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protocol."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how many total gastrectomy operations the surgeon performs each year","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"How many total gastrectomy operations do you perform each year?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask the surgeon for their personal complication rate with this operation","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"What is your personal complication rate with this operation?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Ask whether the surgeon checks margins in the operating room to confirm all gastric tissue is removed","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Do you check margins in the operating room to confirm that all gastric tissue has been removed?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask whether the surgeon routinely places a feeding tube during this operation","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Do you routinely place a feeding tube during this operation?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask who will be responsible for your post-gastrectomy care if the surgeon is not your follow-up 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surgery","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Will I meet with a registered dietitian before surgery?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Surgeon avoids giving their own complication figures when asked about them","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Most surgeons keep track of their own complications, or their hospital likely does, and they will be forthcoming about their own outcomes and how they manage them.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"No dietitian meeting is offered before surgery, though it matters as much as 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eating","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/recovery/","host":"nhs.uk","quote":"feel dizzy, faint, sick or have tummy cramps after you eat","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Heartburn that will not go away","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/recovery/","host":"nhs.uk","quote":"have heartburn that will not go away","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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 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removed","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Do you check margins in the operating room to confirm that all gastric tissue has been removed?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask whether the surgeon routinely places a feeding tube during this operation","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Do you routinely place a feeding tube during this operation?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask who will be responsible for your post-gastrectomy care if the surgeon is not your follow-up contact","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"If the surgeon will not be your primary point of contact for follow-up after surgery, make sure to ask who will be responsible for your post-gastrectomy care.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Ask whether you can speak with other patients who had this operation with the surgeon","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Can I speak to other patients who have had this operation with you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Ask whether a registered dietitian is available before surgery","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Will I meet with a registered dietitian before surgery?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Surgeon avoids giving their own complication figures when asked about them","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Most surgeons keep track of their own complications, or their hospital likely does, and they will be forthcoming about their own outcomes and how they manage them.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"No dietitian meeting is offered before surgery, though it matters as much as after","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Meeting with a registered dietitian before surgery is as important as meeting with one after.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"The care team does not discuss what to expect before treatment starts","scope":"treatment_type","source":{"url":"https://www.cancer.gov/types/stomach/patient/stomach-treatment-pdq","host":"cancer.gov","quote":"Talking with your cancer care team before treatment begins about what to expect will be helpful.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"Treatment plan is set without the patient and care team working together on it","scope":"treatment_type","source":{"url":"https://www.cancer.gov/types/stomach/patient/stomach-treatment-pdq","host":"cancer.gov","quote":"You and your cancer care team will work together to decide your treatment plan, which may include more than one type of treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Difficulty swallowing or food getting stuck","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/recovery/","host":"nhs.uk","quote":"are having difficulty swallowing, or feel that food is getting stuck","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Losing weight quickly","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/recovery/","host":"nhs.uk","quote":"are losing weight quickly","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Dizziness, faintness, or tummy cramps after eating","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/recovery/","host":"nhs.uk","quote":"feel dizzy, faint, sick or have tummy cramps after you eat","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Heartburn that will not go away","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/recovery/","host":"nhs.uk","quote":"have heartburn that will not go away","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your cancer cannot be removed by surgery","name":"Chemotherapy","source":{"url":"https://www.nhs.uk/conditions/stomach-cancer/treatment/","host":"nhs.uk","quote":"before and after surgery to help make the cancer smaller after surgery to help stop the cancer coming back at the same time as other treatments to help make them more effective to help control and improve the symptoms of advanced cancer or if the cancer cannot be removed by surgery","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":37},{"id":"A2","text":"Your cancer is advanced and you need symptom control","name":"Radiotherapy","source":{"url":"https://www.nhs.uk/conditions/stomach-cancer/treatment/","host":"nhs.uk","quote":"with chemotherapy (chemoradiotherapy) to help stop the cancer coming back to help control and improve the symptoms for advanced cancer","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":140}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"total-gastrectomy","name":"Total gastrectomy with Roux-en-Y reconstruction","how_it_works":{"text":"All of the stomach is removed in this type of gastrectomy","source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/how-its-done/","host":"nhs.uk","quote":"The type of gastrectomy you have will depend on whether all of your stomach needs to be removed (total gastrectomy) or only part of it (partial gastrectomy).","tier":"tier1_medical","fetched_at":"2026-11-13","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":"2026-11-13","http_status":200}}},{"id":"distal-gastrectomy","name":"Distal (subtotal) gastrectomy","how_it_works":{"text":"Only part of the stomach is removed in this type of gastrectomy","source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/how-its-done/","host":"nhs.uk","quote":"The type of gastrectomy you have will depend on whether all of your stomach needs to be removed (total gastrectomy) or only part of it (partial gastrectomy).","tier":"tier1_medical","fetched_at":"2026-11-13","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":"2026-11-13","http_status":200}}},{"id":"laparoscopic","name":"Laparoscopic or robotic gastrectomy","how_it_works":{"text":"Small cuts are used in keyhole surgery instead of large open cuts","source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/how-its-done/","host":"nhs.uk","quote":"The surgeon makes one or more cuts in your tummy or chest – these may be large cuts (open surgery) or small ones (keyhole surgery).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"total-gastrectomy","name":"Total gastrectomy with Roux-en-Y reconstruction","how_it_works":{"id":"H1","text":"All of the stomach is removed in this type of gastrectomy","source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/how-its-done/","host":"nhs.uk","quote":"The type of gastrectomy you have will depend on whether all of your stomach needs to be removed (total gastrectomy) or only part of it (partial gastrectomy).","tier":"tier1_medical","fetched_at":"2026-11-13","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":"2026-11-13","http_status":200}},"suits_whom":"Patients with proximal or middle-stomach tumors or diffuse-type cancer.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Longer recovery and greater nutritional impact."},{"id":"distal-gastrectomy","name":"Distal (subtotal) gastrectomy","how_it_works":{"id":"H1","text":"Only part of the stomach is removed in this type of gastrectomy","source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/how-its-done/","host":"nhs.uk","quote":"The type of gastrectomy you have will depend on whether all of your stomach needs to be removed (total gastrectomy) or only part of it (partial gastrectomy).","tier":"tier1_medical","fetched_at":"2026-11-13","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":"2026-11-13","http_status":200}},"suits_whom":"Patients with distal tumors where an adequate margin allows a proximal remnant.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Generally faster recovery with better nutrition than total gastrectomy."},{"id":"laparoscopic","name":"Laparoscopic or robotic gastrectomy","how_it_works":{"id":"H1","text":"Small cuts are used in keyhole surgery instead of large open cuts","source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/how-its-done/","host":"nhs.uk","quote":"The surgeon makes one or more cuts in your tummy or chest – these may be large cuts (open surgery) or small ones (keyhole surgery).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected patients, particularly early or less advanced tumors, in experienced centers.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Often shorter hospital stay and less pain than open surgery."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your cancer cannot be removed by surgery","name":"Chemotherapy","source":{"url":"https://www.nhs.uk/conditions/stomach-cancer/treatment/","host":"nhs.uk","quote":"before and after surgery to help make the cancer smaller after surgery to help stop the cancer coming back at the same time as other treatments to help make them more effective to help control and improve the symptoms of advanced cancer or if the cancer cannot be removed by surgery","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":37},{"id":"A2","text":"Your cancer is advanced and you need symptom control","name":"Radiotherapy","source":{"url":"https://www.nhs.uk/conditions/stomach-cancer/treatment/","host":"nhs.uk","quote":"with chemotherapy (chemoradiotherapy) to help stop the cancer coming back to help control and improve the symptoms for advanced cancer","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":140}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"Under Thailand's visa exemption scheme, you can stay up to 30 days for tourism only","source":{"url":"https://www.gov.uk/foreign-travel-advice/thailand/entry-requirements","host":"gov.uk","quote":"From 15 September 2026, if you enter Thailand under the visa exemption scheme, you can stay for up to 30 days for tourism only.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"U.S. citizen tourists staying fewer than 60 days in Thailand need no visa, but must complete pre-arrival online registration","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Thailand.html","host":"travel.state.gov","quote":"U.S. citizen tourists entering Thailand for fewer than 60 days do not require a visa but pre-arrival online registration is required.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"Your passport must expire at least 6 months after the date you arrive in Thailand and have at least 1 blank page","source":{"url":"https://www.gov.uk/foreign-travel-advice/thailand/entry-requirements","host":"gov.uk","quote":"To enter Thailand, your passport must have an ‘expiry date’ at least 6 months after the date you arrive and have at least 1 blank page.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"U.S. travelers are strongly advised to hold a passport valid at least six months beyond the arrival date in Thailand to avoid possible denied entry","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Thailand.html","host":"travel.state.gov","quote":"We strongly recommend that your passport be valid for at least six months beyond the date of your arrival in Thailand to avoid possible denied entry.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"medicines","audience":"all","volatile":false,"text":"Up to a 30-day supply of medicine for personal use may be brought into Thailand with you","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Thailand.html","host":"travel.state.gov","quote":"Medicine for personal use: Up to a 30-day supply may be brought into the country with you.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 1669 for Emergency Medical Services (EMS) in Thailand","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Thailand.html","host":"travel.state.gov","quote":"For emergency services in Thailand, dial 1669 for Emergency Medical Services (EMS).","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["austria","azerbaijan","china","czech-republic","dominican-republic","egypt","germany","greece","india","israel","italy","malaysia","mexico","poland","republic-of-korea","romania","spain","switzerland","turkey","ukraine","united-kingdom","united-states"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.6,"count":131,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Stomach cancer surgery in Thailand is estimated from _op_122_price_from_ to _op_122_price_to_. The final estimate depends on the extent of stomach removal, surgical technique, hospital, and location, including Bangkok or Pattaya. In the US, this procedure costs _price_compare_US_average_ on average. A surgical estimate may include surgeon and anesthesiologist fees, operating and recovery rooms, standard inpatient care, supplies, and basic medicines.</p>\n<ul>\n<li><strong>Gastrectomy.</strong> _op_719_price_from_ to _op_719_price_to_ for partial or total stomach removal.</li>\n<li><strong>Da Vinci gastrectomy.</strong> _op_720_price_from_ to _op_720_price_to_; robotic surgery typically adds 20–30% over standard surgery.</li>\n<li><strong>Additional procedures.</strong> Omentectomy or digestive-tract reconstruction can add to the overall budget when required.</li>\n<li><strong>Preoperative and follow-up care.</strong> Confirm whether imaging, pathology, extended inpatient care, and follow-up treatment are included.</li>\n</ul>\n<p><strong>Bookimed Expert Insight.</strong> For budgeting, compare estimates alongside the surgeon’s relevant cancer-surgery experience and the hospital location. Bumrungrad International Hospital in Bangkok lists Professor Yongyut Sirivatanauksorn, a surgical oncologist who treats stomach cancer. Bangkok Hospital Pattaya lists gastroenterologist Varocha Mahachai, who performs stomach cancer surgery. Both hospitals hold Joint Commission International (JCI) accreditation. Ask each care team for an itemized estimate covering the planned procedure and related services.</p>","faq":[{"q":"Is stomach cancer surgery in Thailand safe, and what qualifications do Thai surgeons have?","a":"<p>Stomach cancer surgery in Thailand remains exceptionally safe within JCI-accredited facilities, reporting success rates between 90% and 95%. Surgeons possess rigorous qualifications, including board certifications from the Medical Council of Thailand and fellowships from prestigious institutions in the United States, Europe, or Australia.</p> <ul> <li><strong>Accreditation standards:</strong> Facilities like Bumrungrad International hold Joint Commission International (JCI) and GHA certifications.</li> <li><strong>Clinical outcomes:</strong> Leading Bangkok oncology centers report mortality rates below 2% for distal gastrectomies.</li> <li><strong>Surgeon expertise:</strong> Specialists often possess 25 to 40 years of experience in gastrointestinal oncology.</li> <li><strong>Advanced technology:</strong> Clinics utilize robotic-assisted surgery and AI-driven imaging for high precision.</li> <li><strong>International training:</strong> Many doctors hold Western credentials like FRCPC (Canada) or American Board certifications.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Thai medical centers like Bumrungrad and Bangkok Hospital represent some of the most stable healthcare environments globally. With 50% of patients being international, these hospitals maintain nurse-to-patient ratios that often exceed Western standards. This high-volume international experience ensures that surgical teams are exceptionally proficient in managing complex cases and diverse patient needs.</p> <p><strong>Patient Consensus:</strong> Patients emphasize choosing JCI-accredited hospitals to ensure maximum safety. They highlight that English-speaking surgeons and high-quality nursing care significantly ease the recovery process during their multi-week stay.</p>"},{"q":"What surgical techniques are used, and do I qualify?","a":"<p>Stomach cancer surgery in Thailand utilizes advanced laparoscopic, robotic-assisted, and open gastrectomy techniques. Patients typically qualify if they have localized tumors (stages T1-T2) and maintain a body mass index below 35. Procedures at JCI-accredited centers like Bumrungrad International Hospital often include D2 lymph node dissection or HIPEC.</p> <ul> <li><strong>Surgical techniques:</strong> Options include laparoscopic distal, total, or robotic-assisted gastrectomy and open surgery.</li> <li><strong>Qualification criteria:</strong> Requires medical necessity, manageable body mass index, and mandatory pre-operative cardiac clearance.</li> <li><strong>Clinical exclusion:</strong> Metastatic cases are generally ineligible for surgery and receive palliative care instead.</li> <li><strong>Recovery timeframe:</strong> Expect 1-2 weeks hospitalization for laparoscopic cases or 3+ weeks for open.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Thailand’s top oncology centers like Bumrungrad International Hospital offer HITEC (heated chemotherapy) as a rare, affordable add-on during gastrectomy. Data shows these facilities manage massive volumes, including 1 million patients annually, making their surgeons highly proficient in complex reconstructive techniques that preserve digestive function better than lower-volume centers.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that full clinical staging via PET scans must be completed before traveling. Those undergoing laparoscopic procedures report high satisfaction with minimal scarring and the necessity of a 1-month post-operative stay for safe recovery.</p>"},{"q":"How long is the recovery and total stay after stomach cancer surgery?","a":"<p>Stomach cancer surgery in Thailand typically requires a 5 to 10 day hospital stay for partial gastrectomy. Total gastrectomy often extends hospitalization to 21 days. Full recovery usually takes 3 to 6 months, though nutritional adjustment and weight stabilization may continue for up to 1 year.</p> <ul> <li><strong>Hospital stay:</strong> Expect 5 to 7 days for uncomplicated procedures in modern Bangkok facilities.</li> <li><strong>International stay:</strong> Plan for 10 to 14 total days in Thailand for follow-up care.</li> <li><strong>Initial recovery:</strong> Patients generally require 4 to 6 weeks off work for basic healing.</li> <li><strong>Surgical approach:</strong> Robotic or laparoscopic methods can reduce hospital stays to 4 to 7 days.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Data from top-tier facilities like Bumrungrad International Hospital shows that half of their 1 million annual patients are international. For these travelers, surgeons often utilize minimally invasive robotic technology to shorten inpatient stays. This allows patients to move to nearby hotels faster while maintaining access to follow-up oncology teams.</p> <p><strong>Patient Consensus:</strong> Many patients find the first 4 weeks challenging due to liquid diet requirements and fatigue. Managing rapid weight loss and digestive changes is the primary concern during the first 6 months.</p>"},{"q":"What are the realistic survival and recurrence rates after surgery in Thailand?","a":"<p>Survival rates for stomach cancer surgery in Thailand reach 60–70% for early-stage cases, aligning with international benchmarks. Modern centers like Bumrungrad International Hospital report postoperative mortality rates near 1% for curative surgeries. Five-year survival remains highly dependent on the cancer stage at diagnosis.</p> <ul> <li><strong>Early-stage survival:</strong> Patients diagnosed at Stage I or II typically see 60–70% survival rates.</li> <li><strong>Advanced-stage survival:</strong> Five-year survival rates often drop to 20–40% for metastatic or Stage IV cases.</li> <li><strong>Recurrence timeline:</strong> Most recurrences occur within 2–3 years, often as distant metastases in the liver.</li> <li><strong>Surgical safety:</strong> Accredited Thai facilities maintain success rates exceeding 95% for major abdominal procedures.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Surgeon volume is a stronger predictor of survival than a hospital's general reputation. At clinics like Bumrungrad, which treats 1 million patients annually, specialists like Dr. Yongyut Sirivatanauksorn focus exclusively on gastrointestinal oncology. High-volume centers often achieve the 1% mortality rate cited in clinical data because their teams manage complex gastrectomies daily.</p> <p><strong>Patient Consensus:</strong> Patients emphasize the need for rigorous follow-up, as recurrence management can affect 30–50% of cases. Many recommend coordinating with home-country doctors early to ensure seamless long-term surveillance imaging after returning from Thailand.</p>"},{"q":"What potential complications should I be aware of?","a":"<p>Stomach cancer surgery in Thailand, including techniques like D2 gastrectomy, carries risks such as anastomotic leaks, pulmonary embolism, and surgical site infections. Patients should also monitor for dumping syndrome, which causes rapid sugar crashes and nausea, and long-term nutritional deficiencies requiring permanent supplementation.</p> <ul> <li><strong>Anastomotic leaks:</strong> Severe internal leaks occur in 5-10% of advanced cases, potentially requiring ICU care.</li> <li><strong>Dumping syndrome:</strong> Affects over 70% of patients, causing fainting, diarrhea, and nausea after eating.</li> <li><strong>Nutritional deficiency:</strong> Lifelong malabsorption of B12, iron, and calcium requires permanent medical monitoring.</li> <li><strong>Weight loss:</strong> Patients may lose up to 50% of body weight, sometimes necessitating temporary tube feeding.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many focus on immediate surgical risks, our data shows the 1-2 year recovery timeline is the real challenge. Facilities like Bumrungrad International Hospital utilize robotic surgery and AI to minimize initial trauma. However, success often depends on post-operative lifestyle. Plan for a 30-day stay in Thailand to ensure immediate complications like leaks are detected before you fly home.</p> <p><strong>Patient Consensus:</strong> Many survivors emphasize that the mental health impact of strict food restrictions is significant. They recommend prioritizing protein-first meals and seeking clinics with dedicated nutritionists to manage lifelong dietary changes.</p>"},{"q":"Which Thai cities or facilities are most experienced in gastric cancer surgery?","a":"<p>Bangkok is Thailands primary hub for gastric cancer surgery, housing JCI-accredited facilities like Bumrungrad International and Wattanosoth Cancer Hospital. These centers specialize in robotic-assisted resections and D2 lymphadenectomy. Pattaya and Phuket also offer high-volume oncology departments with internationally trained surgeons and advanced diagnostic technology.</p> <ul> <li><strong>Bangkok dominance:</strong> Home to top-tier hospitals performing the highest volume of complex gastric resections.</li> <li><strong>Specialized oncology:</strong> Wattanosoth is Thailands first private facility dedicated entirely to comprehensive cancer care.</li> <li><strong>Robotic precision:</strong> Bumrungrad utilizes the da Vinci Xi system for minimally invasive stomach cancer surgery.</li> <li><strong>Regional expertise:</strong> Bangkok Hospital Pattaya serves the East Coast with 45-year veteran Prof. Varocha Mahachai.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While Bangkok attracts most patients, Bangkok Hospital Pattaya is a strategic choice for faster access. Data shows they manage 400,000 patients annually with outcomes matching major capital hubs. Choosing Pattaya can significantly reduce wait times for urgent oncology consultations without sacrificing surgical quality.</p> <p><strong>Patient Consensus:</strong> Patients emphasize prioritizing Bangkok for the highest case volumes and most experienced surgeons. Many recommend confirming post-operative nutrition support early to manage common complications like dumping syndrome effectively.</p>"},{"q":"What documents and preparation do I need before travelling?","a":"<p>Preparation for stomach cancer surgery in Thailand requires a valid passport, medical visa or entry permit, and complete clinical records including CT scans, endoscopy reports, and pathology slides. Patients must organize original imaging on physical media and secure a hospital invitation letter to facilitate smooth medical visa processing and potential recovery extensions.</p> <ul> <li><strong>Medical documentation:</strong> Provide original pathology slides and imaging on CD or USB to ensure compatibility.</li> <li><strong>Hospital invitation:</strong> Obtain a formal treatment letter from clinics like Bumrungrad International for visa extensions.</li> <li><strong>Financial proof:</strong> Prepare bank statements or insurance certificates to verify payment capability for extended stays.</li> <li><strong>Post-operative clearance:</strong> Request a medical fit-to-fly certificate 2–4 weeks post-surgery for airline and insurance compliance.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Data suggests using JCI-accredited centers like Bumrungrad International because they process 500,000+ international patients annually. Their coordinators are highly specialized in syncing digital EHRs with foreign medical records. This eliminates the 14-day delay often caused by incompatible digital file transfers between international hospitals.</p> <p><strong>Patient Consensus:</strong> Patients emphasize sending all diagnostics weeks before arrival to avoid surgical delays. Many survivors also advise bringing a local support person to assist with the mandatory post-operative visa paperwork.</p>"}],"h2":[{"text":"Quel est le Coût pour votre Chirurgie du cancer de l'estomac en Thaïlande ?","kind":"content"},{"text":"Vos avantages et garanties avec Bookimed","kind":"content"},{"text":"Votre coordinateur médical personnel","kind":"content"},{"text":"Découvrez les Meilleures Cliniques pour Votre Chirurgie du cancer de l'estomac en Thaïlande : 4 Options Vérifiées et Prix","kind":"content"},{"text":"Aperçu de la chirurgie du cancer de l'estomac en Thaïlande","kind":"content"},{"text":"Obtenez une évaluation médicale pour Chirurgie du cancer de l'estomac en Thaïlande : Choisissez le meilleur spécialiste dans le domaine","kind":"content"},{"text":"Histoires vidéo des patients de Bookimed","kind":"content"},{"text":"Avis sur Bookimed : Découvrez l'Expérience des Patients","kind":"content"},{"text":"Partager ce contenu","kind":"content"},{"text":"FAQ de la chirurgie du cancer de l'estomac en Thaïlande","kind":"content"},{"text":"Obtenez une consultation gratuite","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}