Estophia Hospital is a private clinic in Istanbul with 87 doctors across 28 departments. Orthopedics, urology, aesthetic medicine, and weight loss surgery are its strongest areas.
Estophia Hospital is a private clinic in Istanbul with 87 doctors across 28 departments. Orthopedics, urology, aesthetic medicine, and weight loss surgery are its strongest areas.
Assoc. Prof. Nail Paksoy, an ESMO-certified oncologist with _doctor_6840_years_' experience and 900+ procedures performed, leads the stomach cancer diagnostics. The diagnostic package may cost around $5,500 – typically covering PET-CT, MRI, biopsy, blood tests, doctor consultation, transfers, and 2 nights' accommodation. The JCI-accredited Medipol Bahçelievler Hospital operates a dedicated oncology department within Turkey's major health group. Prof. Paksoy holds associate professor status at Istanbul Medipol University.
Medipol Bahçelievler University Hospital is a JCI-accredited facility and the second-largest hospital in the Medipol Health Group. It treats 600,000 patients each year with a focus on cardiology, oncology, and heart surgery.
Biruni University Hospital is a TEMOS-accredited university hospital with 134 doctors across 70 departments. It opened in 2016 and treats both adults and children. Its core specialties are neurosurgery, cardiology, oncology, and hematology oncology.
Biruni University Hospital is a TEMOS-accredited university hospital with 134 doctors across 70 departments. It opened in 2016 and treats both adults and children. Its core specialties are neurosurgery, cardiology, oncology, and hematology oncology.
Op. Dr. Serif Yavuz's Private Practice is a plastic surgery clinic in Istanbul with a focus on natural-looking results. The clinic holds an International Health Tourism Authorization Certificate from the Turkish Ministry of Health.
Op. Dr. Serif Yavuz's Private Practice is a plastic surgery clinic in Istanbul with a focus on natural-looking results. The clinic holds an International Health Tourism Authorization Certificate from the Turkish Ministry of Health.
Acıbadem Altunizade Hospital is a multidisciplinary hospital on Istanbul's Asian side. It opened in 2017 and occupies a 98,000 m² facility. Its services include neurology, cardiology, oncology, breast health, ophthalmology, spine care, reproductive medicine, obesity and metabolic surgery, and robotic surgery.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":1000,"price_to":2500,"currency":"USD","id":35626},"diagnostic":{"id":39,"name":"Biopsy","alias":"biopsy"}},{"prices":{"price_from":750,"price_to":750,"currency":"USD","id":35627},"diagnostic":{"id":1,"name":"PET/CT","alias":"pet-ct"}}],"reviews":[],"clinic":{"id":1602,"alias":"acibadem","name":"Acibadem Altunizade Clinic","short_description":"Acıbadem Altunizade Hospital is a multidisciplinary hospital on Istanbul's Asian side. It opened in 2017 and occupies a 98,000 m² facility. Its services include neurology, cardiology, oncology, breast health, ophthalmology, spine care, reproductive medicine, obesity and metabolic surgery, and robotic surgery.
","images":[{"base_url":"clinic/616ec7e35aa11","title":"Modern exterior of Acibadem Altunizade Clinic in Istanbul, illuminated at dusk"},{"base_url":"clinic/616ec8d7ea3c0","title":"Modern exterior of Acibadem Altunizade Clinic in Istanbul, Turkey"},{"base_url":"clinic/616ec8e2885db","title":"Modern operating room at Acibadem Altunizade Clinic with advanced surgical equipment"},{"base_url":"clinic/616ec8ec06bcf","title":"Modern waiting room at Acibadem Altunizade Clinic, Istanbul with comfortable seating"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Altunizade, Yurtcan Sokağı No:1, 34662 Üsküdar/İstanbul, Турция"},"rating":{"rating":4.4,"google":4.1,"percent_of_satisfied_clients":71},"statistics":{"number_of_reviews":7,"doctors_number":0,"year_foundation":2017},"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/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d0b4dd6b9a6b.jpeg","name":"LEED Platinum Sertificate for ECO Buildings","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Medistanbul Hospital is a private multi-specialty medical center in Istanbul, Turkey, treating around 90,000 patients each year. Its strongest specialties are orthopedics, oncology, urology, and plastic surgery.
Medistanbul Hospital is a private multi-specialty medical center in Istanbul, Turkey, treating around 90,000 patients each year. Its strongest specialties are orthopedics, oncology, urology, and plastic surgery.
Academic Hospital is a TÜV NORD-certified private medical center in Istanbul with 60 specialist departments. It is best known for orthopedics, plastic surgery, weight loss surgery, and medical check-ups. The hospital treats over 15,000 patients each year, both adults and children.
Academic Hospital is a TÜV NORD-certified private medical center in Istanbul with 60 specialist departments. It is best known for orthopedics, plastic surgery, weight loss surgery, and medical check-ups. The hospital treats over 15,000 patients each year, both adults and children.
Risus Clinic Istanbul is a GHA-accredited multi-specialty clinic with 7 departments. Its main specialties are orthopedics, heart surgery, dental treatment, and plastic surgery. The clinic treats only adults and draws patients from Europe, the USA, and Latin America.
Risus Clinic Istanbul is a GHA-accredited multi-specialty clinic with 7 departments. Its main specialties are orthopedics, heart surgery, dental treatment, and plastic surgery. The clinic treats only adults and draws patients from Europe, the USA, and Latin America.
Uniqacare Clinic is a private multi-specialty medical center in Istanbul, serving 433,000 patients every year. Its main specialties are neurosurgery, cardiology, oncology, and transplantology. The clinic treats both adults and children and is accredited by the Turkish Medical Association.
Uniqacare Clinic is a private multi-specialty medical center in Istanbul, serving 433,000 patients every year. Its main specialties are neurosurgery, cardiology, oncology, and transplantology. The clinic treats both adults and children and is accredited by the Turkish Medical Association.
Prof. Dr. Erkan Yıldırım runs a private thoracic surgery clinic in Istanbul. The practice treats lung cancer, COPD, and chest wall deformities. Key specialties include oncology and lung transplantation care. The clinic is known for hyperhidrosis treatment using endoscopic thoracic sympathectomy.
The medical team has four specialists. Lead surgeon Dr. Erkan Yıldırım holds European Board certification. He completed a lung transplantation fellowship at the University of Toronto. He also trained in lobar lung transplantation at Kyoto University. The team has over 25 years of surgical experience. Success rates for hyperhidrosis procedures reach 98%. Surgeons use Uniportal VATS and robotic-assisted techniques for minimally invasive care.
","text_type":"short_description","reviews":[],"clinic":{"id":9949,"alias":"prof-dr-erkan-yildirim-muayenehanesi","name":"Prof. Dr. Erkan Yıldırım, MD,PHD,FETCS (Thoracic & Lung Surgery)","short_description":"Prof. Dr. Erkan Yıldırım runs a private thoracic surgery clinic in Istanbul. The practice treats lung cancer, COPD, and chest wall deformities. Key specialties include oncology and lung transplantation care. The clinic is known for hyperhidrosis treatment using endoscopic thoracic sympathectomy.
The medical team has four specialists. Lead surgeon Dr. Erkan Yıldırım holds European Board certification. He completed a lung transplantation fellowship at the University of Toronto. He also trained in lobar lung transplantation at Kyoto University. The team has over 25 years of surgical experience. Success rates for hyperhidrosis procedures reach 98%. Surgeons use Uniportal VATS and robotic-assisted techniques for minimally invasive care.
","images":[{"base_url":"clinic/6ae89a6cc98ff","title":"Doctor's office at Prof. Dr. Erkan Yıldırım Thoracic & Lung Surgery Clinic, Istanbul"},{"base_url":"clinic/6ae89a8c46bfc","title":"Consultation office at Prof. Dr. Erkan Yıldırım Clinic with certificates and seating area"},{"base_url":"clinic/6ae89aa3309d1","title":"Waiting area at Prof. Dr. Erkan Yıldırım Clinic with bench and modern art"},{"base_url":"clinic/6ae89b41b067a","title":"Portrait of a male doctor in a brown suit, white background"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_parsed_from_docs","value":true},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"19 Mayıs, Halasgargazi Caddes, No: 210, D.3, ATAMIN Apt, Şişli / İSTANBUL"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2,"year_foundation":2015},"accreditations":[]}}],"meta":{"total_count":35,"total_pages":4}},"promoSlots":[{"card":{"text":"Hisar Hospital Intercontinental, a JCI-accredited facility, offers advanced chemotherapy for brain tumors with treatments costing around $8,700–$15,400. The hospital's oncology team includes Dr. Rahib Hasanov, a medical oncologist trained at Marmara University with experience in personalized treatments, immunotherapy, and targeted therapy for complex cancers.
Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
Dr. Nail Paksoy is an associate professor of medical oncology at Medipol Bahçelievler Hospital. He is board-certified by the European Society for Medical Oncology (ESMO). Dr. Paksoy specializes in lung, breast, and gastrointestinal cancers. He uses modern immunotherapy and targeted therapy protocols. His clinic is JCI-accredited for high safety standards.
Medipol Bahçelievler University Hospital is a JCI-accredited facility and the second-largest hospital in the Medipol Health Group. It treats 600,000 patients each year with a focus on cardiology, oncology, and heart surgery.
Prof. Serkan Keskin brings 24 years of oncology experience with 900+ gastric procedures performed. Stomach cancer surgery at Memorial Şişli may cost around $10,690–25,000 – typically covering the procedure, 5-7 nights, pathology tests, and transfers. The hospital holds JCI accreditation – Turkey's first – and follows NCCN/ESMO protocols. Prof. Keskin ranked first in Turkey's national oncology exam and has 42 international publications.
","package_price":27780,"actual_price":27780,"calculated_price":{"from":0,"to":0},"currency":{"code":"USD","symbol":"$","name":"Доллар","rate":1},"doctors":[{"id":11566,"name":"Mert Tanal","alias":"mert-tanal","photo":"doctor/69c6270729067","first_year_working":2021,"short_description":"Dr. Mert Tanal is a general surgeon at Memorial Şişli Hospital in Istanbul. He earned the European Board of Surgery Qualification (EBSQ), a prestigious professional standard in Europe. Dr. Tanal is an active member of the American College of Surgeons.
Memorial Şişli Hospital in Istanbul is one of Turkey’s leading multidisciplinary medical centers, operating on a 53,000 m² area with 252 beds, 13 operating rooms, and advanced intensive care units. Opened in 2000, it became the first hospital in Turkey and the 21st worldwide to earn Joint Commission International (JCI) accreditation, confirming world-class standards.
\n\nThe hospital is recognized for its expertise in oncology, organ and bone marrow transplantation (90% organ transplant success rate), IVF, neurosurgery, bariatric surgery, robotic surgery, and genetics. Equipped with cutting-edge technology and specialized centers, Memorial Şişli attracts patients from 167 countries each year, combining top-level medical care with Istanbul’s unique cultural and travel opportunities.
\n","images":[{"base_url":"clinic/634ffae9b76cd","title":"Memorial Şişli Hospital modern clinic building in Istanbul, Turkey"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Kaptan Paşa Mah, Halit Ziya Türkkan Sok Famas Plaza No:19 D:C, 34385 Şişli/İstanbul, Turkey"},"rating":{"rating":4.6,"google":4.7,"percent_of_satisfied_clients":87},"statistics":{"number_of_reviews":436},"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/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}]}}},{"image_count":0,"images":[],"offer":{"id":"6a56604f5c611489b9bdb2cf","name":"Radical Total Gastrectomy (Including Splenectomy and Minimum D2 Lymph Node Dissection)","type":"procedure","tags":[],"for_who":"Memorial Bahçelievler Hospital holds JCI accreditation and was the first in Turkey to earn LEED Platinum status. Each case undergoes a multidisciplinary oncology council review to build a personalized roadmap. Prof. Dr. Kezban Nur Pilanci oversees the medical oncology protocols, including a structured 6-cycle chemotherapy regimen. Surgeons here perform stomach cancer surgery using the Da Vinci robotic system or laparoscopic techniques. These minimally invasive approaches help speed up recovery after the procedure.
Dr. Erman Aytac is a professor of surgery at Memorial Bahçelievler Hospital. He specializes in colorectal surgery, digestive oncology, and inflammatory bowel diseases. Dr. Aytac completed a prestigious fellowship at the Cleveland Clinic Digestive Diseases Institute.
Memorial Bahçelievler Hospital is Turkey’s first LEED Platinum-certified hospital. It is part of the country’s largest healthcare network, Memorial Healthcare Group. Its core specialties include oncology, cardiovascular surgery, orthopedics, and robotic surgery.
Dr. Koray Karabulut is a general surgeon at Memorial Göztepe Hospital in Istanbul. He specializes in liver transplantation and robotic HPB surgery. He completed a research fellowship in liver tumors at the Cleveland Clinic. He also trained in minimally invasive surgery at IRCAD in France.
Memorial Göztepe Hospital is the 13th hospital of the Memorial Health Group, with over 25 years of experience. Its main specialties are cancer care, cardiovascular care, orthopedics, and neurology. The hospital spans 81,000 m² with 127 outpatient clinics and 19 operating rooms.
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"},"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"},"ES":{"amount":9500,"max_amount":15500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":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"},"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"},"ES":{"amount":26000,"max_amount":35000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"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"},"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"},"ES":{"amount":8800,"max_amount":18000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"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"},"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"},"ES":{"amount":10500,"max_amount":25500,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"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"},"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"},"ES":{"amount":13300,"max_amount":23000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"offer","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"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"},"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"},"ES":{"amount":22000,"max_amount":34000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":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 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eating","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/recovery/","host":"nhs.uk","quote":"feel dizzy, faint, sick or have tummy cramps after you eat","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Heartburn that will not go away","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/recovery/","host":"nhs.uk","quote":"have heartburn that will not go away","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for 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