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physically demanding work typically needs longer (about 3-6 weeks)."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any early (about 30-day) complication of any severity after primary laparoscopic sleeve gastrectomy; major complications roughly 1-4%."},"contraindications":["Pregnancy","Active untreated severe psychiatric illness or uncontrolled eating disorder","Active substance or alcohol dependence","Unfit for general anesthesia due to severe cardiopulmonary disease","Severe uncontrolled reflux or large hiatal hernia (relative)","Barrett's esophagus (relative)","Unable or unwilling to follow lifelong dietary and supplement regimen","Untreated bleeding disorder or inability to stop anticoagulation (relative)","Active peptic ulcer or untreated gastric pathology (until treated)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical hospital stay after uncomplicated laparoscopic sleeve gastrectomy."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Strenuous exercise, heavy lifting and core strain resume about 4-6 weeks after surgery with surgeon clearance. 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Long-haul may need longer."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"After surgery, before flying home; wound and diet advancement check."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":45,"unit":"days","qualifier":"After surgery; weight, dietitian nutrition and supplement review."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"After surgery; weight progress and planned laboratory monitoring."}}],"indications":["BMI ≥40 kg/m²","BMI ≥35 kg/m² with diabetes, hypertension or sleep apnea","BMI 30-35 kg/m² with metabolic disease (selected patients)","Failure of supervised non-surgical weight loss"],"main_risks":["Staple-line leak","Bleeding","Infection","Venous thromboembolism","Stricture or narrowing of the sleeve","New or worsened gastroesophageal reflux","Nutritional deficiencies (e.g., vitamin B12, iron, vitamin D)","Gallstones","Nausea, vomiting, dehydration","Anesthesia-related complications","Port-site hernia"],"pain":"Moderate postoperative pain at port sites and abdomen, plus shoulder-tip pain from gas, usually controlled with oral analgesics; mostly settles within 1-2 weeks.","preparation":["Multidisciplinary evaluation (surgeon, dietitian, psychologist)","Preoperative blood tests, ECG and anesthesia assessment","Upper endoscopy or imaging as indicated","Screening for sleep apnea and cardiometabolic conditions","Preoperative low-calorie or liver-shrinking diet for about 1-2 weeks","Smoking cessation","Review of current medications with the surgical team","Fasting before surgery"],"recovery_timeline":[{"phase":"Hospital stay (nights 1-3)","description":"Monitoring, early walking, sips of fluids, pain and nausea control, clot prevention, and hydration and wound checks before discharge.","restrictions":["No solid food","Avoid heavy exertion","Discharge only when drinking adequately and pain is controlled"]},{"phase":"Days 4-14","description":"Clear then full liquid diet, regular short walks and wound healing. Return to desk work and ordinary light activity around days 7-14 if uncomplicated.","restrictions":["No heavy lifting","Small slow sips with a daily fluid target","Take prescribed supplements and medicines"]},{"phase":"Weeks 2-4","description":"Pureed foods per dietitian plan; continue walking and gradually increase light activity.","restrictions":["No strenuous exercise or core strain","Avoid carbonated drinks","Protein priority"]},{"phase":"Weeks 4-8","description":"Soft then regular textures introduced; exercise and heavier lifting resume around 4-6 weeks if the surgeon clears.","restrictions":["Small portions","Lifelong vitamin and mineral supplementation"]},{"phase":"Months 3-18","description":"Ongoing weight loss with nutrition and laboratory monitoring until stabilization around 12-18 months.","restrictions":["Lifelong dietary and follow-up adherence"]},{"phase":"At any time","description":"Seek urgent care for fever, severe abdominal pain, chest pain, breathlessness, persistent vomiting, bleeding, calf swelling or wound discharge. Do not wait.","restrictions":["Do not fly or travel while these symptoms are present"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Return to light daily activity and desk work after uncomplicated surgery; exercise (4-6 weeks) is separate."},"result_longevity":"Stomach reduction is permanent, but long-term weight maintenance depends on diet, activity and follow-up; some weight regain is common over years.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Later revision or conversion surgery (e.g., to bypass) for weight regain or reflux within about 5-10 years; excludes early reoperation."},"scars":"Several small (about 0.5-1.5 cm) laparoscopic port scars on the upper abdomen that usually fade over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; follow-up checks are not counted as treatment."},"stages":[{"code":"sleeve_gastrectomy","label":"Laparoscopic sleeve gastrectomy","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Standalone primary sleeve gastrectomy in one operation."},"success":{"metric":"Mean percent excess weight loss","value":60,"unit":"percent","horizon":"About 5 years","population":"Adults after primary laparoscopic sleeve gastrectomy; group mean, individual results vary.","evidence_status":"limited"},"techniques":[{"name":"Multiport laparoscopic sleeve gastrectomy","suits_whom":"Most adult candidates; standard approach.","recovery":"Hospital stay 1-3 nights; return to desk work in 1-2 weeks."},{"name":"Robotic-assisted sleeve gastrectomy","suits_whom":"Selected patients with higher BMI or complex anatomy, where available.","recovery":"Hospital stay usually 1-3 nights; early recovery similar to multiport laparoscopic surgery."},{"name":"Single-incision laparoscopic sleeve gastrectomy","suits_whom":"Selected lower-risk patients seeking fewer incisions.","recovery":"Hospital stay usually 1-3 nights; early recovery similar to multiport laparoscopic surgery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for uncomplicated primary laparoscopic sleeve gastrectomy."},"initial_assessment_documents":["Recent blood tests including HbA1c","Front and side full-body photos","List of diabetes and blood thinner medications","Previous abdominal surgery reports","Upper endoscopy or gastroscopy report"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage operation; stay about 5-10 days, including 1-3 hospital nights. Later reviews can be remote or local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how many sleeve gastrectomies the surgeon performs; higher sleeve volume is linked to fewer complications","scope":"procedure","source":{"url":"https://researchconnect.stonybrook.edu/en/publications/effect-of-surgeon-volume-on-sleeve-gastrectomy-outcomes/","host":"researchconnect.stonybrook.edu","quote":"High SG volume is associated with improved 30-day readmission, reoperation, and complication rates.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Confirm whether follow-up care is scheduled at the same facility as the surgery","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":403}},{"id":"C3","text":"Check whether the facility and the healthcare professionals hold accreditation or certification","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":403}},{"id":"C4","text":"Confirm the surgeon you consult is the one who will carry out the procedure","scope":"treatment_abroad","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":"2026-11-11","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information promising 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":"Pressure to decide quickly, or cheap time-limited offers to book","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":"2026-11-11","http_status":200}},{"id":"F3","text":"Package deals that bundle the surgery with holidays","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Be wary of package deals which combine surgery with holidays.","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":"Vomiting blood or sick like coffee grounds","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/complications/","host":"nhs.uk","quote":"you're vomiting blood or poo, or your sick looks like coffee grounds or soil.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W2","text":"Non-stop bleeding from the bottom","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/complications/","host":"nhs.uk","quote":"you're bleeding non-stop from your bottom","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W3","text":"Severe tummy pain","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/complications/","host":"nhs.uk","quote":"you have severe tummy pain","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W4","text":"Chest pain together with leg pain and swelling","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/complications/","host":"nhs.uk","quote":"you have chest pains and pain and swelling in your leg","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W5","text":"High temperature, or feeling hot, cold or shivery","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/complications/","host":"nhs.uk","quote":"a high temperature, or you're feeling hot, cold or shivery","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Tells the home doctor about the treatment and future care needs","document":"discharge letter for gp","source":{"url":"https://www.nhs.uk/nhs-services/hospitals/going-into-hospital/being-discharged-from-hospital","host":"nhs.uk","quote":"You'll also be given a letter for your GP, providing information about your treatment and future care needs.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","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}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want a reversible option if restrictions prove hard to cope with","name":"Gastric band","source":{"url":"https://111.wales.nhs.uk/Weightlosssurgery(Bariatricsurgery)","host":"111.wales.nhs.uk","quote":"A gastric band is reversible, so if you find it difficult to cope with the restrictions associated with life after surgery","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200},"operation_id":355}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"technique_details":{"status":"ok","items":[{"id":"multiport-laparoscopic","name":"Multiport laparoscopic sleeve gastrectomy","how_it_works":{"text":"Surgical staplers remove most of the stomach, making it much smaller","source":{"url":"https://asmbs.org/patients/sleeve-gastrectomy","host":"asmbs.org","quote":"Surgical staplers are used to remove 80% of the stomach, making it much smaller.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"robotic-assisted-sleeve","name":"Robotic-assisted sleeve gastrectomy","how_it_works":{"text":"Surgeon controls the instruments from a control station nearby","source":{"url":"https://www.whittington.nhs.uk/mini-apps/leaflet/?id=589","host":"whittington.nhs.uk","quote":"The Surgeon controls the instruments from a control station nearby.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"single-incision-laparoscopic","name":"Single-incision laparoscopic sleeve gastrectomy","how_it_works":{"text":"One small cut near the navel is used for the operation","source":{"url":"https://today.uic.edu/making-weight-loss-surgery-easier-for-patients/","host":"today.uic.edu","quote":"There is just one tiny cut on the side of the belly button","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=switzerland/city=zhenole/procedure=rukavnaya-rezekciya/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":47,"alias":"obesity","name":"Obésité"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}