Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
This operation helps lose weight by altering your stomach and small intestine\"s processing of the food you eat.
"},"380":{"operation":{"name":"Gastric balloon","alias":"gastric-balloon","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":9800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1200,"max_amount":2600,"currency":"USD","clinic_count":49,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":3000,"max_amount":5200,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":7700,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"ES":true},"description":"This therapy involves placing a balloon in your stomach, aiding weight loss by limiting food intake and reducing hunger.
"},"381":{"operation":{"name":"Metabolic surgery","alias":"metabolic-surgery","use_for_listing":true},"country_price":{"US":{"amount":18000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3800,"max_amount":6800,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":8500,"max_amount":14000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":16600,"max_amount":24300,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"ES":true},"description":"This procedure, for obesity and diabetes, alters the gut to improve the body\"s metabolic regulations and health.
"},"674":{"operation":{"name":"Stomach stapling","alias":"stomach-stapling","use_for_listing":true},"country_price":{"US":{"amount":17500,"max_amount":26000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3000,"max_amount":5600,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":8000,"max_amount":13000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":9000,"max_amount":11000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"ES":true},"description":"This operation shrinks the stomach size, encouraging weight loss. It\"s swift, relatively safe, and effective.
"},"794":{"operation":{"name":"Biliopancreatic diversion","alias":"biliopancreatic-bypass","use_for_listing":true},"country_price":{"US":{"amount":24000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":6000,"max_amount":10800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":10500,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":12500,"max_amount":17000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"ES":false},"description":"The operation is a weight-loss surgery which redirects digestion, reducing calorie absorption substantially.
"},"1013":{"operation":{"name":"Da Vinci Gastric Bypass Surgery","alias":"da-vinci-gastric-bypass-surgery","use_for_listing":true},"country_price":{"US":{"amount":24000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":9700,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"TH":{"amount":11500,"max_amount":17000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":11500,"max_amount":15500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"ES":false},"description":"This surgery promotes weight loss via a robot-assisted technique, restricting stomach size and rerouting the small intestine.
"},"1021":{"operation":{"name":"Roux-en-Y Gastric Bypass","alias":"roux-en-y-gastric-bypass","use_for_listing":true},"country_price":{"US":{"amount":22000,"max_amount":32000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3200,"max_amount":5000,"currency":"USD","clinic_count":18,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":9500,"max_amount":14000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":11500,"max_amount":15500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"ES":false},"description":"This operation reduces stomach size and reroutes food path for weight loss, improving health issues like diabetes.
"},"1070":{"operation":{"name":"Endoscopic sleeve gastroplasty (ESG) ","alias":"endoscopic-sleeve-gastroplasty-esg","use_for_listing":true},"country_price":{"US":{"amount":9000,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":5400,"max_amount":8000,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":16200,"max_amount":20700,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":11100,"max_amount":15500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","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":true,"PL":true,"KR":false,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false,"AZ":true,"EG":true},"description":"This operation reduces stomach size through sutures, promoting weight loss without surgical invasion, offering rapid recovery benefits.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":5,"rehabilitation_days":30,"satisfied_percent":78,"treatment_conditions":"inpatient","treatment_duration_hours":1},"illness_kind_details":{"requests_processed":6652}},"direction":{"id":57,"name":"Weight Loss Surgery","alias":"weight-loss-surgery"},"illness_kind":{"id":57,"name":{"en":"Weight Loss Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":2,"max":7,"unit":"days","qualifier":"Desk-based work after uncomplicated ESG; nausea and abdominal cramping usually settle within several days."},"complication_rate_pct":{"min":0.5,"max":5,"unit":"percent","qualifier":"Serious adverse events after primary ESG; mortality near zero. Mild nausea and pain excluded."},"contraindications":["Pregnancy or planned pregnancy during the first year","Active gastric ulcer, severe gastritis or significant upper GI disease","Large hiatal hernia or severe uncontrolled reflux (relative/anatomy-dependent)","Prior gastric surgery altering anatomy (relative)","Bleeding disorders or inability to stop anticoagulation safely","Portal hypertension or gastric varices","Severe cardiopulmonary disease or unfitness for general anesthesia","Active eating disorder or uncontrolled psychiatric illness","Active substance abuse"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Same-day discharge or one night of observation for nausea and pain control."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":4,"unit":"weeks","qualifier":"Walking within days; strenuous exercise and heavy lifting resume after about 1-4 weeks, depending on symptoms."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Maximum weight loss typically reached around 6-12 months with diet and lifestyle program."},"fly_home_after_days":{"min":2,"max":7,"unit":"days","qualifier":"Discharge is same or next day. Flights are often fine after 2-3 days if fluids are tolerated."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Early check and diet stage progression, often with dietitian."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Weight, nutrition and dietary review at about 1-3 months."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Longer-term weight and nutritional follow-up at 6-12 months."}}],"indications":["Obesity, BMI about 30-40 kg/m², inadequate response to lifestyle measures","Obesity-related comorbidities"],"main_risks":["Abdominal pain, nausea and vomiting","Sore throat","Gastrointestinal bleeding","Perforation or leak (rare)","Perigastric fluid collection or infection","Pneumoperitoneum or pneumothorax (rare)","Suture loosening with weight regain","Reflux symptoms","Anesthesia-related risks","Reintervention, conversion, or inadequate weight loss"],"pain":"Mild to moderate abdominal cramping and nausea for the first several days, managed with medication.","preparation":["Medical, nutritional and psychological evaluation","Pre-procedure blood tests and anesthesia assessment","Upper endoscopy or imaging as indicated","Fasting before the procedure as instructed","Pre-procedure dietary counselling","Review of current medicines with the treating team","Medication adjustments, including anticoagulants and diabetes medicines"],"recovery_timeline":[{"phase":"First 24-48 hours","description":"Observation or early discharge; nausea, cramping and sore throat are common.","restrictions":["Clear liquids only","Anti-nausea and pain medication as prescribed"]},{"phase":"Week 1-2","description":"Liquid diet with gradual progression as symptoms settle.","restrictions":["No solid food","Avoid heavy exertion"]},{"phase":"Weeks 2-6","description":"Progression from pureed to soft foods and then regular small meals.","restrictions":["Small portions","Avoid overeating and carbonated drinks"]},{"phase":"Months 2-12","description":"Ongoing dietary and lifestyle program with progressive weight loss.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery from nausea and cramping; dietary progression continues longer."},"result_longevity":"Durability depends on suture integrity, diet and lifestyle; some weight regain is possible and results require long-term lifestyle maintenance.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Repeat endoscopic suturing or conversion to surgery for weight regain or suture loosening within about 2-5 years."},"scars":"No external incisions or scars; performed through the mouth.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single endoscopic procedure."},"stages":[{"code":"endoscopic_suturing","label":"Endoscopic suturing to reduce stomach volume","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Typically a single session; follow-up visits are not counted as treatment sessions."},"success":{"metric":"Total body weight loss (%TBWL)","value":16.5,"unit":"percent","horizon":"12 months","population":"Adults with obesity after primary ESG (mean BMI 36-38)","evidence_status":"limited"},"techniques":[{"name":"Apollo OverStitch suturing (running or interrupted full-thickness sutures)","suits_whom":"Adults with obesity wanting a non-surgical, incisionless option.","recovery":"Usually 1-7 days to resume normal activity, with staged diet."},{"name":"Modified primary obesity surgery endoluminal (POSE 2.0) / other plication variants","suits_whom":"Selected adults with obesity at specialist centers.","recovery":"Similar short recovery with staged diet."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Procedure time for a single ESG; excludes preparation and recovery."},"initial_assessment_documents":["Previous gastroscopy report","Recent blood tests including HbA1c","Summary of diabetes and sleep apnea","Previous abdominal or stomach surgery report","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single endoscopic session; stay about 4-7 days including discharge and early recovery. Follow-up can be done remotely or locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the operator has formal training in metabolic and bariatric endoscopy and ESG-specific techniques","scope":"procedure","source":{"url":"https://asmbs.org/endoscopic-sleeve-gastroplasty-esg-frequently-asked-questions/","host":"asmbs.org","quote":"Performed by physicians with formal training in metabolic and bariatric endoscopy and ESG-specific techniques.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask whether the team tracks outcomes, including weight loss, complications and revisions","scope":"procedure","source":{"url":"https://asmbs.org/endoscopic-sleeve-gastroplasty-esg-frequently-asked-questions/","host":"asmbs.org","quote":"Prospectively tracking outcomes, including weight loss, comorbidities, complications, and revisions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you will have consultations with the treating surgeon before any surgery","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check whether the facility and the professionals hold accreditation or certification","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","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":"Surgery is offered without a consultation with the operating surgeon beforehand","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The clinic will not let you ask the treating team questions about your treatment","scope":"treatment_type","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":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Lists medicines prescribed, so your home doctor can continue them","document":"prescriptions given at discharge","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":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare 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stomach.","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=spain/city=madrid/procedure=endoskopicheskaya-rukavnaya-gastroplastika-esg/"}],"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":44},"manualSeo":[],"updatedAt":"2026-11-13T21:21:11.000Z","activeCountries":["ES","TR","US","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}