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uncommon."},"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":"Walking encouraged early; heavy lifting and strenuous core exercise restricted for about 4-6 weeks."},"final_result_months":{"min":12,"max":18,"unit":"months","qualifier":"Time to maximal weight loss and metabolic improvement after common bariatric-metabolic operations; individual response varies."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After uncomplicated laparoscopic surgery, once the surgeon confirms stable recovery, hydration and no thrombosis or leak signs."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"First postoperative review, typically 1-3 weeks after surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":80,"max":100,"unit":"days","qualifier":"Around 3 months: weight, nutrition, diabetes/medication review."}},{"purpose":"result_review","requirement":"routine","after":{"min":170,"max":200,"unit":"days","qualifier":"Around 6 months, then periodic lifelong follow-up."}}],"indications":["BMI ≥35, or ≥30 with comorbidity, after failed non-surgical treatment","Type 2 diabetes with obesity, aimed at improving glycemic control","Obesity-related hypertension, sleep apnea, dyslipidemia, fatty liver"],"main_risks":["Bleeding","Staple-line or anastomotic leak and infection","Venous thromboembolism","Stricture or obstruction, internal hernia (bypass)","Gastroesophageal reflux (especially after sleeve)","Nutritional deficiencies (iron, B12, vitamin D, calcium, protein)","Dumping syndrome or hypoglycemia","Gallstones","Weight regain or inadequate response","Anesthesia-related complications","Need for reoperation"],"pain":"Moderate postoperative abdominal and shoulder discomfort for several days after laparoscopic surgery, usually controlled with oral analgesics; improves over 1-2 weeks.","preparation":["Multidisciplinary assessment (surgeon, endocrinologist/physician, dietitian, psychologist)","Blood tests, cardiopulmonary assessment, sleep apnea screening as indicated","Upper endoscopy or imaging when indicated","Preoperative liver-reduction diet","Smoking cessation","Fasting before surgery per anesthesia instructions","Education on postoperative diet progression and lifelong supplementation"],"recovery_timeline":[{"phase":"Hospital stay (days 0-3)","description":"Early mobilization, thromboprophylaxis, pain control and start of liquids.","restrictions":["Frequent small sips of fluids","No heavy lifting"]},{"phase":"Early recovery (weeks 1-2)","description":"Liquid then pureed diet; increasing walking; return to light activity.","restrictions":["Avoid lifting heavy objects","Follow staged diet"]},{"phase":"Weeks 2-6","description":"Progression to soft then regular-texture small meals; many return to desk work.","restrictions":["Avoid strenuous exercise and heavy lifting until cleared"]},{"phase":"Months 3-12+","description":"Ongoing weight loss, supplementation and metabolic monitoring; full activity.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated laparoscopic surgery; no formal physiotherapy program usually needed."},"result_longevity":"Weight loss and metabolic improvement are generally durable over many years, but some weight regain is common. Lasting results depend on the operation, diet, supplementation and lifelong follow-up.","revision_rate_pct":{"min":3,"max":15,"unit":"percent","qualifier":"Reoperation or conversion for complications, reflux or weight regain within about 5-10 years."},"scars":"Typically several small laparoscopic incisions (about 0.5-1.5 cm) on the abdomen that fade over months; larger scars if open surgery is required.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for a primary laparoscopic procedure."},"stages":[{"code":"surgery","label":"Laparoscopic metabolic/bariatric operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of admission."}}],"qualifier":"Primary single-stage operation; staged approaches are exceptional."},"success":{"metric":"Excess weight loss after surgery","value":65,"unit":"percent of excess body weight","horizon":"12-18 months","population":"Adults with severe obesity after primary sleeve gastrectomy or gastric bypass","evidence_status":"proven"},"techniques":[{"name":"Laparoscopic sleeve gastrectomy","suits_whom":"Patients with obesity with or without type 2 diabetes who want a non-bypass option; less suited to severe reflux.","recovery":"Hospital stay about 1-2 nights; return to desk work in about 2-3 weeks."},{"name":"Laparoscopic Roux-en-Y gastric bypass","suits_whom":"Patients with obesity and type 2 diabetes, or significant reflux, often favored for stronger metabolic effect.","recovery":"Hospital stay about 2-3 nights; return to desk work in about 2-4 weeks."},{"name":"One-anastomosis (mini) gastric bypass","suits_whom":"Selected patients with obesity or diabetes; practiced in many centers.","recovery":"Hospital stay about 1-3 nights; similar recovery to gastric bypass."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Operating time for one primary laparoscopic operation; sleeve gastrectomy at the shorter end, gastric bypass longer."},"initial_assessment_documents":["Recent HbA1c and fasting glucose results","List of diabetes medications and insulin doses","Previous abdominal surgery reports","Upper endoscopy or gastroscopy report","Recent blood tests with lipid profile"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days including 1-3 hospital nights. Follow-up visits usually done remotely or at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the facility is accredited, since accreditation evaluates safety, training, follow-up and surgical volume","scope":"procedure","source":{"url":"https://asmbs.org/patients/making-choices/","host":"asmbs.org","quote":"To become accredited, a facility undergoes a rigorous process of evaluations to ensure their level of quality across safety, training, followup, and surgical volume standards.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the surgeon has specialized experience and training in bariatric and metabolic surgery","scope":"procedure","source":{"url":"https://asmbs.org/patients/is-metabolic-and-bariatric-surgery-right-for-you/","host":"asmbs.org","quote":"The NIH, as well as the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS) also recommend that surgery be performed by a board certified surgeon with specialized experience/training in bariatric and metabolic surgery, and at a center that has a multidisciplinary team of experts for follow-up care.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that the center has a multidisciplinary team of experts for follow-up care","scope":"procedure","source":{"url":"https://asmbs.org/patients/is-metabolic-and-bariatric-surgery-right-for-you/","host":"asmbs.org","quote":"The NIH, as well as the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS) also recommend that surgery be performed by a board certified surgeon with specialized experience/training in bariatric and metabolic surgery, and at a center that has a multidisciplinary team of experts for follow-up care.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that continuity of care and long-term follow-up are arranged, since they are not necessarily provided with medical travel","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Preoperative education, continuity of care and long-term follow-up are proven essential components for successful outcomes in bariatric surgery and these are not necessarily provided in the setting of medical travel.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that intensive care, imaging and interventional radiology are available for major complications, as some facilities may lack them","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Some of the facilities participating in medical tourism may not have the capability, such as a modern Intensive Care Unit, imaging capabilities and interventional radiology, etc., to optimally care for major post-operative complications.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that the clinic will provide all medical records and documentation","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Surgical providers should ensure that all medical records and documentation are provided and returned with the patient to their local area.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Check that postoperative follow-up is arranged with a qualified local bariatric surgery program","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Prior to undergoing surgery, the patient should establish a plan for postoperative follow-up with a qualified local bariatric surgery program to monitor for nutritional deficiencies and long-term complications, and to provide ongoing medical, psychological and dietary supervision.","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":"The offer includes unproven therapies used outside true clinical trials","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Certain countries may offer unproven therapies to patients outside true clinical trials, and it can be difficult to differentiate between acceptable medical innovation and unacceptable patient exploitation.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The clinic does not say an operative report will be provided","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Often an operative report is not available, there may be uncertainty of what was done, and there are concerns whether assuming the care of the patient will make them liable for any complications the patient may have in the future.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"An offer provides no clear plan for follow-up care after surgery","scope":"treatment_abroad","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"Patients and their providers should ensure that follow-up care, including the management of short and long-term complications, are covered by the insurance payer or purchased as a supplemental program prior to traveling abroad.","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 breathing with leg pain and swelling","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/weight-loss-surgery/risks","host":"nhs.uk","quote":"you have difficulty breathing and pain and swelling in your leg","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Regular vomiting (being sick)","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/weight-loss-surgery/risks","host":"nhs.uk","quote":"regular vomiting (being sick)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"High temperature, feeling hot, cold or shivery","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/conditions/weight-loss-surgery/risks","host":"nhs.uk","quote":"a high temperature, or you're feeling hot, cold or shivery","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home doctor needs it to know what was done","document":"operative 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imaging","source":{"url":"https://asmbs.org/patients/medical-tourism/","host":"asmbs.org","quote":"This includes the type of band placed and any adjustments performed in the case of laparoscopic adjustable gastric banding, as well as any postoperative imaging performed.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T4","text":"The home doctor needs the plan for monitoring deficiencies and long-term complications","document":"follow-up plan","source":{"url":"https://asmbs.org/patients/medical-tourism","host":"asmbs.org","quote":"Prior to undergoing surgery, the patient should establish a plan for postoperative follow-up with a qualified local bariatric surgery program to monitor for nutritional deficiencies and long-term complications, and to provide ongoing medical, psychological and dietary supervision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T5","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":"T6","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 body mass index is between 30 and 40","name":"Intragastric balloon","source":{"url":"https://my.clevelandclinic.org/departments/bariatric/treatments/intragastric-balloon","host":"my.clevelandclinic.org","quote":"The devices are for use in obese adult patients with a body mass index between 30 and 40.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want a medicine to help you lose weight","name":"Prescription weight loss medication","source":{"url":"https://www.healthline.com/health/obesity/treatments-to-manage-obesity","host":"healthline.com","quote":"Ask your doctor if a prescription medication can help you lose 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activities.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"laparoscopic-roux-en-y-gastric-bypass","name":"Laparoscopic Roux-en-Y gastric bypass","how_it_works":{"text":"The stomach becomes smaller and food bypasses part of the small bowel","source":{"url":"https://www.nth.nhs.uk/resources/laparoscopic-gastric-bypass/","host":"nth.nhs.uk","quote":"The operation makes your stomach smaller and bypasses part of your small bowel.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":6,"unit":"weeks","label":"4–6 weeks","source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/recovering/","host":"nhs.uk","quote":"After 4 to 6 weeks start to return to your normal activities.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"one-anastomosis-gastric-bypass","name":"One-anastomosis (mini) gastric bypass","how_it_works":{"text":"The stomach is narrowed and looped onto the small intestine","source":{"url":"https://my.clevelandclinic.org/health/procedures/mini-gastric-bypass","host":"my.clevelandclinic.org","quote":"It involves a surgeon making your stomach narrower and connecting it in a loop to the middle of your small intestine.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=oae/procedure=metabolicheskaya-hirurgiya/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":53970},"manualSeo":[],"updatedAt":"2026-11-11T17:40:10.514Z","activeCountries":["AE","TR","PL","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}