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bietet Vorteile für eine schnelle Genesung.</p>"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":2,"rehabilitation_days":3,"satisfied_percent":78,"treatment_conditions":"inpatient","treatment_duration_hours":1},"illness_kind_details":{"requests_processed":6652}},"direction":{"id":57,"name":"Chirurgie zur Gewichtsabnahme","alias":"weight-loss-surgery"},"illness_kind":{"id":57,"name":{"en":"Weight Loss Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["sedation"],"back_to_work_days":{"min":2,"max":5,"unit":"days","qualifier":"Typical for desk-based work after endoscopic intragastric balloon placement; early nausea and cramping often limit the first 2-4 days."},"complication_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Serious events per patient (perforation, obstruction from migration, pancreatitis, aspiration, bleeding); minor symptoms excluded."},"contraindications":["Prior major gastric surgery or significant gastric anatomical abnormality","Large hiatal hernia","Active peptic ulcer, gastritis or erosive esophagitis","Gastrointestinal bleeding risk, varices or angiodysplasia","Pregnancy or planned pregnancy during the balloon period","Uncontrolled psychiatric illness or untreated eating disorder (e.g. binge eating)","Alcohol or substance dependence","Inability to take prescribed acid-suppressing medication","Gastric motility disorders such as gastroparesis","Unfit for endoscopy or sedation","Coagulopathy, anticoagulant use or significant thrombocytopenia","Active breastfeeding","Esophageal or gastric obstruction, stricture or malignancy"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; some programs keep patients one night for observation of severe nausea."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Light activity once symptoms subside; strenuous exercise resumes gradually at 1-2 weeks. Avoid intense abdominal straining with balloon in place."},"final_result_months":{"min":4,"max":6,"unit":"months","qualifier":"Maximal weight loss typically by the end of the usual 6-month dwell period for a standard fluid-filled balloon."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"Fly once nausea and cramping (worst days 3-7) are controlled and fluids tolerated; postpone if vomiting or severe pain persists."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":7,"max":30,"unit":"days","qualifier":"Early check of tolerance, diet progression and symptoms."}},{"purpose":"assessment","requirement":"routine","after":{"min":60,"max":120,"unit":"days","qualifier":"Dietitian and weight-loss progress review during the balloon period."}},{"purpose":"other","requirement":"routine","after":{"min":150,"max":210,"unit":"days","qualifier":"Planning of endoscopic balloon removal at about 6 months."}}],"indications":["Obesity (BMI roughly 30-40 kg/m2) seeking non-surgical weight loss","Overweight or obesity after failure of diet and lifestyle measures","Pre-surgical weight loss for very high BMI patients","Patients unwilling or unsuitable for bariatric surgery"],"main_risks":["Nausea, vomiting and abdominal cramping in the first days","Gastric reflux and gastritis or ulceration","Balloon deflation with possible migration and bowel obstruction","Gastric perforation (rare)","Aspiration during sedation or vomiting","Pancreatitis (rare)","Intolerance requiring early removal"],"pain":"Mild to moderate cramping, nausea and discomfort for the first 3-7 days, managed with anti-nausea, antispasmodic and acid-suppressing medication; the procedure itself is painless under sedation.","preparation":["Medical evaluation and pre-procedure bloods","Upper endoscopy to exclude ulcer, large hernia, other contraindications","Fasting for about 8 hours before the procedure","Review of medications and health conditions with the clinician","Dietary counselling and agreement to a follow-up programme","Stopping anticoagulants or NSAIDs beforehand","Starting acid-suppressing medication (PPI) around the time of placement"],"recovery_timeline":[{"phase":"Days 1-3","description":"Adaptation phase with nausea, cramping and reduced oral tolerance; liquid diet.","restrictions":["Liquid diet only","Rest as needed"]},{"phase":"Days 4-14","description":"Gradual progression from liquids to soft then solid foods as symptoms settle.","restrictions":["Small frequent meals","Avoid carbonated drinks and alcohol"]},{"phase":"Months 1-6","description":"Weight loss with dietary and behavioural support; routine follow-up.","restrictions":["Adhere to dietitian guidance","Report severe pain or persistent vomiting"]},{"phase":"About month 6","description":"Endoscopic removal of the balloon, typically under sedation, followed by maintenance diet.","restrictions":["Fasting before removal"]}],"rehabilitation_days":{"min":2,"max":5,"unit":"days","qualifier":"Daily activities resume once sedation, nausea and cramping settle, usually within 2-5 days. Mild symptoms may last about a week."},"result_longevity":"The balloon is temporary, typically left in place about 6 months (some types up to 12 months); lasting results depend on maintaining diet and lifestyle changes after removal, and weight regain is common without them.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Unplanned early removal or reintervention during 4-12 month dwell; reported 2.3% to 7.7% across balloon types."},"scars":"No scars; the balloon is placed through the mouth endoscopically.","sessions_or_stages":{"sessions":{"min":2,"max":2,"unit":"visits","qualifier":"One placement procedure and one removal procedure for a standard 6-month balloon."},"stages":[{"code":"placement","label":"Endoscopic balloon placement and filling","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of initial procedure."}},{"code":"removal","label":"Endoscopic balloon removal","after":{"min":150,"max":210,"unit":"days","qualifier":"Typically about 6 months after placement."}}],"qualifier":"Standard single fluid-filled balloon; adjustable or swallowable balloon types follow different schedules."},"success":{"metric":"Percent total body weight loss (%TBWL) at balloon removal","value":10.2,"unit":"percent","horizon":"6 months (end of the usual dwell period for a standard fluid-filled balloon)","evidence_status":"limited","population":"Adults with overweight or obesity on balloon plus lifestyle programme; partial regain after removal."},"techniques":[{"name":"Endoscopic fluid-filled intragastric balloon (e.g. Orbera)","suits_whom":"Adults with BMI about 30-40 seeking a temporary non-surgical option","recovery":"Same-day discharge; 3-7 days of adaptation symptoms; removal at about 6 months."},{"name":"Swallowable balloon (e.g. Elipse)","suits_whom":"Patients preferring no endoscopy or sedation for placement","recovery":"Minimal downtime; balloon passes naturally after about 4 months."},{"name":"Adjustable balloon (e.g. Spatz)","suits_whom":"Patients who may need volume adjustment for tolerance or weight loss","recovery":"Similar adaptation; endoscopic adjustment possible; longer dwell time."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.25,"max":0.5,"unit":"hours","qualifier":"Endoscopic placement of one standard balloon; removal is a separate similar short procedure."},"initial_assessment_documents":["Upper GI endoscopy report","Previous abdominal or bariatric surgery records","Current medication list including blood thinners and NSAIDs","Recent blood tests including HbA1c","Medical summary of obesity-related conditions"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Placement trip with 3-7 days stay; separate removal trip at about 6 months. Staying abroad that long is impractical."},"clinic_checks":{"status":"ok","items":[{"id":"C1","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":"2026-11-11","http_status":200}},{"id":"C2","text":"Check that you can ask the treating 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":"2026-11-11","http_status":200}},{"id":"C3","text":"Check the facilities and standards of the clinic or hospital where you will be 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booking is a warning sign","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":"a hard sell, a lack of information, pressure to make a quick decision, no discussion of possible complications, no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-11","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":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Urine turning blue or green","urgency":"contact_clinic","general":false,"source":{"url":"https://www.ncbi.nlm.nih.gov/sites/books/NBK578184/","host":"ncbi.nlm.nih.gov","quote":"The patient may notice their urine turning blue or green as the ruptured dye is absorbed and then excreted renally.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W2","text":"Feeling less full than usual","urgency":"contact_clinic","general":false,"source":{"url":"https://www.hey.nhs.uk/patient-leaflet/gastric-balloon-for-weight-reduction/","host":"hey.nhs.uk","quote":"If you suddenly notice you feel less full, this may be a more subtle sign of the gastric balloon having deflated and you should seek advice.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W3","text":"Severe abdominal pain, vomiting, progressive 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