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Всегда консультируйтесь со своим лечащим врачом по любым проблемам или вопросам.</i></p>"},"overview":{"text":"<h3>Метаболическая хирургия</h3>\n<p>Хирургическое вмешательство, направленное на улучшение метаболических процессов путем изменения пищеварительной системы.</p>\n<div>[icon-pros]<b>Плюсы:</b><span> Потеря до 60% избыточного веса. Может облегчить симптомы или устранить диабет 2 типа у 77% пациентов. Пациентам часто удается долгосрочно поддерживать вес после процедуры без необходимости постоянной корректировки диеты.</span></div>\n<div>[icon-cons]<b>Минусы:</b><span> Возможен дефицит питательных веществ из-за измененного пищеварения. Требует пожизненного приема диетических добавок и регулярных медицинских осмотров.</span></div>\n<div>[icon-effect]<b>Эффективность:</b><span> Потеря 60% избыточного веса.</span></div>\n<div>[icon-clock]<b>Продолжительность:</b><span> 2-4 часа</span></div>\n<div>[icon-run]<b>Восстановление:</b><span> 2-4 недели</span></div>\n<div>[icon-thumbs]<b>Лучше всего для:</b><span> Пациентов с ИМТ более 40 или более 35 при наличии проблем, вызванных ожирением.</span></div>\n<div>[icon-price]<b>Цены:</b><span> [txt-country]</span></div>"}}},"relations":{"countries":[{"name":"Азербайджан","alias":"azerbajdzhan","iso_code":"AZ"},{"name":"Великобритания","alias":"velikobritaniya","iso_code":"GB"},{"name":"Германия","alias":"germany","iso_code":"DE"},{"name":"Греция","alias":"greciya","iso_code":"GR"},{"name":"Доминиканская 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Lasting results depend on the operation, diet, supplementation and lifelong follow-up.","revision_rate_pct":{"min":3,"max":15,"unit":"percent","qualifier":"Reoperation or conversion for complications, reflux or weight regain within about 5-10 years."},"scars":"Typically several small laparoscopic incisions (about 0.5-1.5 cm) on the abdomen that fade over months; larger scars if open surgery is required.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for a primary laparoscopic procedure."},"stages":[{"code":"surgery","label":"Laparoscopic metabolic/bariatric operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of admission."}}],"qualifier":"Primary single-stage operation; staged approaches are exceptional."},"success":{"metric":"Excess weight loss after surgery","value":65,"unit":"percent of excess body weight","horizon":"12-18 months","population":"Adults with severe obesity after primary sleeve gastrectomy or gastric bypass","evidence_status":"proven"},"techniques":[{"name":"Laparoscopic sleeve gastrectomy","suits_whom":"Patients with obesity with or without type 2 diabetes who want a non-bypass option; less suited to severe reflux.","recovery":"Hospital stay about 1-2 nights; return to desk work in about 2-3 weeks."},{"name":"Laparoscopic Roux-en-Y gastric bypass","suits_whom":"Patients with obesity and type 2 diabetes, or significant reflux, often favored for stronger metabolic effect.","recovery":"Hospital stay about 2-3 nights; return to desk work in about 2-4 weeks."},{"name":"One-anastomosis (mini) gastric bypass","suits_whom":"Selected patients with obesity or diabetes; practiced in many centers.","recovery":"Hospital stay about 1-3 nights; similar recovery to gastric bypass."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Operating time for one primary laparoscopic operation; sleeve gastrectomy at the shorter end, gastric bypass longer."},"initial_assessment_documents":["Recent HbA1c and fasting glucose results","List of diabetes medications and insulin doses","Previous abdominal surgery reports","Upper endoscopy or gastroscopy report","Recent blood tests with lipid profile"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days including 1-3 hospital nights. Follow-up visits usually done remotely or at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the facility is accredited, since accreditation evaluates safety, training, follow-up and surgical volume","scope":"procedure","source":{"url":"https://asmbs.org/patients/making-choices/","host":"asmbs.org","quote":"To become accredited, a facility undergoes a rigorous process of evaluations to ensure their level of quality across safety, training, followup, and surgical volume standards.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the surgeon has specialized experience and training in bariatric and metabolic surgery","scope":"procedure","source":{"url":"https://asmbs.org/patients/is-metabolic-and-bariatric-surgery-right-for-you/","host":"asmbs.org","quote":"The NIH, as well as the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS) also recommend that 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complications.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that the clinic will provide all medical records and documentation","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 area.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Check that postoperative follow-up is arranged with a qualified local bariatric surgery program","scope":"treatment_abroad","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 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