мадриде, современное медучреждение"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Испания","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Мадрид","id":346,"alias":"madrid"},"address":"40, 416114,-3.714781, Centro, 28013 Madrid, Испания"},"rating":{"rating":5,"google":4.5,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":3,"doctors_number":800,"year_foundation":1942},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Аккредитация Международной объединенной комиссии JCI","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"Международная организация по стандартизации ISO","country_code":"CH"}]}}],"meta":{"total_count":1,"total_pages":1}},"reviews":{"reviews":[{"id":6258,"user":{"id":106493,"name":"Natalia Rayskiy","country_code":"BY"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"ru":"Мы очень довольны клиникой Sant Joan de Deu, в которой наблюдается наш ребёнок. Хочется отметить высокий профессионализм доктора Мора и медицинского персонала. Рекомендуем эту детскую клинику для обследования и лечения. Также хочется отдельно поблагодарить медицинского координатора Ангелину Иваненко, которая и помогла нам принять верное решение в выборе клиники.Ангелина и на сегодняшний день помогает оперативно решать все вопросы, всегда на связи. Именно она предложила нам провести скайп консультацию с врачом. Огромное преимущество данной консультации - экономия времени, когда необходимо получить мнение компетентного врача и двигаться дальше в обследовании.Bookimed мы выбрали случайно, и не жалеем об этом.Всем рекомендуем."},"order":{"illness":{"id":9,"name":{"ru":"Рак печени","en":"Liver cancer"}},"diagnostic":{"id":523,"name":{"ru":"Онлайн консультация онколога","en":"Online Consultation with Oncologist"}}},"doctor_info":{"id":776,"name":"Жауме Катала Мора","alias":"zhaume-katala-mora"},"clinic_info":{"id":272,"name":"Детский госпиталь Сан Жоан де Деу (Hospital Sant Joan de Déu Barcelona)","alias":"detskij-gospital-sant-joan-de-deu","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-12-30T12:01:21.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ru":"Мы очень довольны клиникой Sant Joan de Deu, у которой наблюдается наш заболевание. Всем рекомендую.","en":"Мы очень довольны клиникой Sant Joan de Deu, в которой наблюдается наш ребёнок. Всем рекомендуем."}}},{"id":8966,"user":{"id":355092,"name":"Karen ","country_code":"US","country_name":{"ru":"Соединенные Штаты Америки","en":"United States of America"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":3}],"text":{"ru":"С той минуты, как я спросил о встрече, до целых 2 часов тестов я чувствовал себя полностью позаботившимся. Пребывание в чужой стране, где это не ваш родной язык, может быть пугающим, когда вам нужна медицинская помощь. Мой медицинский навигатор Лин был таким замечательным. Она приводила меня к каждому врачу или отделению, помогала мне найти место, а также была моим переводчиком. Она была доброй, сострадательной и невероятно полезной. Я был невероятно благодарен за то, что она была рядом со мной. Я видел доктора Бассолса, который был невероятно теплым, знающим и развеял мои страхи. Другие техники были также замечательны и заботливы. Я очень рекомендую персонал и заботу, которые я получил в Centro Medico Teknon, и команду из bookimed, которая связала меня с ними. Всем спасибо!!","en":"From the minute I was inquiring about an appointment through to an entire 2 hours of tests, I felt completely taken care of. Being in a foreign country where it’s not your first language can be daunting when needing healthcare. \nMy healthcare navigator Leen was so wonderful. She brought me to each doctor or department, got me situated and was also my translator. She was kind, compassionate & so incredibly helpful. I was incredibly grateful to have her by my side.\nI saw Dr. Bassols who was incredibly warm, knowledgeable and put my fears at ease. The other technicians were also wonderful and caring. \nI highly recommend the staff and care I received at Centro Medico Teknon and the team from bookimed that connected me to them. Thank you everyone!!"},"order":{"diagnostic":{"id":20,"name":{"ru":"Маммография","en":"Mammography"}}},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2022-05-17T19:57:33.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ru":"Да!","en":"Yes!"},"summary":{"positive":{"ru":"Я видел доктора Бассолса, который был невероятно теплым, знающим и развеял мои страхи. О докторе: Я видел доктора Бассолса, который был невероятно теплым, знающим и развеял мои страхи. О клинике: Я очень рекомендую персонал и заботу, которые я получил в Centro Medico Teknon. О результатах: N/A Об опыте: С той минуты, как я спросил о встрече, до целых 2 часов тестов, я чувствовал себя полностью поз","en":"I saw Dr. Bassols who was incredibly warm, knowledgeable and put my fears at ease. About the Doctor: I saw Dr. Bassols who was incredibly warm, knowledgeable and put my fears at ease. About the Clinic: I highly recommend the staff and care I received at Centro Medico Teknon. About the Results: N/A About the Experience: From the minute I was inquiring about an appointment through to an entire 2 "}}},{"id":6551,"user":{"id":147657,"name":"Madina ","country_code":"KG","country_name":{"ru":"Киргизия","en":"Kyrgyzstan"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"ru":"Уважаемый доктор Бартоломе Оливер! Позвольте мне выразить мою глубокую благодарность за вашу заботу, восхищение вашим величайшим талантом и вашей позитивной, супер-приятной личностью! Мне так повезло оказаться в руках одного из самых опытных и ЛУЧШИХ врачей в мире !!! Вы сделали редкую и сложную операцию легкой! Мой целый год полон стресса, страх закончился благодаря тебе! Живи самой длинной и счастливой жизнью! Всего наилучшего вам! Спасибо! Доктор!!! Спасибо вашей команде! Спасибо Международному отделу и моему зарегистрированному координатору-доктору. Кямран Аббас-Заде! Ваш пациент с "C7 Neurunoma"","en":"Dear amazing Dr. Bartolomé Oliver! Let me express my deepest gratitude for your care, admiration of your greatest talent and your positive, super-nice personality! \n\nI was so lucky to be in hands of one of the most experienced and the BEST doctors in the world!!! \nYou made rare and complicated surgery look easy! My whole year full of stress, fear is over thanks to you! \n\nLive the longest and happiest life! All the best wishes to you!\n\nThank you! Doctor!!!\nThanks to your team!\nThanks to International department and my bookimed coordinator-Dr. Kamran Abbas-Zade! \n\nYour “C7 Neurunoma” patient"},"order":{},"doctor_info":{"id":255,"name":"Бартоломе Оливер","alias":"oliver-bartolome"},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-02-01T19:04:20.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ru":"Абсолютно доволен! Доктор Кямран Аббас-Заде сопровождал меня на протяжении всего процесса и привел к лучшему врачу в мире! Уровень общения был отличным, ответы были быстрыми. Ольга проявила заботу и инициативу, помогла мне решить мою проблему с мигренью.","en":"Absolutely satisfied! Dr Kamran Abbas-Zade guided me through the whole process, and brought me to the best doctor in the world!\ncommunication level was great, replies were quick. \nOlga was caring and initiative, helped me solve my migraine issue."},"summary":{"positive":{"ru":"-Позвольте выразить вам глубочайшую благодарность за вашу заботу, восхищение вашим величайшим талантом и вашей позитивной, супер-приятной личностью!","en":"-Let me express my deepest gratitude for your care, admiration of your greatest talent and your positive, super-nice personality!"}}},{"id":1786,"user":{"id":78022,"name":"Елена Коросташевская","country_code":"RU"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ru":"С апреля по июль 2017 года, я проходила лечение в онкологическом отделении клиники Текнон. Попала в эту клинику благодаря международному центру поддержки пациентов «Букимед», курировала меня координатор Кристина. От всей души благодарю ее за поддержку и помощь!\r\n\r\nЛечение в клинике было на высшем уровне, и закончилось оно успехом. Я здорова!!!Хочу выразить слова огромной благодарности всем врачам, которые непосредственно лечили меня и в частности доктору Капдевиле и доктору Харкано.\r\n\r\nТак же мне очень помогали девушки из международного центра в этой клинике. С их помощью, я не испытывала никаких трудностей в общении с врачами и медперсоналом. Я обязательно буду рекомендовать свои друзьям и родственникам, в случае каких либо проблем со здоровьем, выбирать лечение в клинике Текнон.","en":"From April to July 2017, I underwent a treatment in the Oncology Department at Teknon. I came to this hospital thanks to Bookimed International Patients Support Center. Doctor-coordinator Christina has supported me and I am sincerely grateful for her help! \r\n\r\nThe treatment in the hospital was at the highest level, and it ended successfully. I have recovered!!! I want to thank all the doctors who directly have treated me, especially Dr. Capdevila and to Dr. Jorcano. \r\n\r\nThe International Department employees were very helpful — I had no difficulties in communication with medical team. I will definitely recommend this hospital to my friends and relatives in case of any health problems."},"order":{"illness":{"id":416,"name":{"ru":"Рак прямой кишки","en":"Rectal cancer"}}},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2018-06-11T21:57:08.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ru":"- Искренне благодарна за помощь доктору-координатору Кристине Возврат: О докторе: - Я искренне благодарна за помощь доктору-координатору Кристине - Хочу поблагодарить всех врачей, которые меня непосредственно лечили, особенно доктора Капдевилу и доктора Капдевила. Джоркано О клинике: - Лечение в больнице прошло на высшем уровне - В общении с медиками проблем не возникло О результатах: - Лечение за","en":"- I am sincerely grateful for Doctor-coordinator Christina's help \r \r Return: \r About the doctor: \r - I am sincerely grateful for Doctor-coordinator Christina's help \r - I want to thank all the doctors who directly have treated me, especially Dr. Capdevila and to Dr. Jorcano\r \r About the clinic:\r - The treatment in the hospital was at the highest level\r - I had no difficulties in communication wit"}}},{"id":13323,"user":{"id":538507,"name":"Mansour ","country_code":"PK"},"ratings":[{"name":"main","value":5},{"name":"consultation_arrangement","value":5},{"name":"consultation_duration","value":5},{"name":"consultation_value","value":5},{"name":"consultation_connection","value":5},{"name":"relative_price","value":2},{"name":"nps","value":10},{"name":"manager","value":0},{"name":"comfort","value":0},{"name":"doctor","value":0},{"name":"personal","value":0},{"name":"translation","value":0}],"text":{"ru":"Я знакомил многих пациентов с другими компаниями медицинского туризма, но большинство из них не были честными, например Bookinghealth.com, они обманывали наших пациентов, поэтому, наконец, я нашел отличную компанию под названием bookimed.com. Я являюсь клиентом bookimed.com с 5 лет. лет, и все мои пациенты довольны его персоналом и услугами, поэтому, как врач, я рекомендую bookimed.com по праву выбрать компанию с гарантией в отношении вашего здоровья…. С наилучшими пожеланиями, доктор Мансур.","en":"I introduced many patients to other medical tourism companies but most of them were not honest such as \nBookinghealth.com they did fraud with our patients so finally I found an excellent company by the name of bookimed.com Iam the client\nOf bookimed.com since 5 years and all of my patients are satisfied from its staffs and services so as a doctor I recommend bookimed.com to choose as a right a guaranteed company in the term of your health ….\nBest wishes \nDr.Mansoor"},"order":{"illness":{"id":360,"name":{"ru":"Рак сигмовидной кишки","en":"Sigmoid adenocarcinoma"}}},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2023-11-08T21:30:40.964+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"images":[{"full_url":"review/654d533e4ec10_b.jpeg","preview_url":"review/654d533e4ec10_s.jpeg"}],"summary":{"positive":{"ru":"Как врач рекомендую bookimed.com выбрать по праву компанию, гарантирующую ваше здоровье.","en":"As a doctor I recommend bookimed.com to choose as a right a guaranteed company in the term of your health"}}},{"id":4900,"user":{"id":2129,"name":"Оксана ","country_code":"UA","country_name":{"ru":"Украина","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ru":"Перед онлайн-консультацией я консультировалась с несколькими врачами в Украине и для меня было очень важно получить ответы на многие вопросы, включая абсолютно дилетантские. Доктор Бартоломе Оливер, не смотря на свою всемирную популярность, очень душевно, точно и правильно дал ответы на все мои вопросы. Доктор очень понравился, было видно, что он профессионал своего дела. \r\n\r\nСпасибо огромное Букимеду, а особенно моему доктору-координатору Екатерине Колико.","en":"Before the online consultation, I consulted with several doctors in Ukraine and it was very important for me to get answers to many questions, including absolutely amateur ones. Dr. Bartolome Oliver, despite his worldwide popularity, very sincerely, accurately and correctly answered all my questions. I liked the doctor very much, it was clear that he was a professional in his field. Thanks a lot to Bookimed, and especially to my coordinating doctor Ekaterina Koliko."},"order":{"illness":{"id":259,"name":{"ru":"Менингиома","en":"Meningioma"}}},"doctor_info":{"id":255,"name":"Бартоломе Оливер","alias":"oliver-bartolome"},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-08-19T00:00:00.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ru":""Большое спасибо Bookimed и особенно моему врачу-координатору Екатерине Колико."","en":"\"Thanks a lot to Bookimed, and especially to my coordinating doctor Ekaterina Koliko.\""}}},{"id":6535,"user":{"id":169499,"name":"Laura ","country_code":"BA"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"ru":"У нас была консультация по скайпу с доктором Джоан Карлес. Звонок прошел очень хорошо. Доктор Карлес был очень хорошо подготовлен и знал мое дело заранее, основываясь на документации, которую мы предоставили до звонка. Он ответил на все наши вопросы и предоставил нам окончательный письменный отчет о своих рекомендациях. Мы очень довольны предоставленным сервисом, и мы настоятельно рекомендуем этот медицинский центр, и особенно доктора Джоан Карлес.","en":"We had a Skype Consultation with Dr. Joan Carles. The call went really well. Dr. Carles was very well prepared and knew my case beforehand based on the documentation we provided prior to the call. He answered all our questions, and provided us with a final written report on his recommendations. We are very happy with the service provided, and we highly recommend this Medical Center, and especially Dr. Joan Carles."},"order":{"illness":{"id":99,"name":{"ru":"Саркома","en":"Sarcoma"}}},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-01-29T11:06:39.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ru":"Я очень доволен Букимедом.","en":"I am very satisfied with Bookimed."},"summary":{"positive":{"ru":"Мы очень довольны предоставленной услугой и очень рекомендуем этот медицинский центр, и особенно доктора Джоан Карлес.","en":"We are very happy with the service provided, and we highly recommend this Medical Center, and especially Dr. Joan Carles."}}},{"id":5335,"user":{"id":139431,"name":"Наталья ","country_code":"UA","country_name":{"ru":"Украина","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ru":"Обратилась в Bookimed за вторым независимым мнением, особо ничего не ожидала, но была приятно удивлена оперативностью и вминанием врачей-координаторов Кати Колико и Ольги Крисюк. Организовали видеоконсультацию с клиникой HM в Испании, все прошло как запланировали, доктор написала что нужно делать на данный момент и варианты лечения. Спасибо !","en":"I turned to Bookimed for a second independent opinion, I didn’t expect anything, but I was pleasantly surprised by the speed and cramming of the coordinating doctors Katya Koliko and Olga Krisyuk. We organized a video consultation with the HM clinic in Spain, everything went as planned, the doctor wrote what needs to be done at the moment and treatment options. Thank !"},"order":{"illness":{"id":3,"name":{"ru":"Рак груди","en":"Breast cancer"}}},"clinic_info":{"id":310,"name":"Клиника НМ (HM Hospitales)","alias":"klinika-nm-hm-hospitales","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-09-25T15:31:02.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ru":"- Благодарить!","en":"- Thank!"}}},{"id":19283,"user":{"id":790695,"name":"Melat ","country_code":"SE"},"ratings":[{"name":"main","value":5},{"name":"consultation_arrangement","value":5},{"name":"relative_price","value":1},{"name":"nps","value":10},{"name":"manager","value":5},{"name":"consultation_duration","value":5},{"name":"consultation_value","value":5},{"name":"consultation_connection","value":5},{"name":"comfort","value":0},{"name":"doctor","value":0},{"name":"personal","value":0},{"name":"translation","value":0}],"text":{"ru":"Моя онлайн-консультация прошла очень гладко и профессионально. Медицинский персонал был компетентен, внимателен и подробно ответил на все мои вопросы. Платформа была проста в использовании, и я оценил быстрое время ответа. В целом, у меня остались положительные впечатления, и я бы рекомендовал это место другим","en":"My online consultation experience was very smooth and professional. The medical team was knowledgeable, attentive, and answered all my questions thoroughly. The platform was easy to use, and I appreciated the quick response time. Overall, I had a positive experience and would recommend it to others"},"order":{"illness":{"id":524,"name":{"ru":"Рак толстого кишечника","en":"Colon cancer"}}},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2025-03-27T15:44:04.968+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"images":[{"full_url":"review/67e858eaae0d5_b.jpeg","preview_url":"review/67e858eaae0d5_s.jpeg"},{"full_url":"review/67e85a8e6d1bd_b.jpeg","preview_url":"review/67e85a8e6d1bd_s.jpeg"}],"client_response":{"preview_to_review_text":{"ru":"Моя онлайн-консультация прошла очень гладко и профессионально. Медицинский персонал был компетентен, внимателен и подробно ответил на все мои вопросы. Платформа была проста в использовании, и я оценил быстрое время ответа. В целом, у меня остались положительные впечатления, и я бы рекомендовал это место другим","en":"My online consultation experience was very smooth and professional. The medical team was knowledgeable, attentive, and answered all my questions thoroughly. The platform was easy to use, and I appreciated the quick response time. Overall, I had a positive experience and would recommend it to others"},"what_like_text":{"ru":"- Я очень ценю профессионализм и доброту медицинского персонала. Я чувствовала себя комфортно и чувствовала заботу.\n- Консультация прошла быстро и эффективно, а врач дал четкие и полезные советы.\n- Мне понравилось, как легко было записаться на прием и как оперативно реагировала команда.\n- Подробные объяснения и индивидуальный подход были лучшими моментами в моем опыте.","en":"- I really appreciated the professionalism and kindness of the medical team. They made me feel comfortable and well cared for.\n- The consultation was quick and efficient, and the doctor provided clear and helpful advice.\n- I liked how easy it was to book an appointment and how responsive the team was.\n- The detailed explanations and personalized care were the best parts of my experience."}},"comment_about_bookimed":{"ru":"Мой опыт работы с Bookimed был превосходным. Платформа позволила легко найти и связаться с медицинским специалистом. Служба поддержки была очень отзывчивой и направляла меня на протяжении всего процесса. Консультация прошла профессионально, врач дал четкие и полезные советы. Я бы определенно рекомендовал Bookimed другим людям, ищущим медицинскую помощь.","en":"My experience with Bookimed was excellent. The platform made it easy to find and connect with a medical specialist. The support team was very responsive and guided me throughout the process. The consultation was professional, and the doctor provided clear and helpful advice. I would definitely recommend Bookimed to others seeking medical assistance."},"summary":{"positive":{"ru":"В целом у меня остались положительные впечатления, и я бы порекомендовал это место другим.","en":"Overall, I had a positive experience and would recommend it to others."}}},{"id":6689,"user":{"id":169262,"name":"Инна ","country_code":"RU"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"ru":"Большое спасибо компании Букимед и всем, кто помогал организовать срочный визит в клинику и согласовать все процедуры. Также я очень благодарна за помощь в бронировании отеля и поддержке Екатерины, Дарьи и Остапа, человеческое участие важно невероятно.","en":"Many thanks to Bookimed and everyone who helped organize an urgent visit to the clinic and coordinate all the procedures. I am also very grateful for the help in booking the hotel and the support of Catherine, Daria and Ostap, human participation is incredibly important."},"order":{"illness":{"id":97,"name":{"ru":"Рак простаты","en":"Prostate cancer"}}},"doctor_info":{"id":332,"name":"Раймон Миралбель","alias":"rajmon-mirabel"},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-02-11T15:42:05.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ru":"Большое спасибо компании Букимед и всем, кто помогал организовать срочный визит в клинику и согласовать все процедуры. Также я очень благодарна за помощь в бронировании отеля и поддержке Екатерины, Дарьи и Остапа, человеческое участие важно невероятно","en":"Many thanks to Bookimed and everyone who helped organize an urgent visit to the clinic and coordinate all procedures. I am also very grateful for the help in booking the hotel and the support of Ekaterina, Daria and Ostap, human participation is incredibly important"},"summary":{"positive":{"ru":"Доктор К.Г. — замечательный врач, его медицинские навыки и внимание к деталям очень впечатляют.","en":"Dr. K.G. is an amazing doctor, his medical skills and attention to details are very impressive."}}},{"id":6049,"user":{"id":79845,"name":"Максим ","country_code":"SE"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ru":"Дистанционная консультация была о том, что делать далее, поскольку диагноз оказался очевидным. Мама довольна консультацией.\nТак же очень благодарны Остапу, региональному координатору в Текноне, который все быстро и понятно организовал.","en":"The online consultation was about what to do next, since the diagnosis was obvious. Mom is happy with the consultation. We are also very grateful to Ostap, the regional coordinator in Teknon, who organized everything quickly and clearly."},"order":{"diagnostic":{"id":102,"name":{"ru":"Консультация онколога","en":"Consultation with an oncologist"}}},"doctor_info":{"id":373,"name":"Хоан Карлес Гальсеран","alias":"dzhon-karles-galseran"},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-12-01T17:45:18.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ru":"Также очень благодарны Остапу, региональному координатору в Текноне, который все организовал быстро и четко.","en":"We are also very grateful to Ostap, the regional coordinator in Teknon, who organized everything quickly and clearly."}}},{"id":25833,"user":{"id":993364,"name":"Arthur ","country_code":"BR","country_name":{"ru":"Бразилия","en":"Brazil"}},"ratings":[{"name":"main","value":5},{"name":"consultation_arrangement","value":5},{"name":"consultation_duration","value":5},{"name":"consultation_value","value":5},{"name":"consultation_connection","value":5},{"name":"relative_price","value":2},{"name":"nps","value":10},{"name":"manager","value":5},{"name":"comfort","value":0},{"name":"doctor","value":0},{"name":"personal","value":0},{"name":"translation","value":0}],"text":{"ru":"Обслуживание было хорошим: благодаря консультации открылась возможность выбрать новый путь, появилась возможность попробовать другое лечение, и это было положительным моментом.","en":"The service was good: thanks to the consultation, I was able to explore a new course of action and try a different treatment, which was a positive outcome."},"order":{"illness":{"id":944,"name":{"ru":"Медуллобластома","en":"Medulloblastoma"}}},"clinic_info":{"id":78,"name":"Клиника Текнон","alias":"medicinskij-centr-teknon","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-06-15T22:25:56.013+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false}],"client_response":{"preview_to_review_text":{"ru":"Обслуживание было хорошим: благодаря консультации открылась возможность выбрать новый путь, появилась возможность попробовать другое лечение, и это было положительным моментом.","en":"The service was good: thanks to the consultation, I was able to explore a new course of action and try a different treatment, which was a positive outcome."},"what_like_text":{"ru":"Возможность найти путь к лечению.","en":"The possibility of finding a path to treatment."},"what_not_like_text":{"ru":"Всё прошло просто идеально!","en":"Everything went absolutely perfectly!"}},"comment_about_bookimed":{"ru":"Опыт пока что оказывается удовлетворительным.","en":"A experiencia está sendo satisfatória."},"summary":{"positive":{"ru":"Благодаря консультации я смог рассмотреть новый вариант действий и попробовать другой метод лечения, что стало положительным результатом.","en":"thanks to the consultation, I was able to explore a new course of action and try a different treatment, which was a positive outcome."}}},{"id":13702,"user":{"id":418333,"name":"Алена ","country_code":"DE","country_name":{"ru":"Германия","en":"Germany"}},"ratings":[{"name":"main","value":5},{"name":"consultation_arrangement","value":5},{"name":"consultation_duration","value":5},{"name":"consultation_value","value":5},{"name":"consultation_connection","value":5},{"name":"relative_price","value":1},{"name":"nps","value":10},{"name":"manager","value":5},{"name":"comfort","value":0},{"name":"doctor","value":0},{"name":"personal","value":0},{"name":"translation","value":0}],"text":{"ru":"Хочу поблагодарить команду Bookimed за прекрасно организованную консультацию с доктором. Координатор Юлия прекрасный специалист, на всех этапах чувствовалась поддержка!","en":"I would like to thank the Bookimed team for the perfectly organized consultation with the doctor. 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Later with adjuvant therapy, slow recovery, or heavy physical work."},"complication_rate_pct":{"min":40,"max":60,"unit":"percent","qualifier":"Any complication within 30 days, including arrhythmias and pneumonia. Severity varies with fitness and center."},"contraindications":["Metastatic disease or unresectable invasion of aorta or trachea","Severe cardiopulmonary disease making major surgery prohibitive","Poor performance status or severe frailty","Severe uncorrected malnutrition (relative; usually optimized first)","Uncontrolled sepsis, or severe liver disease with portal hypertension (relative)","Prior gastric surgery or radiation affecting the stomach conduit (relative)"],"days_in_clinic":{"min":7,"max":14,"unit":"nights","qualifier":"Counted from surgery day, including brief ICU/HDU monitoring. 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Cancer outcome is judged by years of surveillance."},"fly_home_after_days":{"min":28,"max":42,"unit":"days","qualifier":"Only with surgeon clearance: stable eating, no fever, no leak or pneumonia concerns, clot-prevention advice followed."},"follow_up_visits":[{"purpose":"result_review","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"After hospital discharge: first postoperative review with pathology discussion."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"After surgery: review of nutrition, swallowing and adjuvant therapy planning, which depends on stage."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"After surgery: first oncologic surveillance review; later schedule depends on stage and center."}}],"indications":["Resectable adenocarcinoma or squamous cell carcinoma of the distal esophagus","Resectable gastroesophageal junction cancer (Siewert type I, selected II)","Adult fit enough for major surgery, with adequate nutrition"],"main_risks":["Anastomotic leak in the chest (can be life-threatening)","Pneumonia and other pulmonary complications","Atrial fibrillation and other cardiac arrhythmias","Conduit ischemia or necrosis","Anastomotic stricture causing swallowing difficulty","Chylothorax","Recurrent laryngeal nerve injury with hoarseness","Bleeding, infection, venous thromboembolism","Delayed gastric emptying, reflux, dumping, early satiety and weight loss","Operative mortality, depending on fitness and center experience"],"pain":"Moderate to severe pain in the first days after surgery, controlled with thoracic epidural or paravertebral block plus multimodal analgesia. Pain usually eases over several weeks; chest wall discomfort may persist longer.","preparation":["Staging (endoscopy, CT, PET-CT, EUS) and multidisciplinary review","Neoadjuvant chemo- or chemoradiotherapy if indicated, then recovery","Cardiopulmonary fitness assessment","Nutritional assessment and optimization, sometimes with supplements or feeding support","Stopping smoking and alcohol","Prehabilitation and breathing exercises","Review of blood thinners and other medicines","Fasting before surgery per anesthesia instructions"],"recovery_timeline":[{"phase":"Hospital stay (nights 0-14)","description":"Brief ICU/HDU care, pain control, chest drain, early walking and breathing exercises. Oral or jejunostomy feeding is staged after leak assessment.","restrictions":["Nil by mouth or restricted intake initially","Breathing exercises and assisted walking","Discharge only when eating plan, pain and mobility are adequate"]},{"phase":"Early home recovery (weeks 2-6)","description":"Gradual progression of small frequent meals; fatigue is common. Walking distance increases daily.","restrictions":["No heavy lifting","Eat small meals; stay upright after eating","Follow jejunostomy feeding and clot-prevention instructions if prescribed"]},{"phase":"Late recovery (weeks 6-12)","description":"Ordinary diet and daily function return, desk-based work resumes, and weight starts to stabilize. Strenuous exercise follows surgeon clearance.","restrictions":["No strenuous exercise or heavy lifting until surgeon clears"]},{"phase":"Long-term adaptation (3-12 months)","description":"Eating capacity, weight and energy settle; dietary adjustments continue alongside oncologic surveillance.","restrictions":[]},{"phase":"At any time","description":"Seek urgent care for fever, chest or severe abdominal pain, breathlessness, worsening cough, vomiting, leg swelling, black or bloody stools, wound discharge, or rapid heartbeat.","restrictions":[]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Recovery to independent daily activity and a stable diet, with walking program and dietitian guidance."},"result_longevity":"The reconstruction is intended to be permanent. Long-term cancer control depends on stage, response to neoadjuvant therapy, pathology and adjuvant treatment, so no single duration applies; surveillance continues for years.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Unplanned reoperation or reintervention within 30 days, e.g. for leak, bleeding or conduit problems; varies by center."},"scars":"Several small laparoscopic and thoracoscopic port scars on the abdomen and right chest, plus a small upper abdominal incision to remove the specimen. Chest drain and feeding jejunostomy sites, if used, leave small marks.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation; conversion to open surgery stays within the same operation."},"stages":[{"code":"surgery_planning","label":"Staging, any neoadjuvant therapy and surgical scheduling","after":{"min":42,"max":150,"unit":"days","qualifier":"After first consultation. Shorter without neoadjuvant therapy; surgery usually follows it by several weeks."}},{"code":"surgery_and_early_recovery","label":"Hospital stay with early walking and breathing exercises","after":{"min":0,"max":0,"unit":"days","qualifier":"Starts on surgery day; discharge usually 7-14 days later."}},{"code":"oral_diet_progression","label":"Staged return from nil by mouth or feeding tube to small oral meals","after":{"min":3,"max":14,"unit":"days","qualifier":"After surgery: timing depends on surgeon protocol and leak assessment; jejunostomy feeding may continue after discharge."}},{"code":"first_review","label":"First planned postoperative review with pathology discussion","after":{"min":7,"max":21,"unit":"days","qualifier":"After hospital discharge."}},{"code":"nutrition_oncology_review","label":"Review of nutrition, swallowing and adjuvant treatment planning","after":{"min":42,"max":90,"unit":"days","qualifier":"After surgery; adjuvant therapy depends on stage and pathology."}}],"qualifier":"Plan for uncomplicated cases; timing varies with neoadjuvant therapy, pathology and recovery."},"success":{"metric":"Complete tumor removal with negative margins (R0 resection)","value":92,"unit":"percent","horizon":"Final pathology after surgery","population":"Adults with resectable distal esophageal or GE-junction cancer, usually after neoadjuvant therapy","evidence_status":"limited"},"techniques":[{"name":"Minimally invasive Ivor Lewis esophagectomy (laparoscopic abdomen, thoracoscopic right chest) with gastric conduit and intrathoracic anastomosis","suits_whom":"Resectable distal esophageal or GEJ cancer in patients fit for one-lung ventilation, treated at experienced centers.","recovery":"Hospital stay about 7-14 nights; walking within the first days; ordinary diet over weeks."},{"name":"Open Ivor Lewis esophagectomy","suits_whom":"Larger or more complex tumors, prior surgery, or when minimally invasive surgery is not feasible or conversion is needed.","recovery":"Often more pain and a longer recovery than the minimally invasive approach."},{"name":"Robotic-assisted Ivor Lewis esophagectomy","suits_whom":"Suitable patients at centers with robotic expertise.","recovery":"Broadly similar to minimally invasive surgery."},{"name":"McKeown three-field or transhiatal esophagectomy","suits_whom":"Mid or upper tumors (McKeown), or selected patients avoiding thoracotomy (transhiatal); neck anastomosis.","recovery":"Different risk profile, including more recurrent laryngeal nerve injury and neck anastomotic leak."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":5,"max":8,"unit":"hours","qualifier":"Operating time with reconstruction; longer if converted to open surgery or findings are complex."},"initial_assessment_documents":["Endoscopy report with biopsy pathology","Staging CT scan of chest and abdomen","PET-CT report","Endoscopic ultrasound report (if available)","Neoadjuvant chemoradiotherapy records (if available)","Recent cardiac and lung function tests"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; stay about 4-6 weeks including hospital. Second trip possible if neoadjuvant therapy is done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the clinician performing the procedure and the facility’s credentials, because complication risk depends on both","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check how communication with the clinician and caregivers will be handled if language differs","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","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":"F2","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}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Trouble swallowing","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/tests-procedures/esophagectomy/about/pac-20385084","host":"mayoclinic.org","quote":"If you have reflux, vomiting after eating or trouble swallowing, talk to your healthcare team.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W2","text":"Vomiting after eating","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mayoclinic.org/tests-procedures/esophagectomy/about/pac-20385084","host":"mayoclinic.org","quote":"If you have reflux, vomiting after eating or trouble swallowing, talk to your healthcare team.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W3","text":"Throbbing pain and swelling in one leg","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/conditions/deep-vein-thrombosis-dvt/","host":"nhs.uk","quote":"throbbing pain in 1 leg (rarely both legs), usually in the calf or thigh","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home clinicians need documentation of received care for subsequent care","document":"care documentation","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Request documentation of any medical care received abroad, including medications, and share with healthcare professionals delivering subsequent care while traveling and at home.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your narrowed esophagus needs to be held open","name":"Esophageal stent","source":{"url":"https://www.mayoclinic.org/diseases-conditions/esophageal-cancer/diagnosis-treatment/drc-20356090","host":"mayoclinic.org","quote":"A metal tube called a stent can be used to hold open a narrowed portion of the esophagus.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"minimally-invasive-ivor-lewis","name":"Minimally invasive Ivor Lewis esophagectomy (laparoscopic abdomen, thoracoscopic right chest) with gastric conduit and intrathoracic anastomosis","how_it_works":{"text":"Small incisions provide access for laparoscopic or robot-assisted surgery","source":{"url":"https://www.mayoclinic.org/tests-procedures/esophagectomy/about/pac-20385084","host":"mayoclinic.org","quote":"This includes laparoscopy or robot-assisted techniques.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"open-ivor-lewis-esophagectomy","name":"Open Ivor Lewis esophagectomy","how_it_works":{"text":"The esophagus is removed through large surgical 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