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surgery."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Counted from surgery; early postoperative review and wound check."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Counted from surgery; review of pathology results and further treatment planning."}},{"purpose":"assessment","requirement":"routine","after":{"min":60,"max":120,"unit":"days","qualifier":"Counted from surgery; nutritional and clinical assessment, with later periodic surveillance."}}],"indications":["Resectable gastric cancer","Gastric neuroendocrine tumors or GIST requiring resection","Complicated peptic ulcer (bleeding, perforation, obstruction) uncontrolled otherwise","Non-healing or malignant-suspicious gastric ulcer","Localized gastric tumor or severe stomach injury"],"main_risks":["Anastomotic or duodenal stump leak","Bleeding","Infection or abscess","Dumping syndrome","Delayed gastric emptying","Nutritional deficiencies (vitamin B12, iron) and weight loss","Pulmonary complications and venous thromboembolism","Bile reflux gastritis","Anastomotic stricture","Bowel obstruction or adhesions","Splenic injury or pancreatic injury with pancreatic fistula","Postoperative ileus"],"pain":"Moderate to significant pain in the first days, controlled with multimodal analgesia (sometimes epidural or regional blocks); usually mild to moderate by 2-3 weeks, less after minimally invasive surgery.","preparation":["Endoscopy with biopsy and staging imaging (CT, sometimes EUS)","Blood tests, cardiopulmonary assessment and anesthesia evaluation","Nutritional assessment and optimization","Multidisciplinary team review","Fasting before surgery as instructed","Smoking cessation and breathing exercises","Review of regular medications with the surgical team"],"recovery_timeline":[{"phase":"Hospital stay (days 0-8)","description":"Gradual reintroduction of fluids then soft food, early mobilization, pain control and monitoring for leaks.","restrictions":["No heavy lifting","Small frequent intake as advised"]},{"phase":"Early home recovery (weeks 1-4)","description":"Increasing walking, small frequent meals, wound healing and pathology review.","restrictions":["Avoid lifting heavy loads","No driving while on opioid analgesics"]},{"phase":"Return to work and normal activity (weeks 4-12)","description":"Desk work resumes from week 4-8; exercise and diet gradually broadened, vitamin supplementation monitored.","restrictions":["Strenuous exercise only after surgeon clearance"]},{"phase":"Long-term adaptation (months 3-12)","description":"Stabilization of weight and eating capacity, with nutritional and oncologic follow-up as indicated.","restrictions":[]}],"rehabilitation_days":{"min":21,"max":42,"unit":"days","qualifier":"Daily activities resume; faster after laparoscopic or robotic, slower after open or total surgery."},"result_longevity":"Resected tissue does not regrow. Cancer outcome depends on stage: early disease is often cured, advanced disease recurs more within 5 years. Vitamin B12 and iron needs persist lifelong, especially after total gastrectomy.","revision_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Unplanned early reoperation (leak, bleeding, abscess, obstruction) within about 30 days; late revision, such as for bile reflux, is rarer."},"scars":"Laparoscopic or robotic approach leaves several small scars of about 0.5-1.5 cm plus a slightly longer extraction incision; open surgery leaves a midline upper-abdominal scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation under one admission."},"stages":[{"code":"gastric_resection","label":"Gastric resection with lymph node dissection and reconstruction","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the single operation."}}],"qualifier":"One surgical session; any adjuvant oncologic treatment is separate."},"success":{"metric":"5-year overall survival after curative gastrectomy for gastric cancer","value":60,"unit":"percent","horizon":"5 years","population":"Adults with resectable gastric cancer, all stages, curative-intent gastrectomy","evidence_status":"limited"},"techniques":[{"name":"Laparoscopic or robotic distal (subtotal) gastrectomy","suits_whom":"Tumors or ulcers in the lower stomach, suitable for minimally invasive access.","recovery":"Typically 4-7 nights in hospital; faster return to activity than open surgery."},{"name":"Open distal (partial/subtotal) gastrectomy","suits_whom":"Larger or more complex lesions, prior extensive abdominal surgery, or when minimally invasive approach is unsuitable.","recovery":"Typically 6-8 nights in hospital; longer recovery."},{"name":"Total gastrectomy with Roux-en-Y reconstruction","suits_whom":"Tumors of the upper or middle stomach or diffuse disease requiring removal of the whole stomach.","recovery":"Typically 6-8 nights in hospital; greater nutritional adaptation needed."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2.5,"max":5,"unit":"hours","qualifier":"Operative time for a typical partial/subtotal gastrectomy with lymphadenectomy; total gastrectomy or complex cases may take longer."},"initial_assessment_documents":["Gastroscopy report","Stomach biopsy pathology report","Contrast-enhanced CT scan of chest and abdomen","Endoscopic ultrasound report (if available)","Recent blood tests including hemoglobin and albumin","Previous abdominal surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay 4-8 nights in hospital plus about 2-4 weeks nearby before flying home. Later reviews can be local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the specialist team looking after you will discuss the benefits and side effects of surgery","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/stomach-cancer/treatment/","host":"nhs.uk","quote":"The specialist team looking after you will discuss all the benefits and side effects.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you have been able to ask the team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that you are satisfied with the facilities and standards where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check how your aftercare will be coordinated, so you know who follows you up","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A surgeon or hospital that will not discuss the details of surgery is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"rcseng.ac.uk","quote":"Be wary of surgeons and hospitals that do not want to discuss the details of surgery with you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Meetings only with sales staff, and no consultation with the surgeon, is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"make sure you have a consultation with the surgeon (avoid meetings only with sales people)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs them to follow the discharge plan","document":"written discharge instructions","source":{"url":"https://www.mskcc.org/cancer-care/patient-education/about-your-gastrectomy-surgery","host":"mskcc.org","quote":"You'll also get written discharge instructions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Lists medicines prescribed at discharge so the home doctor can continue them","document":"discharge prescriptions","source":{"url":"https://www.mskcc.org/cancer-care/patient-education/about-your-gastrectomy-surgery","host":"mskcc.org","quote":"Your healthcare provider will write your discharge order and prescriptions before you leave.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","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":"A small area of cancer, and you want to avoid major surgery","name":"Endoscopic submucosal dissection","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/endoscopic-submucosal-dissection-early-cancers-food-pipe-or-stomach","host":"guysandstthomas.nhs.uk","quote":"An ESD removes pre-cancerous cells, or small areas of cancer, without the need for major surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403},"operation_id":null},{"id":"A2","text":"Your stomach cancer is found at a very early stage","name":"Endoscopic mucosal resection","source":{"url":"https://www.cancer.gov/types/stomach/patient/stomach-treatment-pdq","host":"cancer.gov","quote":"Endoscopic mucosal resection is a procedure that uses an endoscope to remove carcinoma in situ and early-stage cancer","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"laparoscopic","name":"Laparoscopic or robotic distal (subtotal) gastrectomy","how_it_works":{"text":"Part of the stomach is removed through several small cuts","source":{"url":"https://hey.nhs.uk/patient-leaflet/patient-information-total-partial-gastrectomy","host":"hey.nhs.uk","quote":"Usually this is performed by 'keyhole' surgery, which requires a number of small cuts in the stomach.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":6,"max":8,"unit":"weeks","label":"6–8 weeks","source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/recovery/","host":"nhs.uk","quote":"It usually takes 6 to 8 weeks to heal from a gastrectomy and get back to your usual activities, but it can take up to a year to recover fully.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"open-distal-gastrectomy","name":"Open distal (partial/subtotal) gastrectomy","how_it_works":{"text":"Part of the stomach is removed through a larger cut","source":{"url":"https://hey.nhs.uk/patient-leaflet/patient-information-total-partial-gastrectomy","host":"hey.nhs.uk","quote":"If keyhole surgery cannot be performed, there may be a larger cut down the middle of your stomach.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":6,"max":8,"unit":"weeks","label":"6–8 weeks","source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/recovery/","host":"nhs.uk","quote":"It usually takes 6 to 8 weeks to heal from a gastrectomy and get back to your usual activities, but it can take up to a year to recover fully.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"total-gastrectomy","name":"Total gastrectomy with Roux-en-Y reconstruction","how_it_works":{"text":"The whole stomach is removed and the gullet joins the small bowel","source":{"url":"https://hey.nhs.uk/patient-leaflet/patient-information-total-partial-gastrectomy","host":"hey.nhs.uk","quote":"If all your stomach is removed, the oesophagus (gullet) is joined directly to the small bowel.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":6,"max":8,"unit":"weeks","label":"6–8 weeks","source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/recovery/","host":"nhs.uk","quote":"It usually takes 6 to 8 weeks to heal from a gastrectomy and get back to your usual activities, but it can take up to a year to recover fully.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=india/city=panadzi/procedure=rezekciya-zheludka/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":51,"alias":"stomach-cancer","name":"Magenkrebs"},{"id":2261,"alias":"stomach-cancer-stage-2","name":"Magenkrebs Stadium 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