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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 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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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