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Добробут — сеть частных многопрофильных клиник в Киеве, Украине.\n

\n

Медицинские центры специализируются на 75 направлениях. К основным из них относятся онкология, кардиохирургия, эндоваскулярная хирургия, пластическая хирургия, ортопедия и травматология.\n

\n

Каждый год хирурги Добробут выполняют более 11 000 операций.\n

\n

Более 330 000 пациентов ежегодно проходят лечения в клиниках сети.\n

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Добробут — сеть частных многопрофильных клиник в Киеве, Украине.\n

\n

Медицинские центры специализируются на 75 направлениях. К основным из них относятся онкология, кардиохирургия, эндоваскулярная хирургия, пластическая хирургия, ортопедия и травматология.\n

\n

Каждый год хирурги Добробут выполняют более 11 000 операций.\n

\n

Более 330 000 пациентов ежегодно проходят лечения в клиниках сети.\n

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Д-р Наталья Шевченко — гастроэнтеролог высшей категории с _doctor_3748_years_ опытом работы, специализирующаяся на заболеваниях пищевода.

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Доктор является гастроэнтерологом высшей категории с 15-летним опытом, специализирующимся на лечении таких состояний, как гастрит, колит, панкреатит, язвы пищевода, гастроэнтероколит и язвенная болезнь. <\\/p>

Выпускник Харьковского национального медицинского университета, доктор обладает навыками в расшифровке исследований и анализов, а также в разработке комплексных планов лечения. <\\/p>

С 67 отзывами, доктор признан за эффективное лечение взрослых пациентов.<\\/p>

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Медицинский центр «ОН Клиник Харьков» (м. Проспект Гагарина) является частью международной сети медицинских центров «ОН Клиник» в Украине. Это современное лечебное заведение, открытое в апреле 2020 года. В медицинском центре представлено более 20 лечебно-диагностических направлений, среди которых гинекология, урология, нейрохирургия и пластическая хирургия.

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We have started chemotherapy and my condition is stable."},"order":{"operation":{"id":454,"name":{"ru":"Резекция прямой кишки","en":"Rectal resection"}},"illness":{"id":416,"name":{"ru":"Рак прямой кишки","en":"Rectal cancer"}},"diagnostic":{"id":102,"name":{"ru":"Консультация онколога","en":"Consultation with an oncologist"}}},"clinic_info":{"id":105,"name":"Клиника Спиженко","alias":"kiber-klinika-spizhenko","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2023-08-14T08:10:22.721+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"would_recommend","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}]},{"id":9678,"user":{"id":384261,"name":"Михаил ","country_code":"UA","country_name":{"ru":"Украина","en":"Ukraine"}},"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":"Врач хирург доктор Рами высококлассный специалист\r\nПалата отличная\r\nВсе хорошо","en":"Doctor surgeon Dr. Rami highly qualified specialist The ward is excellent Everything is fine"},"order":{"operation":{"id":37,"name":{"ru":"Химиотерапия","en":"Chemotherapy"}}},"clinic_info":{"id":105,"name":"Клиника Спиженко","alias":"kiber-klinika-spizhenko","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2022-09-26T20:33:37.000+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":"Все хорошо.","en":"Everything is fine."}}},{"id":7496,"user":{"id":255475,"name":"Светлана ","country_code":"UA","country_name":{"ru":"Украина","en":"Ukraine"}},"ratings":[{"name":"main","value":4},{"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":"Очень классная клиника!","en":"Very cool clinic!"},"order":{"illness":{"id":53,"name":{"ru":"Меланома","en":"Melanoma"}}},"clinic_info":{"id":105,"name":"Клиника Спиженко","alias":"kiber-klinika-spizhenko","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2021-06-24T13:11:02.000+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":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ru":"Да","en":"Yes"}}],"meta":{"total_count":13,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{"txt_price":{"text":"

Эзофагэктомия в Украине обычно стоит от _op_216_price_from_ до _op_216_price_to_. Итоговая цена зависит от метода хирургического вмешательства, уровня клиники и стадии опухоли. В стоимость пакета услуг обычно входят предоперационная диагностика, анестезия, операция, пребывание в стационаре и стандартное послеоперационное наблюдение.

\n\n\n\n

Экспертное мнение Bookimed: Украина предлагает качественную онкологическую помощь по ценам значительно ниже западных. Крупные частные сети, такие как «Добробут», проводят более 11 000 операций в год. Они соответствуют международным стандартам ISO, что гарантирует безопасность и надежность медицинских услуг. Выбор таких центров в Киеве открывает доступ к опытным хирургам и современной инфраструктуре. Это сочетание обеспечивает высокую эффективность лечения даже при сложных операциях на пищеводе.

"}},"texts":{"guide_mc":{"text":"

1 день

День 2

День 3

День 4

День 5-14

Неделя 2-6

Неделя 7

Обратите внимание, что это общее руководство, и каждый случай может отличаться.

"},"overview":{"text":"

Эзофагэктомия

Эзофагэктомия - это хирургическая операция по удалению части или всего пищевода, часто используемая для лечения рака пищевода.

[icon-pros]Плюсы: Обеспечивает 85-процентную выживаемость при раке пищевода на ранней стадии. Минимально инвазивные варианты сокращают время восстановления на 30 %.
[icon-cons]Минусы: Может привести к значительным изменениям пищеварения. 20% риск утечки анастомоза после операции.
[icon-effect]Эффективность: 75% успеха при полном удалении опухоли на ранних стадиях.
[icon-clock]Продолжительность: 4-8 часов
[icon-run]Восстановление: 6-8 недель
[icon-thumbs]Лучше всего подходит для: Рак пищевода и тяжелые повреждения пищевода у пациентов в возрасте 45-70 лет.
[icon-price]Цены: [txt-country]
"}}},"relations":{"countries":[{"name":"Азербайджан","alias":"azerbajdzhan","iso_code":"AZ"},{"name":"Германия","alias":"germany","iso_code":"DE"},{"name":"Египет","alias":"egipet","iso_code":"EG"},{"name":"Израиль","alias":"israel","iso_code":"IL"},{"name":"Индия","alias":"india","iso_code":"IN"},{"name":"Испания","alias":"spain","iso_code":"ES"},{"name":"Италия","alias":"italiya","iso_code":"IT"},{"name":"Китай","alias":"kitaj","iso_code":"CN"},{"name":"Польша","alias":"poland","iso_code":"PL"},{"name":"Таиланд","alias":"thailand","iso_code":"TH"},{"name":"Турция","alias":"turkey","iso_code":"TR"},{"name":"Украина","alias":"ukraine","iso_code":"UA"},{"name":"Швейцария","alias":"switzerland","iso_code":"CH"},{"name":"Южная Корея","alias":"republic-of-korea","iso_code":"KR"}],"cities":[{"name":"Киев","alias":"kiev"}],"operations":[{"name":"Мастэктомия","alias":"mastektomiya"},{"name":"Удаление почки 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Эта операция удаляет опухоли желудка, помогая сдержать распространение рака и облегчить симптомы, способствуя общей выживаемости и благополучию.

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Операция удаляет жировой слой в брюшной полости, известный как сальник, для лечения или профилактики заболеваний брюшной полости.

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Процедура включает удаление части пищевода для лечения различных аномалий, что обеспечивает улучшение способности глотания.

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Процедура соединяет желудок и тонкую кишку, помогая пищеварению, минуя заблокированный или больной участок желудка.

"},"719":{"operation":{"name":"Гастрэктомия","alias":"gastrektomia","use_for_listing":true},"country_price":{"UA":{"amount":6000,"max_amount":7500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"US":{"amount":65000,"max_amount":110000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":6000,"max_amount":26000,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":14500,"max_amount":23500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"PL":{"amount":10000,"max_amount":14500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"CZ":{"amount":10000,"max_amount":15000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":true,"US":false,"TR":true,"TH":false,"PL":true,"CZ":true},"description":"

Операция удаляет весь или часть вашего желудка для лечения заболеваний желудка, улучшая качество вашей жизни.

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Эта операция, выполняемая роботом, нацелена на проблемы с желудком, удаляя его части или целиком, обеспечивая точность и быстрое восстановление.

"},"741":{"operation":{"name":"Резекция пищевода","alias":"rezekcia-pisevoda","use_for_listing":true},"country_price":{"UA":{"amount":7000,"max_amount":10000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"US":{"amount":95000,"max_amount":145000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":12000,"max_amount":26900,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":18000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"PL":{"amount":11000,"max_amount":18500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"CZ":{"amount":14000,"max_amount":24000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":true,"US":false,"TR":true,"TH":false,"PL":false,"CZ":false},"description":"

Операция включает в себя удаление части пищевода для лечения определенных заболеваний.

"}}},"cityPrices":{"operation_prices":{"216":{"operation":{"id":216,"name":"Эзофагэктомия","alias":"udalenie-pischevoda"},"city_price":[{"amount":6500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":109,"name":"Киев","alias":"kiev","profile":{"city_id":109,"city_type":"Capital and largest city of Ukraine","access":["No flights to Kyiv; travel overland from Poland"],"sources":["https://en.wikipedia.org/wiki/Kyiv","https://visitkyiv.com/visitor-essentials/how-to-get-from-poland-to-kyiv/"],"status":"ok","checked_at":"2026-11-03"}}}]}}},"videoReviews":[{"id":"b8c75ace-4f1f-46d8-9887-d9e0b74bfdb6","link":"https://player.vimeo.com/video/1096293607?badge=0&autopause=0&player_id=0&app_id=58479","description":"Меня и моего спутника встретили с такой добротой — я восхищён всей командой!","userName":"Amanda","user_name":"Amanda","preview":"https://i.vimeocdn.com/video/2030326588-92c5121ee6fb5bedb09b0cf12abe66667acab73d0dea713b5168e6353daa6b76-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T10:47:55.613+00:00","clinicName":"Госпиталь Локман Хеким Стамбул (Lokman Hekim Istanbul)","clinic":{"name":"Госпиталь Локман Хеким Стамбул (Lokman Hekim Istanbul)","alias":"gospital-adatyp-adatip"},"clinicUrl":"/clinic/gospital-adatyp-adatip/","relations":{"operations":[{"name":"Мастэктомия","alias":"mastektomiya"},{"name":"Операция при саркоме","alias":"udalenie-sarkomu-uinga"}]}},{"id":"b7a1e6f5-3dff-4271-a473-718866134d6d","link":"https://player.vimeo.com/video/1096286146?badge=0&autopause=0&player_id=0&app_id=58479","description":"Оставайтесь сильными, будьте информированы и никогда не недооценивайте силу передовых методов лечения и надёжной поддержки.","userName":"Randolph","user_name":"Randolph","preview":"https://i.vimeocdn.com/video/2030316574-2e75554b099788479c44c329a4e0921804438f5ec01b95cf5caf584c386aeb01-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T11:53:30.932+00:00","clinicName":"Частная клиника Конфратернитет & Голденес Кройц","clinic":{"name":"Частная клиника Конфратернитет & Голденес Кройц","alias":"chastnaya-klinika-jozefshtadt"},"clinicUrl":"/clinic/chastnaya-klinika-jozefshtadt/","relations":{"operations":[{"name":"Радиоэмболизация печени","alias":"radioembolizacia-peceni"},{"name":"Радиочастотная абляция","alias":"radiochastotnaya-ablaciya"}]}}],"hasVideoReviewsByContext":true,"externalReviews":[{"id":"68f3e3e81e946bc8760e6c1b","source":"google","clinic_id":1591},{"id":"68f3e3eea1ec9be6ca0b991f","source":"google","clinic_id":1591},{"id":"68f3e3f09c26ceb15303600b","source":"google","clinic_id":1591},{"id":"68f3e3f51e946bc8760e6c1c","source":"google","clinic_id":1591},{"id":"68f3e4059c26ceb15303600c","source":"google","clinic_id":1591}],"responsibleDoctor":{"id":290,"alias":"eshim-juldurum","name":"Ешим Йылдырым","photo":"doctor/699da18e34fa6","advisory_text":"20 лет опыта\nОнколог, сертифицирована ESMO","advisoryText":"20 лет опыта\nОнколог, сертифицирована ESMO","specialities":[{"id":"onc.001","name":"Онколог","illness_kind_id":10}]},"updatedAt":"2026-11-09T22:21:01.554Z","activeCountries":["UA","TR","CZ","PL","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":6},"illness_kind_details":{"requests_processed":46119}},"direction":{"id":10,"name":"Онкология","alias":"onkologiya","name_forms":{"base_form":"Онкология","form_1":"онкологии (лечения рака)","form_2":"онкологии (лечению рака)","form_3":"онкологические","form_4":"онколог","form_5":"онколога","form_6":"онкологи","form_7":"онкологическую","form_11":"онкологи","form_12":"онкологов"}},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":56,"max":120,"unit":"days","qualifier":"Desk-based work after uncomplicated minimally invasive Ivor Lewis surgery. 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. 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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 that tests confirm the condition can be successfully treated with surgery","scope":"procedure","source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-oesophagectomy--4148","host":"plymouthhospitals.nhs.uk","quote":"Firstly there are tests to check that the condition you have can be successfully treated with surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that assessments confirm you are well enough to undergo major surgery","scope":"procedure","source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-oesophagectomy--4148","host":"plymouthhospitals.nhs.uk","quote":"Secondly there are assessments to see if you are well enough to undergo major surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that a consultant anesthetist gives 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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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","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 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