{"meta":{"humanUrl":"https://us-uk.bookimed.com/clinics/country=poland/city=jelenia-gora/procedure=laparoscopic-anti-reflux-gerd-surgery/best/","canonicalUrl":"https://us-uk.bookimed.com/clinics/country=poland/city=jelenia-gora/procedure=laparoscopic-anti-reflux-gerd-surgery/best/","jsonUrl":"https://us-uk.bookimed.com/clinics/country=poland/city=jelenia-gora/procedure=laparoscopic-anti-reflux-gerd-surgery/best/data.json","title":"Best clinics for Laparoscopic Anti-Reflux (GERD)  Surgery in Poland — Ratings & Reviews | Bookimed","description":"1 top-rated clinics for Laparoscopic Anti-Reflux (GERD)  Surgery in Poland. Compare rankings, prices, and patient reviews on Bookimed.","heading":"Best clinics for Laparoscopic Anti-Reflux (GERD)  Surgery in Poland","locale":"en","schemaVersion":"ClinicBestPageDataV1","snapshotId":"78d229c4-75b2d139","contentVersion":"78d229c4","generatedAt":"2026-11-14T09:16:31.120Z"},"filters":{"country":"poland","city":"jelenia-gora","procedure":"laparoscopic-anti-reflux-gerd-surgery","page":1},"pagination":{"page":1,"totalCount":1,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"Poland","url":"/clinics/country=poland/"},{"name":"Jelenia Góra","url":"/clinics/country=poland/city=jelenia-gora/"},{"name":"Laparoscopic Anti-Reflux (GERD)  Surgery","url":"/clinics/country=poland/procedure=laparoscopic-anti-reflux-gerd-surgery/"},{"name":"Best","url":"/clinics/country=poland/city=jelenia-gora/procedure=laparoscopic-anti-reflux-gerd-surgery/best/"}],"entities":[{"name":"Poland","alias":"poland","type":"country","id":17},{"name":"Jelenia Góra","alias":"jelenia-gora","type":"city","id":337},{"name":"Laparoscopic Anti-Reflux (GERD)  Surgery","alias":"laparoscopic-anti-reflux-gerd-surgery","type":"procedure","id":884}],"clinics":{"clinics":[{"text":"<p>KCM Clinic &amp; KCM Hospital is a private, multidisciplinary medical centre and hospital in Jelenia Góra, Poland. It specialises in minimally invasive and advanced surgical procedures, including bariatric and metabolic surgery, plastic surgery, orthopaedics, gynaecology, urology, ophthalmology, ENT and general surgery, alongside rehabilitation and diagnostic services such as MRI, CT, ultrasound and Doppler examinations.</p><p>The hospital treats around 2,500 patients a year, including both Polish and international patients, and provides coordinated care from consultation through diagnostics, surgery and post-operative support.</p>","text_type":"short_description","best_texts":{"techniques":"3D laparoscopic surgery","good_fit_for":"Reflux surgery using 3D laparoscopic visualisation"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":4077.635704973809,"price_to":5525.251632755839,"currency":"USD","id":64687},"operation":{"id":884,"name":"Laparoscopic Anti-Reflux (GERD)  Surgery","alias":"laparoscopic-anti-reflux-gerd-surgery"}},{"prices":{"price_from":88.40402612409342,"price_to":88.40402612409342,"currency":"USD","id":33825},"diagnostic":{"id":106,"name":"Consultation with a gastroenterologist","alias":"consultation-gastroenterologist"}},{"prices":{"price_from":353.6161044963737,"price_to":497.2726469480255,"currency":"USD","id":37593},"diagnostic":{"id":373,"name":" Gastroenterological Check-Up","alias":"gastroenterological-check-up"}}],"reviews":[],"clinic":{"id":460,"alias":"kcm-clinic","name":"KCM Clinic","short_description":"<p>KCM Clinic &amp; KCM Hospital is a private, multidisciplinary medical centre and hospital in Jelenia Góra, Poland. It specialises in minimally invasive and advanced surgical procedures, including bariatric and metabolic surgery, plastic surgery, orthopaedics, gynaecology, urology, ophthalmology, ENT and general surgery, alongside rehabilitation and diagnostic services such as MRI, CT, ultrasound and Doppler examinations.</p><p>The hospital treats around 2,500 patients a year, including both Polish and international patients, and provides coordinated care from consultation through diagnostics, surgery and post-operative support.</p>","images":[{"base_url":"clinic/63a2fa65d08d3","title":"KCM Clinic building exterior in Jelenia Góra, Poland, surrounded by greenery"},{"base_url":"clinic/63a2fa360f353","title":"Reception desk at KCM Clinic with modern minimalist interior design"},{"base_url":"clinic/63a5eaf7a34d3","title":"MRI room at KCM Clinic with advanced scanner and mountain-themed decor"},{"base_url":"clinic/6aeddaa9d9aca","title":"Reception desk at Dental Clinic KCM with staff assisting patients"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Poland","id":17,"alias":"poland","iso_code":"PL"},"city":{"name":"Jelenia Góra","id":337,"alias":"jelenia-gora"},"address":"ul. Bankowa 5-7  58-500 Jelenia Góra, Poland"},"rating":{"rating":4.2,"google":4.3,"percent_of_satisfied_clients":74},"statistics":{"number_of_reviews":91,"doctors_number":50,"year_foundation":2011},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9bde869d63.jpeg","name":"Polish Association of Medical Tourism","country_code":"PL"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"promoSlots":[{"card":{"text":"<p>The center was Poland’s first private clinic to offer DFPP and LDL apheresis. Its gastrointestinal care covers Crohn’s disease, ulcerative colitis, hepatitis and fatty liver disease.</p><ul><li>DFPP uses two-stage filtration and returns the patient’s own plasma in a closed loop</li><li>The AFERsmart Plus system by Medica S.p.A. is used for therapeutic apheresis</li><li>Hemoperfusion is available for liver failure and severe acute pancreatitis</li><li>Procedures follow ASFA and German Society of Nephrology apheresis standards</li></ul>","text_type":"mt_wow_description","additional_data":{"advertising_id":"7600:illness_kind:13"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":3204.6459469983865,"price_to":3536.161044963737,"currency":"USD","id":56217},"operation":{"id":1680,"name":"Selective Apheresis","alias":"selective-apheresis"}},{"prices":{"price_from":828.7877449133758,"price_to":994.545293896051,"currency":"USD","id":56741},"diagnostic":{"id":6,"name":"MRI of one area","alias":"mri-one-department"}},{"prices":{"price_from":828.7877449133758,"price_to":994.545293896051,"currency":"USD","id":56743},"diagnostic":{"id":96,"name":"CT (computer tomography)","alias":"ct"}}],"reviews":[],"clinic":{"id":7600,"alias":"dntripled-medical-services-moderne-apherese-modern-apheresis-nowoczesna-afereza","name":"DNTRIPLED Medical Services Therapeutic Apheresis Center","short_description":"<p>DNTRIPLED Medical Services is the first private clinic in Poland to offer Double Filtration Plasmapheresis (DFPP) and LDL apheresis. The clinic combines advanced diagnostics, extensive laboratory testing, and individually tailored DFPP therapy for each patient. It also operates as a specialized distributor of apheresis equipment and filters, working directly with international manufacturers, which ensures access to the latest technologies, premium systems, and modern treatment protocols. The clinic is most frequently visited by patients from Europe and the Commonwealth, as well as the USA, Canada, and Australia.</p>\n","images":[{"base_url":"clinic/69b68437d612b","title":"Apheresis treatment room at Moderne Apherese clinic with patient and medical equipment"},{"base_url":"clinic/69b6843f25aa2","title":"Apheresis machine in use at Moderne Apherese clinic, advanced blood purification equipment"},{"base_url":"clinic/69b6841a15128","title":"Apheresis machine in use at Moderne Apherese clinic, advanced blood filtration equipment"},{"base_url":"clinic/69b684547dadf","title":"Apheresis machine filter at Moderne Apherese clinic, advanced blood purification equipment"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Poland","id":17,"alias":"poland","iso_code":"PL"},"city":{"name":"Warsaw","id":18,"alias":"warsaw"},"address":"ul. Brygady Pościgowej 6, office 99-6U12, 03-984 Warsaw, Poland"},"rating":{"rating":5,"google":5,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":1,"doctors_number":4,"year_foundation":2024},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}}],"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":59},"doctors":{"doctors":[{"doctor":{"id":487,"alias":"grzegorz-kowalski","name":"Grzegorz Kowalski","clinic_id":460,"photo":"doctor/5acf606ddcb38","first_year_working":2000,"created_at":"2016-10-10T14:02:40.000+00:00","short_description":"<p>Dr. Grzegorz Kowalski is a general and bariatric surgeon at KCM Clinic in Poland. He received the Best Bariatric Surgery Award from Covidien and Johnson &amp; Johnson. Dr. Kowalski focuses on weight loss surgery, oncological procedures, and abdominal aortic aneurysms. He treats complex cases including esophageal burns and type 2 diabetes.</p> <ul> <li>Specializes in sleeve gastrectomy and minimally invasive bariatric techniques.</li> <li>Winner of the Laparoscopic and Bariatric Surgery award from Olympus.</li> <li>Member of the Metabolic and Bariatric Section of the Society of Polish Surgeons.</li> <li>Works at ISO-certified KCM Clinic, which serves 700 international patients annually.</li> </ul>","specialities":[{"id":"sur.010","name":"General surgeon","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":460,"alias":"kcm-clinic","name":"KCM Clinic","short_description":"<p>KCM Clinic &amp; KCM Hospital is a private, multidisciplinary medical centre and hospital in Jelenia Góra, Poland. It specialises in minimally invasive and advanced surgical procedures, including bariatric and metabolic surgery, plastic surgery, orthopaedics, gynaecology, urology, ophthalmology, ENT and general surgery, alongside rehabilitation and diagnostic services such as MRI, CT, ultrasound and Doppler examinations.</p><p>The hospital treats around 2,500 patients a year, including both Polish and international patients, and provides coordinated care from consultation through diagnostics, surgery and post-operative support.</p>","images":[{"base_url":"clinic/63a2fa65d08d3","title":"KCM Clinic building exterior in Jelenia Góra, Poland, surrounded by greenery"},{"base_url":"clinic/63a2fa360f353","title":"Reception desk at KCM Clinic with modern minimalist interior design"},{"base_url":"clinic/63a5eaf7a34d3","title":"MRI room at KCM Clinic with advanced scanner and mountain-themed decor"},{"base_url":"clinic/6aeddaa9d9aca","title":"Reception desk at Dental Clinic KCM with staff assisting patients"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Poland","id":17,"alias":"poland","iso_code":"PL"},"city":{"name":"Jelenia Góra","id":337,"alias":"jelenia-gora"},"address":"ul. Bankowa 5-7  58-500 Jelenia Góra, Poland"},"rating":{"rating":4.2,"google":4.3,"percent_of_satisfied_clients":74},"statistics":{"number_of_reviews":91,"doctors_number":50,"year_foundation":2011},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9bde869d63.jpeg","name":"Polish Association of Medical Tourism","country_code":"PL"}]},"procedure_prices":[{"prices":{"price_from":4077.635704973809,"price_to":5525.251632755839,"currency":"USD","id":64687},"operation":{"id":884,"name":"Laparoscopic Anti-Reflux (GERD)  Surgery","alias":"laparoscopic-anti-reflux-gerd-surgery"}}]}],"meta":{"total_count":1,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Austria","alias":"austria","iso_code":"AT"},{"name":"Azerbaijan","alias":"azerbaijan","iso_code":"AZ"},{"name":"Dominican Republic","alias":"dominican-republic","iso_code":"DO"},{"name":"Egypt","alias":"egypt","iso_code":"EG"},{"name":"Germany","alias":"germany","iso_code":"DE"},{"name":"India","alias":"india","iso_code":"IN"},{"name":"Israel","alias":"israel","iso_code":"IL"},{"name":"Italy","alias":"italy","iso_code":"IT"},{"name":"Japan","alias":"japan","iso_code":"JP"},{"name":"Mexico","alias":"mexico","iso_code":"MX"},{"name":"Poland","alias":"poland","iso_code":"PL"},{"name":"Republic of Korea","alias":"republic-of-korea","iso_code":"KR"},{"name":"Spain","alias":"spain","iso_code":"ES"},{"name":"Switzerland","alias":"switzerland","iso_code":"CH"},{"name":"Thailand","alias":"thailand","iso_code":"TH"},{"name":"Turkey","alias":"turkey","iso_code":"TR"},{"name":"Ukraine","alias":"ukraine","iso_code":"UA"}],"cities":[{"name":"Jelenia Góra","alias":"jelenia-gora"}],"operations":[{"name":"Resection of gallbladder","alias":"resection-of-gallbladder"},{"name":"Laparoscopic Anti-Reflux (GERD)  Surgery","alias":"laparoscopic-anti-reflux-gerd-surgery"},{"name":"Appendectomy","alias":"appendectomy"},{"name":" Сholecystectomy","alias":"sholecystectomy"}],"diagnostics":[{"name":"Ultrasound","alias":"u.s."},{"name":"MRI of one area","alias":"mri-one-department"},{"name":"Colonoscopy","alias":"colonoscopy"},{"name":" Basic check-up","alias":"basic-check-up"},{"name":"Male Check-up","alias":"check-up-for-men"},{"name":"Premium Check up","alias":"premium-check-up"},{"name":" Gastroenterological Check-Up","alias":"gastroenterological-check-up"},{"name":"Gastroscopy with biopsy","alias":"gastroscopy--biopsy"},{"name":"Tumor Marker Blood Test","alias":"identification-of-tumor-markers"},{"name":"Colonoscopy with biopsy","alias":"colonoscopy-with-biopsy-or-removal-of-1-polyp"},{"name":"Consultation with a gastroenterologist","alias":"consultation-gastroenterologist"}],"illnesses":[{"name":"Cholelithiasis","alias":"cholelithiasis"},{"name":"Polyps of the gastrointestinal tract","alias":"polyps-of-the-gastrointestinal-tract"},{"name":"Gastric ulcer","alias":"gastric-ulcer"},{"name":"Pancreatitis","alias":"pancreatitis"},{"name":"Ulcerative colitis","alias":"ulcerative-colitis"},{"name":"Gastritis","alias":"gastritis"},{"name":"Gastrocele","alias":"gastrocele"}],"illnessKinds":[{"name":"Gastroenterology","alias":"gastroenterology"}],"illness_kinds":[{"name":"Gastroenterology","alias":"gastroenterology"}]},"popularSearches":[{"name":"Hormone therapy","alias":"hormonal-therapy","type":"operation","id":263},{"name":"Stomach resection","alias":"stomach-resection","type":"operation","id":218},{"name":"Targeted therapy","alias":"targeted-therapy","type":"operation","id":284},{"name":"Colon hydrotherapy","alias":"colon-hydrotherapy","type":"operation","id":1226},{"name":"Resection of gallbladder","alias":"resection-of-gallbladder","type":"operation","id":243},{"name":"Ultrasound","alias":"u.s.","type":"diagnostic","id":37},{"name":"MRI of one area","alias":"mri-one-department","type":"diagnostic","id":6},{"name":"Colonoscopy","alias":"colonoscopy","type":"diagnostic","id":9},{"name":" Basic check-up","alias":"basic-check-up","type":"diagnostic","id":420},{"name":"Male Check-up","alias":"check-up-for-men","type":"diagnostic","id":417},{"name":"Cirrhosis","alias":"cirrhosis","type":"illness","id":73},{"name":"Ulcerative colitis","alias":"ulcerative-colitis","type":"illness","id":71},{"name":"Gastritis","alias":"gastritis","type":"illness","id":72},{"name":"Crohn's disease","alias":"crohn-s","type":"illness","id":135},{"name":"Pancreatitis","alias":"pancreatitis","type":"illness","id":67}],"operationPrices":{"operation_prices":{"884":{"operation":{"name":"Laparoscopic Anti-Reflux (GERD)  Surgery","alias":"laparoscopic-anti-reflux-gerd-surgery","use_for_listing":true},"country_price":{"US":{"amount":18000,"max_amount":34000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2500,"max_amount":7000,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":7500,"max_amount":10500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"PL":{"amount":4100,"max_amount":5300,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"AT":{"amount":9500,"max_amount":14500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":false,"PL":true,"KR":false,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false},"description":"<p>This therapy uses tiny incisions to fix stomach\"s acid leak, easing heartburn and offering a quick, less-painful recovery.</p>"},"1637":{"operation":{"name":"Transoral Incisionless Fundoplication (TIF)","alias":"transoral-incisionless-fundoplication-tif","use_for_listing":true},"country_price":{"US":{"amount":13500,"max_amount":21000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":22000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"TH":{"amount":5000,"max_amount":7800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"PL":{"amount":5200,"max_amount":7500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":7500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"PL":false,"AT":false}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":3,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":9886}},"direction":{"id":13,"name":"Gastroenterology","alias":"gastroenterology"},"illness_kind":{"id":13,"name":{"en":"Gastroenterology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":21,"unit":"days","qualifier":"Desk-based work after uncomplicated laparoscopic fundoplication; physically demanding work usually takes longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any perioperative complication within 30 days; serious ones and conversion to open surgery under 2%"},"contraindications":["Unfit for general anesthesia due to severe cardiopulmonary disease","Uncorrected coagulopathy or bleeding disorder","Severe uncontrolled portal hypertension or advanced liver cirrhosis","Pregnancy (elective surgery usually deferred)","Symptoms not caused by gastroesophageal reflux (relative)","Severe motility disorder such as achalasia (relative; needs alternative)","Extensive prior upper abdominal surgery with dense adhesions (relative)"],"days_in_clinic":{"min":1,"max":2,"unit":"nights","qualifier":"Typical inpatient stay after uncomplicated laparoscopic fundoplication, with or without hiatal hernia repair."},"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":"Light walking early; heavy lifting and strenuous core exercise avoided about 4-6 weeks."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Swallowing and bloating symptoms typically settle over weeks to a few months; reflux control is assessed by then."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"From surgery; after 1-2 hospital nights and first postoperative check, subject to surgeon clearance and swallowing comfort."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":3,"max":5,"unit":"days","qualifier":"From surgery; in-clinic check before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"From surgery; review of diet progression, swallowing and reflux symptoms."}},{"purpose":"result_review","requirement":"conditional","after":{"min":90,"max":180,"unit":"days","qualifier":"From surgery; symptom outcome review, further testing only if symptoms persist."}}],"indications":["Chronic GERD with persistent symptoms despite optimal medical therapy","Regurgitation or volume reflux not controlled by medication","Reflux complications such as erosive esophagitis or stricture","Coexisting hiatal hernia causing symptoms"],"main_risks":["Dysphagia (difficulty swallowing), usually temporary","Gas-bloat syndrome and inability to belch or vomit","Recurrence of reflux or wrap loosening/herniation","Bleeding, infection or injury to esophagus, stomach, spleen or liver","Conversion to open surgery","Diarrhea or early satiety","Anesthesia-related risks and venous thromboembolism"],"pain":"Mild to moderate pain for the first several days, mostly at the port sites and shoulder tip (from gas), controlled with oral analgesics; swallowing discomfort is common early.","preparation":["GERD confirmed by endoscopy, often pH monitoring and manometry","Barium swallow or imaging when hiatal hernia is suspected","Pre-anesthesia assessment and routine blood tests","Fasting for about 6-8 hours before surgery","Review of current medications and allergies with the surgical team","Stop smoking and optimize weight where possible","Discussion of expected diet changes and realistic outcomes"],"recovery_timeline":[{"phase":"Hospital stay (day 0-2)","description":"Recovery from anesthesia, early mobilization, liquid diet started.","restrictions":["Liquid diet only","Avoid lifting"]},{"phase":"Weeks 1-2","description":"Modified diet progressing from liquids to soft, pureed foods; port site healing.","restrictions":["Small frequent meals","Avoid carbonated drinks","No heavy lifting"]},{"phase":"Weeks 3-6","description":"Gradual return to normal diet and activity; swallowing improves.","restrictions":["Avoid heavy lifting and straining until cleared","Chew food well"]},{"phase":"Months 2-3","description":"Return to full activity; bloating and swallowing symptoms mostly resolve.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Ordinary functional recovery for daily activities and diet progression; no formal rehabilitation program is usually required."},"result_longevity":"Many patients maintain good reflux control for many years, but wrap loosening or recurrence can occur over time and some need medication again.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Reoperation for recurrent reflux, wrap herniation or persistent dysphagia within about 5-10 years"},"scars":"Typically four to five small port-site scars of about 0.5-1.5 cm on the upper abdomen, usually fading to minimal marks.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; follow-up checks are not counted."},"stages":[{"code":"surgery","label":"Laparoscopic fundoplication (with hiatal repair if needed)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Single-stage operation."},"success":{"metric":"Patients with satisfactory reflux control without daily acid medication","value":75,"unit":"percent","horizon":"5 years","population":"Adults with objectively confirmed GERD, typically with good response to acid suppression","evidence_status":"limited"},"techniques":[{"name":"Laparoscopic Nissen fundoplication (360° wrap)","suits_whom":"Most patients with GERD and normal esophageal motility, especially with hiatal hernia.","recovery":"Hospital stay 1-2 nights; temporary dysphagia and bloating common."},{"name":"Laparoscopic Toupet fundoplication (270° posterior partial wrap)","suits_whom":"Patients with weak esophageal motility or higher dysphagia risk.","recovery":"Similar recovery, usually less dysphagia and bloating."},{"name":"Laparoscopic Dor (anterior partial) fundoplication","suits_whom":"Selected patients, often after myotomy or with motility concerns.","recovery":"Similar recovery; fewer swallowing side effects."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for uncomplicated primary laparoscopic fundoplication, with or without hiatal hernia repair."},"initial_assessment_documents":["Upper endoscopy report","Barium swallow report","Esophageal manometry report","24-hour pH monitoring report","List of current reflux medications","Hiatal hernia CT or MRI report, if any"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 5-7 days including 1-2 hospital nights and first postoperative check before flying home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon's experience performing this operation, since results depend on it","scope":"procedure","source":{"url":"https://www.mcw.edu/General-Surgery/Patient-Info/GERD-Surgery-Program/Reflux-Disease/GERD-Surgery.htm","host":"mcw.edu","quote":"When performed by an experienced surgeon, the results of GERD surgery are excellent.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you are satisfied with the facilities and standards at the clinic or hospital","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that you have been able to ask the team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that you understand the possible complications and side effects of your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The surgeon you consult is not the one who will carry out the procedure","scope":"procedure","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Pressure to decide quickly, or cheap time-limited offers","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Reluctance to be open about the team's experience, skills or conflicts of interest","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"They should be open about their experience, skills, fees, and any conflict of interest.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Difficulty swallowing with food getting stuck","urgency":"emergency","general":false,"source":{"url":"https://guysandstthomas.nhs.uk/health-information/fundoplication-surgery-severe-acid-reflux/recovery-and-diet-after-surgery","host":"guysandstthomas.nhs.uk","quote":"you have difficulty swallowing and food is getting stuck","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W2","text":"Vomiting and passing blood","urgency":"emergency","general":false,"source":{"url":"https://guysandstthomas.nhs.uk/health-information/fundoplication-surgery-severe-acid-reflux/recovery-and-diet-after-surgery","host":"guysandstthomas.nhs.uk","quote":"you are being sick (vomiting) and passing blood","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W3","text":"Severe chest or tummy pain","urgency":"emergency","general":false,"source":{"url":"https://guysandstthomas.nhs.uk/health-information/fundoplication-surgery-severe-acid-reflux/recovery-and-diet-after-surgery","host":"guysandstthomas.nhs.uk","quote":"you have severe chest or tummy pain","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs your admission details and any medication changes","document":"discharge summary letter","source":{"url":"https://www.hampshirehospitals.nhs.uk/leavinghospital","host":"hampshirehospitals.nhs.uk","quote":"We will give you a letter that contains details of your hospital admission and any changes to your medications.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Shows follow-up dates and times your home doctor should track","document":"follow-up appointment letter","source":{"url":"https://www.hampshirehospitals.nhs.uk/leavinghospital","host":"hampshirehospitals.nhs.uk","quote":"We will send you a letter to confirm dates and times.","tier":"tier1_medical","fetched_at":"2026-11-12","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":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your symptoms are well controlled by acid-reducing medicine","name":"Proton pump inhibitors","source":{"url":"https://uhbristol.nhs.uk/patients-and-visitors/your-hospitals/bristol-royal-infirmary/what-we-do/ogteam/conditions,-tests-and-treatments/gastro-oesophageal-reflux-disease/treatment/","host":"uhbristol.nhs.uk","quote":"For the majority of patients, these drugs are highly effective in controlling symptoms.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your reflux is mild to moderate and you want to avoid surgery","name":"Transoral incisionless fundoplication","source":{"url":"https://my.clevelandclinic.org/health/procedures/tif-procedure","host":"my.clevelandclinic.org","quote":"The TIF procedure is an option for people with mild to moderate GERD and/or hiatal hernias who want a lasting solution, but don’t want or can’t have surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"laparoscopic-nissen","name":"Laparoscopic Nissen fundoplication (360° wrap)","how_it_works":{"text":"The stomach top is wrapped fully around the lower esophagus","source":{"url":"https://my.clevelandclinic.org/health/articles/laparoscopic-antireflux-surgery","host":"my.clevelandclinic.org","quote":"Your surgeon wraps all your fundus around the bottom of your esophagus.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"laparoscopic-toupet","name":"Laparoscopic Toupet fundoplication (270° posterior partial wrap)","how_it_works":{"text":"The stomach top is wrapped partly around the back of the esophagus","source":{"url":"https://my.clevelandclinic.org/health/articles/laparoscopic-antireflux-surgery","host":"my.clevelandclinic.org","quote":"Your surgeon wraps your fundus around a section of the back part of your esophagus.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"laparoscopic-dor","name":"Laparoscopic Dor (anterior partial) fundoplication","how_it_works":{"text":"The stomach top is wrapped halfway around the lower esophagus","source":{"url":"https://my.clevelandclinic.org/health/articles/laparoscopic-antireflux-surgery","host":"my.clevelandclinic.org","quote":"They wrap your fundus halfway around the lower section of your esophagus and attach it to your diaphragm.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=poland/city=elenya-gura/procedure=operacia-pri-refluks-ezofagite/"}],"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":12},"manualSeo":[],"updatedAt":"2026-11-12T19:20:14.492Z","activeCountries":["PL","TR","AT","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}