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until cleared","Chew food well"]},{"phase":"Months 2-3","description":"Return to full activity; bloating and swallowing symptoms mostly resolve.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Ordinary functional recovery for daily activities and diet progression; no formal rehabilitation program is usually required."},"result_longevity":"Many patients maintain good reflux control for many years, but wrap loosening or recurrence can occur over time and some need medication again.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Reoperation for recurrent reflux, wrap herniation or persistent dysphagia within about 5-10 years"},"scars":"Typically four to five small port-site scars of about 0.5-1.5 cm on the upper abdomen, usually fading to minimal marks.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; follow-up checks are not 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bloating."},{"name":"Laparoscopic Dor (anterior partial) fundoplication","suits_whom":"Selected patients, often after myotomy or with motility concerns.","recovery":"Similar recovery; fewer swallowing side effects."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for uncomplicated primary laparoscopic fundoplication, with or without hiatal hernia repair."},"initial_assessment_documents":["Upper endoscopy report","Barium swallow report","Esophageal manometry report","24-hour pH monitoring report","List of current reflux medications","Hiatal hernia CT or MRI report, if any"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 5-7 days including 1-2 hospital nights and first postoperative check before flying home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon's experience performing this operation, since results depend on it","scope":"procedure","source":{"url":"https://www.mcw.edu/General-Surgery/Patient-Info/GERD-Surgery-Program/Reflux-Disease/GERD-Surgery.htm","host":"mcw.edu","quote":"When performed by an experienced surgeon, the results of GERD surgery are excellent.","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 are satisfied with the facilities and standards at the clinic or hospital","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":"C4","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":"C5","text":"Check that you understand the possible complications and side effects of your 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procedure","scope":"procedure","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":"2026-11-12","http_status":200}},{"id":"F2","text":"Pressure to decide quickly, or cheap time-limited offers","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":"2026-11-12","http_status":200}},{"id":"F3","text":"Reluctance to be open about the team's experience, skills or conflicts of 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blood","urgency":"emergency","general":false,"source":{"url":"https://guysandstthomas.nhs.uk/health-information/fundoplication-surgery-severe-acid-reflux/recovery-and-diet-after-surgery","host":"guysandstthomas.nhs.uk","quote":"you are being sick (vomiting) and passing blood","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W3","text":"Severe chest or tummy pain","urgency":"emergency","general":false,"source":{"url":"https://guysandstthomas.nhs.uk/health-information/fundoplication-surgery-severe-acid-reflux/recovery-and-diet-after-surgery","host":"guysandstthomas.nhs.uk","quote":"you have severe chest or tummy pain","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs your admission details and any medication changes","document":"discharge summary 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x-rays before you leave.","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 symptoms are well controlled by acid-reducing medicine","name":"Proton pump inhibitors","source":{"url":"https://uhbristol.nhs.uk/patients-and-visitors/your-hospitals/bristol-royal-infirmary/what-we-do/ogteam/conditions,-tests-and-treatments/gastro-oesophageal-reflux-disease/treatment/","host":"uhbristol.nhs.uk","quote":"For the majority of patients, these drugs are highly effective in controlling symptoms.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your reflux is mild to moderate and you want to avoid surgery","name":"Transoral incisionless fundoplication","source":{"url":"https://my.clevelandclinic.org/health/procedures/tif-procedure","host":"my.clevelandclinic.org","quote":"The TIF procedure is an option for people with mild to moderate GERD and/or hiatal hernias who want a lasting solution, but don’t want or can’t have surgery.","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-nissen","name":"Laparoscopic Nissen fundoplication (360° wrap)","how_it_works":{"text":"The stomach top is wrapped fully around the lower esophagus","source":{"url":"https://my.clevelandclinic.org/health/articles/laparoscopic-antireflux-surgery","host":"my.clevelandclinic.org","quote":"Your surgeon wraps all your fundus around the bottom of your esophagus.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"laparoscopic-toupet","name":"Laparoscopic Toupet fundoplication (270° posterior partial wrap)","how_it_works":{"text":"The stomach top is wrapped partly around the back of the esophagus","source":{"url":"https://my.clevelandclinic.org/health/articles/laparoscopic-antireflux-surgery","host":"my.clevelandclinic.org","quote":"Your surgeon wraps your fundus around a section of the back part of your esophagus.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"laparoscopic-dor","name":"Laparoscopic Dor (anterior partial) fundoplication","how_it_works":{"text":"The stomach top is wrapped halfway around the lower esophagus","source":{"url":"https://my.clevelandclinic.org/health/articles/laparoscopic-antireflux-surgery","host":"my.clevelandclinic.org","quote":"They wrap your fundus halfway around the lower section of your esophagus and attach it to your diaphragm.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"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=mexico/procedure=operacia-pri-refluks-ezofagite/"}],"questionsAndAnswers":[{"id":"5ed8fa0331e78b0abb286636","question":"Que faut-il savoir sur le Mexique avant votre voyage ?","answer":"<figure class=\"table\"><table><tbody><tr><td><p style=\"margin-left:0px;\">Devise</p></td><td><p style=\"margin-left:0px;\"> Peso mexicain (le paiement des services est également possible en dollars)</p></td></tr><tr><td><p style=\"margin-left:0px;\"> Meilleure période pour voyager</p></td><td><p style=\"margin-left:0px;\"> décembre-avril</p></td></tr><tr><td><p style=\"margin-left:0px;\"> Langue</p></td><td><p style=\"margin-left:0px;\"> Espagnol (la plupart du personnel médical parle couramment anglais)</p></td></tr><tr><td><p style=\"margin-left:0px;\"> Visa</p></td><td><p style=\"margin-left:0px;\"> obligatoire pour <a href=\"https://embamex.sre.gob.mx/australia/index.php/visitorvisa\"><u>certains pays</u></a></p></td></tr><tr><td><p style=\"margin-left:0px;\"> Décalage horaire avec l&#39;Europe</p></td><td><p style=\"margin-left:0px;\"> 7 heures</p></td></tr><tr><td><p style=\"margin-left:0px;\"> Décalage horaire depuis les États-Unis</p></td><td><p style=\"margin-left:0px;\"> 1 heure</p></td></tr><tr><td><p style=\"margin-left:0px;\"> Capital</p></td><td><p style=\"margin-left:0px;\"> Mexico</p></td></tr><tr><td><p style=\"margin-left:0px;\"> Centre de tourisme médical</p></td><td><p style=\"margin-left:0px;\"> Mexico</p></td></tr><tr><td><p style=\"margin-left:0px;\"> Stations populaires</p></td><td><p style=\"margin-left:0px;\"> Centre et sud du Mexique</p></td></tr></tbody></table></figure>","is_active":true,"created_at":"2020-06-04T13:41:23.000+00:00","category":{"id":"5e3aa27eb517bb3ffb486c42","name":"Texts","title":"Texts"},"relations":[{"key":"country","value":"mexico"}]},{"id":"5ed8fa7c6f5798138223b285","question":"Quels services hôteliers sont proposés ici ?","answer":"<p>Au Mexique <a href=\"https://www.tripadvisor.co.uk/TravelersChoice-Hotels-cTop-g150768\">, il existe des hôtels de différentes</a> gammes de prix et niveaux de service. La plupart des touristes choisissent des hôtels 4 et 5 étoiles avec repas tout compris. De tels hôtels ont tout pour un séjour confortable : restauration variée, grands jardins bien entretenus, animations pour enfants et adultes. Certains hôtels disposent de leur propre parc aquatique, que les clients peuvent utiliser gratuitement. Les voyageurs à petit budget peuvent se permettre de réserver un hôtel 3 étoiles économique avec demi-pension ou sans repas du tout.</p>","is_active":true,"created_at":"2020-06-04T13:43:24.000+00:00","category":{"id":"5e3aa27eb517bb3ffb486c42","name":"Texts","title":"Texts"},"relations":[{"key":"country","value":"mexico"}]},{"id":"5ed8fab531e02c46c85d4676","question":"Quels documents sont requis pour demander un visa pour le Mexique pour un traitement médical ?","answer":"<p>Les visas pour voyager au Mexique nécessitent <a href=\"https://www.mexicocity.com/v/visa-requirements/\">un certain nombre de documents</a> . La liste des documents comprend :</p><ul><li> Carte d&#39;identité</li><li> confirmation de l&#39;inscription en ligne et remplissage du formulaire</li><li> attestation de revenus et disponibilité des fonds</li><li> police d&#39;assurance pour la durée de votre séjour au Mexique (original et copie)</li><li> 2 photos (5x6)</li><li> obtenir un visa</li><li> réserver un vol et un hôtel</li><li> l&#39;avis du médecin sur la nécessité d&#39;un traitement.</li></ul>","is_active":true,"created_at":"2020-06-04T13:44:21.000+00:00","category":{"id":"5e3aa27eb517bb3ffb486c42","name":"Texts","title":"Texts"},"relations":[{"key":"country","value":"mexico"}]}],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"country_filter":[{"id":46,"name":"Turquie","alias":"turkey","iso_code":"TR"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":3},"manualSeo":[],"updatedAt":"2026-11-12T19:20:14.492Z","activeCountries":["MX","TR","ES","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}