Professor Boris Pfaffenbach leads the Department of Gastroenterology and Oncology with 26 years of experience, performing 9,000+ endoscopic interventions yearly. Stomach cancer surgery may cost around $41,160 at this University of Cologne teaching hospital, certified by the German Cancer Society. The clinic offers comprehensive diagnostic packages starting at $3,530, including gastroscopy, tumor marker analysis, and multidisciplinary tumor board consultation.
","text_type":"mt_wow_description","best_texts":{"techniques":"Gastrectomy, esophagectomy, gastroenterostomy, resection of the esophagus","good_fit_for":"Complex stomach cancer cases","why_its_ranked":"The clinic is certified by the German Cancer Society and includes specialized departments for gastroenterology and oncology, ensuring expert care for stomach cancer patients. Doctors perform over 9,000 endoscopic interventions annually."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":10500,"price_to":13500,"currency":"USD","id":12190},"operation":{"id":122,"name":"Stomach cancer surgery","alias":"gastrectomy"}},{"prices":{"price_from":800,"price_to":1000,"currency":"USD","id":28143},"diagnostic":{"id":190,"name":"Whole-body MRI","alias":"whole-body-mri"}},{"prices":{"price_from":60,"price_to":200,"currency":"USD","id":28112},"diagnostic":{"id":507,"name":"Thyroid function tests (including T3, T4, TSH)","alias":"thyroid-function-tests-including-t3-t4-tsh"}}],"reviews":[],"clinic":{"id":268,"alias":"medical-center-in-solingen","name":"Medical Center in Solingen","short_description":"Medical Center in Solingen is an Academic Hospital of the University of Cologne. It ranks among Germany's top clinics by Focus magazine. Core specialties include neurosurgery, gastroenterology and cancer, and the breast center.
St. Martinus-Krankenhaus Düsseldorf is a private multidisciplinary medical center located in Düsseldorf, Germany. The hospital specializes in orthopedics, endocrinology, gastroenterology, and surgery. It provides medical care exclusively for adult patients. Approximately 7,800 patients choose St. Martinus-Krankenhaus Düsseldorf for treatment each year. The hospital welcomes international patients, particularly from CIS countries, Europe, Commonwealth countries, and the Balkans.
\n","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":286,"alias":"st-martinus-krankenhaus-düsseldorf","name":"St. Martinus-Krankenhaus Düsseldorf","short_description":"St. Martinus-Krankenhaus Düsseldorf is a private multidisciplinary medical center located in Düsseldorf, Germany. The hospital specializes in orthopedics, endocrinology, gastroenterology, and surgery. It provides medical care exclusively for adult patients. Approximately 7,800 patients choose St. Martinus-Krankenhaus Düsseldorf for treatment each year. The hospital welcomes international patients, particularly from CIS countries, Europe, Commonwealth countries, and the Balkans.
\n","images":[{"base_url":"clinic/6411b2e2c499a","title":"St. Martinus-Krankenhaus Düsseldorf clinic exterior, brick facade, Germany"},{"base_url":"clinic/6411b3683a60c","title":"Ophthalmology diagnostic equipment at St. Martinus-Krankenhaus Düsseldorf"},{"base_url":"clinic/6411b373034e9","title":"Patient examination room at St. Martinus-Krankenhaus Düsseldorf with modern medical bed"},{"base_url":"clinic/5ab24b7a7f146","title":"Medical team at St. Martinus-Krankenhaus Düsseldorf in hospital corridor"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Germany","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Dusseldorf","id":78,"alias":"dusseldorf"},"address":"Gladbacher Str. 26, 40219 Düsseldorf, Germany"},"rating":{"rating":4,"google":3.9,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":1,"doctors_number":64,"year_foundation":1919},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Prof. Dr. Thomas Kraus has performed 3,000+ intestinal operations, specializing in gastrointestinal and pancreatic cancer surgery. The clinic is one of only 22 ESMO-certified oncology centers worldwide, offering multidisciplinary tumor board reviews. Video consultations with the tumor board may cost around 560 USD, typically including input from both surgical and medical oncologists. The center holds TÜV certification and is led by Prof. Kraus, recognized as a state-wide expert in pancreas surgery.
","text_type":"mt_wow_description","best_texts":{"techniques":"Esophagectomy, gastroenterostomy, gastrectomy, resection of the esophagus","good_fit_for":"Complex stomach cancer cases","why_its_ranked":"ESMO-certified oncology center with specialized surgical techniques. Doctors have performed 3,000+ intestinal surgeries, ensuring high expertise in gastrointestinal cancer treatment."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":22000,"price_to":38000,"currency":"USD","id":6491},"operation":{"id":122,"name":"Stomach cancer surgery","alias":"gastrectomy"}},{"prices":{"price_from":450,"price_to":900,"currency":"USD","id":12561},"diagnostic":{"id":455,"name":"Brain MRI","alias":"brain-mri"}},{"prices":{"price_from":500,"price_to":1300,"currency":"USD","id":13900},"diagnostic":{"id":96,"name":"CT (computer tomography)","alias":"ct"}}],"reviews":[],"clinic":{"id":136,"alias":"clinic-nordwest","name":"Nordwest Clinic (Krankenhaus)","short_description":"Nordwest Clinic is a German hospital that developed innovations like 3D ultrasound and anticancer vaccines. Its main specialties are oncology, orthopedics, cardiology, neurology, gynecology, urology, and surgery. Named a TOP German hospital by Focus and among the World's Best Hospitals by Newsweek.
Charité is the most famous university hospital in Europe. More than half of Germany's Nobel Prize winners in medicine work here. Core specialties are oncology, neurology, and surgery. It is certified by the German Cancer Society (DKG).
Charité is the most famous university hospital in Europe. More than half of Germany's Nobel Prize winners in medicine work here. Core specialties are oncology, neurology, and surgery. It is certified by the German Cancer Society (DKG).
The University Hospital in Dusseldorf is a major medical research center with 30 institutes and clinics. It treats 350,000 patients annually and was named a World's Best Smart Hospital by Newsweek in 2023. Its strongest specialties are orthopedics, angiology, cardiac surgery, and oncology.
The University Hospital in Dusseldorf is a major medical research center with 30 institutes and clinics. It treats 350,000 patients annually and was named a World's Best Smart Hospital by Newsweek in 2023. Its strongest specialties are orthopedics, angiology, cardiac surgery, and oncology.
The Department of Urology at Dortmund Clinic is part of a network of 24 hospitals that treats 200,000 patients each year. The hospital has 4,000 professionals and 1,600 inpatient beds. This scale supports a full range of urology care.
The Department of Urology at Dortmund Clinic is part of a network of 24 hospitals that treats 200,000 patients each year. The hospital has 4,000 professionals and 1,600 inpatient beds. This scale supports a full range of urology care.
Meoclinic Hospital is a Berlin hospital with five specialized centers – radiology, cardiology, surgery, phlebology, and rehabilitation. It holds ISO 9001 certification and covers over 30 medical fields. Its core specialties include neurology, neurosurgery, cardiology, and orthopedics.
Meoclinic Hospital is a Berlin hospital with five specialized centers – radiology, cardiology, surgery, phlebology, and rehabilitation. It holds ISO 9001 certification and covers over 30 medical fields. Its core specialties include neurology, neurosurgery, cardiology, and orthopedics.
Essen University Hospital specializes in stomach cancer surgery with a multidisciplinary approach. The Center of Gastroenterology and Hepatology is led by Prof. Guido Gerken, who oversees complex oncological cases. The hospital combines clinical expertise with extensive research in gastrointestinal oncology.
Essen University Hospital is a German academic medical center treating nearly 370,000 patients yearly. Its core specialties are oncology, hematology, transplantation, and cardiology. The hospital houses the West German Cancer Center and offers proton therapy, stem cell transplants, and immunotherapy.
Bremen-Mitte Clinic specializes in oncology with Prof. Huseyin Bektas leading the Department of General, Visceral and Oncological Surgery. The hospital was ranked among Germany's top medical institutions by Focus magazine. Stomach cancer surgery typically costs around $23,650. The clinic treats 40,000 patients annually and operates within the Gesundheit Nord network.
Bremen-Mitte Clinic is part of Gesundheit Nord, the largest medical group in Northern Germany. It focuses on oncology, orthopedics, neurology, and neurosurgery. The clinic treats 40,000 patients each year and ranks among Germany's top hospitals.
Prof. Rainer Porschen specializes in gastrointestinal tumors with _doctor_564_years_ of experience and recognition as a TOP 100 GI doctor in Germany. Stomach cancer surgery typically costs around $23,700. He trained at MD Anderson Cancer Institute and contributes to German esophageal cancer treatment guidelines. The clinic treats 19,000 patients annually and ranks among Germany's best hospitals.
Bremen-Ost Clinic is a lung surgery and neurology specialist, part of the Gesundheit Nord hospital network. The Pulmonary Center is certified by the German Cancer Society as a leading lung treatment center. Around 19,000 patients choose this clinic each year.
Medical Center in Solingen is a German Cancer Society-certified academic hospital with specialists performing 4,000+ neurosurgical procedures, 9,000+ endoscopic interventions, and 3,000+ urological surgeries annually.
Medical Center in Solingen is an Academic Hospital of the University of Cologne. It ranks among Germany's top clinics by Focus magazine. Core specialties include neurosurgery, gastroenterology and cancer, and the breast center.
Chief Physician at a certified cancer center – Phd Viola Fox specializes in advanced treatments for stomach cancer.
Dr. Viola Fox is the Chief Physician at the Clinic for Oncology in Solingen. She is a leading expert in drug therapy for tumors in Germany and Europe. Dr. Fox holds a qualification in specialist genetics and conducts molecular biology research. She treats complex cases at a certified interdisciplinary cancer center.
Medical Center in Solingen is an Academic Hospital of the University of Cologne. It ranks among Germany's top clinics by Focus magazine. Core specialties include neurosurgery, gastroenterology and cancer, and the breast center.
Prof. Thomas W Kraus has performed over 3,000 complex surgical interventions, specializing in stomach oncology and Whipple procedures at Nordwest Clinic.
Dr. Thomas W Kraus is the Chief Physician at Nordwest Clinic in Frankfurt. He has performed over 3,000 surgical interventions for bowel and gastrointestinal diseases. Dr. Kraus specializes in the Whipple procedure, stomach oncology, and hepatobiliary surgery. He trained at world-renowned centers like Johns Hopkins and Memorial Sloan Kettering.
Nordwest Clinic is a German hospital that developed innovations like 3D ultrasound and anticancer vaccines. Its main specialties are oncology, orthopedics, cardiology, neurology, gynecology, urology, and surgery. Named a TOP German hospital by Focus and among the World's Best Hospitals by Newsweek.
The doctor is a Professor and Doctor of Medical Sciences specializing in oncosurgery. As an author of numerous scientific publications, the doctor contributes significantly to the medical literature. A member of the Association of Hepatobiliary and Pancreatic Surgery, the doctor is actively involved in advancing surgical practices. Additionally, the doctor serves as a teacher at the Hanover School of Medicine, sharing expertise with future medical professionals. Currently, the doctor holds the position of Chief Physician of the Department of General, Visceral and Oncological Surgery at the Bremen-Mitte Hospital.
","specialities":[{"id":"sur.007","name":"Surgical oncologist","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":295,"alias":"clinic-bremen-nord","name":"Bremen-Mitte Clinic","short_description":"Bremen-Mitte Clinic is part of Gesundheit Nord, the largest medical group in Northern Germany. It focuses on oncology, orthopedics, neurology, and neurosurgery. The clinic treats 40,000 patients each year and ranks among Germany's top hospitals.
The doctor is a highly experienced gastroenterologist with a focus on gastroenterology and hepatology. They have led numerous clinical trials and published extensively in peer-reviewed journals on topics related to digestive health and liver diseases. With over 20 years of experience, the doctor has contributed significantly to advancements in endoscopic techniques and liver transplantation protocols. They are board-certified in gastroenterology and have received multiple awards for their contributions to medical research and patient care.
","statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":270,"alias":"essen-university-hospital","name":"Essen University Hospital","short_description":"Essen University Hospital is a German academic medical center treating nearly 370,000 patients yearly. Its core specialties are oncology, hematology, transplantation, and cardiology. The hospital houses the West German Cancer Center and offers proton therapy, stem cell transplants, and immunotherapy.
Dr. Rainer Porschen is the Director of the Clinic for Internal Medicine at Bremen-Ost Clinic. He ranks among the top 100 doctors in Germany for gastrointestinal lesion treatment. Dr. Porschen develops national guidelines for esophageal cancer treatment. He specializes in gastrointestinal tumors, Crohn's disease, and pancreatic cancer.
Bremen-Ost Clinic is a lung surgery and neurology specialist, part of the Gesundheit Nord hospital network. The Pulmonary Center is certified by the German Cancer Society as a leading lung treatment center. Around 19,000 patients choose this clinic each year.
This operation removes stomach tumors, helping curb cancer spread and alleviate symptoms, aiding overall survival and wellbeing.
"},"156":{"operation":{"name":"Omentectomy ","alias":"omentectomy","use_for_listing":true},"country_price":{"US":{"amount":24000,"max_amount":38000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":5500,"max_amount":7200,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":9500,"max_amount":15500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":4200,"max_amount":6500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":9500,"max_amount":15500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"AT":false},"description":"The operation removes the fatty layer in the abdomen, known as omentum, to treat or prevent abdominal diseases.
"},"216":{"operation":{"name":"Esophagectomy","alias":"esophagectomy","use_for_listing":true},"country_price":{"US":{"amount":85000,"max_amount":125000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":10000,"max_amount":25000,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":38000,"max_amount":56000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":20000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":38000,"max_amount":56000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"AT":false},"description":"The procedure involves removing a part of the esophagus to treat various abnormalities, ensuring improved swallowing ability.
"},"468":{"operation":{"name":"Gastroenterostomy","alias":"gastroenterostomy","use_for_listing":false},"country_price":{"US":{"amount":38000,"max_amount":64000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":10000,"max_amount":16000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":16500,"max_amount":25500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":9500,"max_amount":13000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":14500,"max_amount":23000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"AT":false},"description":"The procedure connects stomach and small intestine, aiding digestion by bypassing a blocked or diseased area of the stomach.
"},"719":{"operation":{"name":"Gastroectomy","alias":"gastroectomy","use_for_listing":true},"country_price":{"US":{"amount":65000,"max_amount":110000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":6000,"max_amount":26000,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":18000,"max_amount":36000,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":14500,"max_amount":23500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":24000,"max_amount":37000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":true,"TH":false,"AT":false},"description":"The operation removes all or part of your stomach to treat stomach diseases, improving your quality of life.
"},"720":{"operation":{"name":"Da Vinci gastroectomy ","alias":"da-vinci-gastroectomy","use_for_listing":true},"country_price":{"US":{"amount":48000,"max_amount":78000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":21500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"DE":{"amount":24000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":15500,"max_amount":23000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":21000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":false,"TH":false,"AT":false},"description":"This surgery, done robotically, targets stomach problems by removing parts or whole of it, offering precision and quick recovery.
"},"741":{"operation":{"name":"Resection of the esophagus","alias":"resection-of-the-esophagus","use_for_listing":true},"country_price":{"US":{"amount":95000,"max_amount":145000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":12000,"max_amount":26900,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":24000,"max_amount":44000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":18000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":26000,"max_amount":41000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"DE":true,"TH":false,"AT":false},"description":"The operation involves removing part of the food pipe to treat specific diseases.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":46119}},"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 years of experience\nMedical oncologist, ESMO certified","linkedin":"","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}]},"direction":{"id":10,"name":"Oncology","alias":"oncology"},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general","regional"],"back_to_work_days":{"min":28,"max":60,"unit":"days","qualifier":"After open or laparoscopic gastrectomy; desk work may resume sooner than physical work; adjuvant chemotherapy can delay return."},"complication_rate_pct":{"min":15,"max":35,"unit":"percent","qualifier":"Any postoperative complication within 30-90 days; major leak, bleeding or abscess about 3-10%."},"contraindications":["Distant metastases making curative resection impossible","Unacceptable cardiopulmonary or operative risk (relative; multidisciplinary assessment)","Uncorrectable severe coagulopathy","Locally unresectable invasion of critical structures"],"days_in_clinic":{"min":6,"max":10,"unit":"nights","qualifier":"Typical uncomplicated gastrectomy with enhanced recovery care; longer if complications or extended lymphadenectomy."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light walking early; heavy lifting and strenuous exercise after surgeon clearance, often after about 6 weeks or more."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Digestion and weight stabilize over months; depends on resection extent (total vs distal) and adjuvant chemotherapy."},"fly_home_after_days":{"min":9,"max":14,"unit":"days","qualifier":"Counted from surgery, after discharge and clearance; depends on thrombosis risk, oral intake, complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"First postoperative review, often with pathology results."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":35,"unit":"days","qualifier":"Pathology review and planning of adjuvant treatment if indicated."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":120,"unit":"days","qualifier":"Oncologic and nutritional surveillance; schedule varies by stage and protocol."}}],"indications":["Resectable gastric adenocarcinoma","Early gastric cancer unsuitable for endoscopic resection","Selected palliative cases such as bleeding or obstruction"],"main_risks":["Anastomotic or duodenal stump leak","Infection, abscess, wound complications","Bleeding","Pneumonia and thromboembolism","Delayed gastric emptying","Dumping syndrome, reflux, weight loss and malnutrition","Vitamin B12 and iron deficiency (especially after total gastrectomy)","Anastomotic stricture"],"pain":"Moderate to significant postoperative pain for the first several days, managed with multimodal analgesia (epidural or regional blocks, oral/IV analgesics); less with laparoscopic approach.","preparation":["Staging (endoscopy with biopsy, CT, sometimes EUS or laparoscopy)","Multidisciplinary tumor board review","Nutritional assessment and optimization","Cardiopulmonary and anesthesia assessment","Smoking cessation and prehabilitation where possible","Fasting before surgery per anesthesia team instructions","Review of current medications with the care team"],"recovery_timeline":[{"phase":"Hospital stay (days 0-10)","description":"Early mobilization, gradual return to oral intake, monitoring for leaks and complications.","restrictions":["Progressive diet from liquids","No heavy lifting"]},{"phase":"Early home recovery (days 10-42)","description":"Small frequent meals, wound healing, fatigue improving; pathology review and adjuvant therapy planning.","restrictions":["No lifting over about 5 kg","Avoid strenuous activity"]},{"phase":"Late recovery (weeks 6-12)","description":"Gradual return to normal activity and diet adaptation; nutritional supplementation as needed.","restrictions":["Increase exercise gradually after surgeon clearance"]}],"rehabilitation_days":{"min":28,"max":60,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated gastrectomy; dietary adaptation may continue longer."},"result_longevity":"Anatomical changes are lifelong. Long-term outcome depends on cancer stage, margins and adjuvant therapy; recurrence is possible, so surveillance is needed for at least 5 years.","revision_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Unplanned reoperation within 30-90 days, mainly for leak, bleeding or obstruction."},"scars":"Midline or upper abdominal incision scar after open surgery; several small port-site scars after laparoscopic or robotic surgery, plus a small extraction incision.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; perioperative chemotherapy is separate and not included."},"stages":[{"code":"gastrectomy","label":"Partial or total gastrectomy with lymphadenectomy and reconstruction","after":{"min":0,"max":0,"unit":"days","qualifier":"Single operative session."}}],"qualifier":"Uncomplicated primary curative gastrectomy."},"success":{"metric":"5-year overall survival after curative gastrectomy","value":60,"unit":"percent","horizon":"5 years","population":"Adults with resectable gastric adenocarcinoma, all stages combined, treated with curative intent","evidence_status":"limited"},"techniques":[{"name":"Total gastrectomy with Roux-en-Y reconstruction","suits_whom":"Patients with proximal or middle-stomach tumors or diffuse-type cancer.","recovery":"Longer recovery and greater nutritional impact."},{"name":"Distal (subtotal) gastrectomy","suits_whom":"Patients with distal tumors where an adequate margin allows a proximal remnant.","recovery":"Generally faster recovery with better nutrition than total gastrectomy."},{"name":"Laparoscopic or robotic gastrectomy","suits_whom":"Selected patients, particularly early or less advanced tumors, in experienced centers.","recovery":"Often shorter hospital stay and less pain than open surgery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operative time for a single gastrectomy with lymphadenectomy and reconstruction."},"initial_assessment_documents":["Gastroscopy report with biopsy pathology","Contrast-enhanced CT scan of chest and abdomen","Endoscopic ultrasound report (if available)","PET-CT report (if available)","Recent blood tests including hemoglobin and albumin","HER2 and MSI status report (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; stay about 10-14 days including recovery before flight. Second trip only for surveillance or adjuvant care."},"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 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}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=germany/procedure=gastrektomiya/"}],"questionsAndAnswers":[{"id":"6a185130e762d63e96035fa2","question":"What are the primary surgical options for stomach cancer in Germany?","answer":"Surgical options for stomach cancer in Germany focus on R0 resection, ensuring complete tumor removal with clear margins. Specialists utilize endoscopic techniques for early stages and radical gastrectomies for invasive cases. These procedures are integrated into multimodal therapy plans often including systematic D2 lymphadenectomy and robotic-assisted technology.
Bookimed Expert Insight: German surgical excellence is driven by clinical volume. At Nordwest Clinic, Prof. Dr. Thomas W. Kraus has performed over 3,000 procedures. This high-volume experience directly correlates with the ability to perform organ-preserving partial gastrectomies where less experienced centers might default to total removal. Seeking centers with over 60,000 annual patients, like Solingen Medical Center, ensures access to these refined surgical outcomes.
Patient Consensus: Patients emphasize that while total gastrectomy is life-altering, specialized German centers excel at multidisciplinary planning. Many highlight the importance of pursuing second opinions for potential organ-sparing options before committing to full stomach removal.
","is_active":true,"created_at":"2026-05-28T14:29:04.048+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"germany"},{"key":"operation","value":"gastrectomy"}]},{"id":"6a1851f316a814e77a0b69f2","question":"How do German clinics handle advanced or stage 4 stomach cancer?","answer":"German clinics manage stage 4 stomach cancer through biomarker-driven multimodal protocols. Specialized centers combine systemic immunotherapy and targeted drugs with regional therapies like HIPEC or PIPAC. Multidisciplinary tumor boards at certified cancer centers coordinate these aggressive strategies to extend survival and prioritize patient quality of life.
Bookimed Expert Insight: German clinics like Nordwest or Solingen prioritize systemic therapy before considering any surgical intervention. Data shows that German surgeons often perform specialized omentectomy or gastroenterostomy only after 3-4 cycles of chemotherapy have stabilized the tumor. This sequential approach ensures patients are strong enough for surgery, reducing recovery time to approximately 10–14 days in the hospital.
Patient Consensus: Patients value the structured protocols but note that treatment often starts with conservative therapy rather than immediate surgery. Emotional support and specialized nutritional planning are consistently mentioned as vital parts of the care experience.
","is_active":true,"created_at":"2026-05-28T14:32:19.302+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"germany"},{"key":"operation","value":"gastrectomy"}]},{"id":"6a1852c2292ccc03510cad03","question":"What is the success rate of stomach cancer surgery in Germany?","answer":"Stomach cancer surgery in Germany achieves an efficiency rate of 85% to 90% for early-stage localized tumors. The success of treatment relies on curative R0 resections in specialized centers certified by the German Cancer Society, offering 5-year survival rates reaching 75.8% for early diagnosis.
Bookimed Expert Insight: German surgical success is driven by high-volume centers rather than general hospitals. Data shows clinics like Medical Center in Solingen and Nordwest Clinic treat over 60,000 patients annually. This volume allows surgeons to master D2 lymph node clearance. This technique significantly reduces regional relapses compared to standard procedures.
Patient Consensus: Patients emphasize that surgical success depends largely on achieving R0 resection with clean margins. Many suggest choosing university hospitals to better manage long-term recovery challenges like dumping syndrome and fatigue.
","is_active":true,"created_at":"2026-05-28T14:35:46.924+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"germany"},{"key":"operation","value":"gastrectomy"}]},{"id":"6a18534a93a180ba81027963","question":"How is the quality of surgical care regulated in Germany?","answer":"Surgical care in Germany is regulated through a mandatory corporatist model overseen by the Federal Joint Committee (G-BA). This body enforces strict structural, process, and outcome metrics, requiring hospital surgeons to complete 250 continuing medical education points every 5 years to maintain their qualifications.
Bookimed Expert Insight: German surgical quality is tied to institution volume rather than individual prestige. Bookimed data shows that top-rated centers like Essen University Hospital and Charité handle over 370,000 and 845,000 patients annually. Choosing these high-volume university clinics ensures access to multidisciplinary tumor boards and the latest research-led surgical techniques.
Patient Consensus: Success in complex cancer surgeries depends on finding a high-volume center with a dedicated tumor board. Patients emphasize that having ICU, pathology, and oncology support on-site is more important than a specific surgeon name.
","is_active":true,"created_at":"2026-05-28T14:38:02.725+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"germany"},{"key":"operation","value":"gastrectomy"}]},{"id":"6a1853ec57caaf70450a6062","question":"Which German hospitals are highly recognized for gastric cancer surgery?","answer":"German university hospitals and specialized centers certified by the German Cancer Society are premier choices for gastric cancer surgery. Highly recognized institutions include Charite Universitätsmedizin Berlin, Nordwest Clinic, and University Hospital Düsseldorf. These facilities utilize multidisciplinary tumor boards, robot-assisted DaVinci systems, and advanced Hyperthermic Intraperitoneal Chemotherapy.
Bookimed Expert Insight: While many search for the newest technology, Germany’s legal high-volume thresholds are the real safety net. Hospitals like Nordwest Clinic or Nordrhein-Westfalen often handle 45,000 to 60,000 patients annually. This high frequency ensures surgical teams maintain peak proficiency in complex reconstructions and lymph node dissections.
Patient Consensus: Patients emphasize choosing dedicated gastrointestinal oncology units over smaller local hospitals for complex cases. They recommend specifically asking about the surgeon’s annual volume for reconstructive options after stomach removal.
","is_active":true,"created_at":"2026-05-28T14:40:44.577+00:00","category":{"id":"68f5f2ea1567cb687e0a7542","name":"faq_content","title":"faq_content"},"relations":[{"key":"country","value":"germany"},{"key":"operation","value":"gastrectomy"}]},{"id":"6a1854792ca1e48b4705acf2","question":"How long must an international patient stay in Germany for surgery?","answer":"International patients undergoing stomach cancer surgery in Germany generally require a total stay of 21 to 35 days. This timeframe covers pre-operative assessments, a 7 to 14-day inpatient hospital period, and a mandatory 14-day post-operative recovery window to ensure you are cleared to fly safely.
Bookimed Expert Insight: Germany’s oncology infrastructure is highly concentrated in North Rhine-Westphalia, where clinics like Nordwest and Solingen handle over 60,000 patients annually. While surgery costs start from _op_122_price_from_, patients often save _price_percent_discount_% compared to US averages, even when factoring in the required 3-week hotel stay for recovery.
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