Prof. Dr. Halil Alis brings _doctor_5175_years_ of experience with 1,100+ laparoscopic procedures performed. The GERD surgery may cost around $4,000 – covering the procedure, 3 nights hospital stay, tests, and follow-up care. As a Da Vinci robotic surgery trainer with SAGES and EAES memberships, he specializes in minimally invasive techniques at Valued Med Hub Hospitals, rated 4.7/5.
Valued Med Hub Hospitals is a private multi-specialty center in Istanbul. It has 100 doctors across 20 departments. The clinic treats adults and children in neurosurgery, oncology, ophthalmology, and transplantology and holds an International Health Tourism Authorization Certificate from the Turkish government.
Prof. Hamdi Levent Doganay has performed over 900 GERD surgeries during his 24-year career as a gastroenterology specialist. The laparoscopic procedure typically costs around $7,500 – an all-inclusive package covering surgery, gastroscopy, 2 nights hospitalization, transfers, and translation services. The JCI-accredited VM Medical Park Pendik Hospital maintains perfect 5/5 ratings across all service categories. Prof. Doganay serves on the Turkish Liver Research Association board and edits leading hepatology journals.
VM Medical Park Pendik Hospital is a JCI-accredited multi-specialty hospital in Istanbul. It specializes in neurosurgery, obstetrics, and gynecology. Over 150 physicians treat patients from Europe, North America, and beyond.
Prof. Dr. Vedat Göral pioneered ARMA procedures at Medipol Mega University Hospital, a JCI-accredited facility – the first in Turkey to achieve this. The $4,600 ARMA package includes examination, endoscopy, the procedure itself and one week of accommodation. Medipol Mega utilizes advanced diagnostic tools for comprehensive pre-operative testing. With 19 years of experience, Prof. Göral offers expert care for reflux issues.
","text_type":"mt_wow_description","best_texts":{"techniques":"Laparoscopic anti-reflux surgery, ARMA procedure","good_fit_for":"Severe GERD cases requiring surgical intervention","why_its_ranked":"Offers specialized ARMA procedure for GERD, with JCI accreditation and comprehensive international patient services. Surgeons perform high-volume procedures with advanced technology."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":150,"price_to":350,"currency":"USD","id":13488},"diagnostic":{"id":37,"name":"Ultrasound","alias":"u.s."}},{"prices":{"price_from":150,"price_to":350,"currency":"USD","id":14038},"diagnostic":{"id":96,"name":"CT (computer tomography)","alias":"ct"}}],"reviews":[],"clinic":{"id":85,"alias":"medipol-mega-hastaneler-kompleksi","name":"Medipol Mega University Hospital","short_description":"Medipol Mega University Hospital is a JCI-accredited private hospital complex. It is one of Turkey's largest multi-specialty medical centers. The hospital sees over a million patients annually and specializes in oncology, neurology, cardiovascular care, transplants, and IVF.
Prof. Cemalettin Aydin has _doctor_7666_years_ of experience performing 900+ anti-reflux procedures, including laparoscopic fundoplication. VIP packages may cost around $10,000 – typically covering the surgery, 3 days hospitalization, 5* hotel accommodation, and VIP transfers. The clinic uses da Vinci robot-assisted systems for minimally invasive techniques. Prof. Aydin holds a gastroenterology surgery fellowship and serves as Professor of General Surgery at İnönü University.
Medipol Acibadem District Hospital is a JCI-accredited multispecialty hospital, the 11th in the Medipol Education and Health Group. It specializes in medical oncology, orthopedics, gynecology, and weight loss surgery. The hospital uses the da Vinci robot system for advanced surgeries.
Prof. Dr. Tarik Zafer Nursal, a professor of general surgery with 59 international publications, specializes in laparoscopic procedures. Laparoscopic anti-reflux surgery at Emsey Hospital may cost around $5,000 – typically covering the procedure, 2 nights in a private room, pre-op tests, and airport transfers. The JCI-accredited facility features 9 operating rooms and follows international safety standards. The extended package at $5,600 includes 3-day guest house accommodation.
","text_type":"mt_wow_description","best_texts":{"techniques":"Laparoscopic anti-reflux surgery, fundoplication","good_fit_for":"Patients with GERD requiring minimally invasive surgery","why_its_ranked":"Emsey Hospital offers specialized laparoscopic anti-reflux surgery with comprehensive treatment packages. The hospital is JCI accredited, ensuring international standards of care. The procedure includes 2 days of hospital stay and 3 days of guest house accommodation."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":3050,"price_to":3150,"currency":"USD","id":50772},"diagnostic":{"id":421,"name":"Premium Check up","alias":"premium-check-up"}},{"prices":{"price_from":1000,"price_to":1500,"currency":"USD","id":50790},"diagnostic":{"id":9,"name":"Colonoscopy","alias":"colonoscopy"}}],"reviews":[],"clinic":{"id":1173,"alias":"emsey-hospital","name":"Emsey Hospital","short_description":"Emsey Hospital is a multi-specialty medical center on the Asian side of Istanbul. It is the first hospital to receive the International Health Tourism Authorization Certificate (001) from the Turkish Ministry of Health. The hospital is especially known for orthopedics, spine surgery, bone marrow transplantation, and oncology.
Dr. Barış Demiriz brings _doctor_3734_years_ of experience in general surgery with specialized focus on GERD procedures. Laparoscopic fundoplication may cost around $4,500 – typically covering the surgery, 1–2 nights hospital stay, surgeon fees, nursing services, and airport transfers. The clinic offers diagnostic gastroscopy for $600 if needed. Dr. Demiriz performs the procedure laparoscopically for faster recovery.
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.
Medipol Bahçelievler Hospital offers Laparoscopic Anti-Reflux (GERD) Surgery with over _doctor_9617_years_ of surgical expertise and JCI accreditation. Dr. Mehmet Mehdi Deniz, an Associate Professor and bariatric surgeon, specializes in minimally invasive procedures and has performed 1,600+ advanced laparoscopic surgeries. The procedure typically costs around $5,500–$7,500.
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.
Aktif International is a private multispecialty hospital group in Istanbul and the Marmara region. The network treats adults and children across five hospital locations. Key departments include orthopedics, neurosurgery, urology, and plastic surgery. A dedicated proctology unit handles complex colorectal conditions. Over 2,000 healthcare professionals work across the network.
The group opened its first hospital in Yalova in 1999. It now offers 24-hour inpatient and outpatient care. The plastic surgery unit performs breast augmentation, rhinoplasty, and body contouring. Surgeons use small-incision endoscopy for gastroscopy and colonoscopy. Specialists also provide pediatric surgery and child psychiatry. The group holds quality management certifications for its care protocols.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":5198,"alias":"aktif-international-hospitals","name":"Aktif International Hospitals","short_description":"Aktif International is a private multispecialty hospital group in Istanbul and the Marmara region. The network treats adults and children across five hospital locations. Key departments include orthopedics, neurosurgery, urology, and plastic surgery. A dedicated proctology unit handles complex colorectal conditions. Over 2,000 healthcare professionals work across the network.
The group opened its first hospital in Yalova in 1999. It now offers 24-hour inpatient and outpatient care. The plastic surgery unit performs breast augmentation, rhinoplasty, and body contouring. Surgeons use small-incision endoscopy for gastroscopy and colonoscopy. Specialists also provide pediatric surgery and child psychiatry. The group holds quality management certifications for its care protocols.
","images":[{"base_url":"clinic/6a73ca1e18d15","title":"Modern facade of Aktif International Hospital in Istanbul, Turkey"},{"base_url":"clinic/6a73ca204a099","title":"Hurrem Sultan Hospital modern clinic exterior in Istanbul, Turkey"},{"base_url":"clinic/6a73ca22816b6","title":"Main entrance of Aktif International Hospital with glass doors"},{"base_url":"clinic/6a73ca25d0f3e","title":"Reception and waiting area at Aktif International Hospitals with modern seating"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Mimar Sinan, Otopark Arkası Sk., 34664 Üsküdar/İstanbul, Türkiye"},"rating":{"rating":5,"google":4.1,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":1,"doctors_number":29,"year_foundation":1999},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6194fa5077fec.jpeg","name":"Accreditation Canada Diamond Status Level ","country_code":"CA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d4938f0838b.jpeg","name":"International Federation for the Surgery of Obesity and Metabolic Disorders Certificate","country_code":"IT"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88c1f95138c.jpeg","name":"The American Society for Aesthetic Plastic Surgery","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9835a5ab1a.jpeg","name":"International Society for Aesthetic Plastic Surgery","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d48fc833289.jpeg","name":"Turkish Medical Association","country_code":"TR"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"TEMOS International Healthcare Accreditation","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/62e2ea948b5d5.jpeg","name":"International Health Tourism Authorization Certificate","country_code":"TR"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/62e269dd0a57b.jpeg","name":"The Turkish Academy of Esthetic Dentistry (EDAD) Certificate","country_code":"TR"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"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.
Specialist Surgeon Doctor Rafail Ibayev specializes in advanced laparoscopic anti-reflux procedures with expertise in minimally invasive gastrointestinal and metabolic surgery. The procedure typically costs around $14,200–$14,700. Dr. Ibayev performs a wide range of laparoscopic operations, including complex surgeries for digestive disorders and hernia repair, ensuring faster recovery and reduced scarring. The clinic integrates modern techniques and patient-centered care for long-term health outcomes.
Erdem Hospital is a multispecialty medical center in Istanbul, Turkey. It specializes in aesthetics, orthopedics, cardiovascular surgery, and dental care. The hospital opened in 1988 as part of the Erdem Health Group. Its team of over 185 doctors has treated more than 83,000 patients. Patient satisfaction sits at 98%.
Erdem holds the International Health Tourism Authorization Certificate and offers 250+ patient rooms. International patients get an all-inclusive package with VIP transfers, hotel stays, and 24/7 English support. Orthopedic services include ACL repair and spine surgery. The dental team provides titanium implants and full prosthodontics.
","images":[{"base_url":"clinic/6a85ae9138b35","title":"Erdem Hospital modern clinic building exterior in Istanbul, Turkey"},{"base_url":"clinic/6a85ae92c64fc","title":"Erdem Hospital modern clinic building exterior in Istanbul, Turkey"},{"base_url":"clinic/6a85ae9492538","title":"Spacious modern reception hall at Erdem Hospital with geometric marble flooring"},{"base_url":"clinic/6a85ae9655710","title":"Patient room at Erdem Hospital with modern bed and medical equipment"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Erdem Hospital Çakmak Saray Mahallesi Alemdağ Caddesi, Sezer Sk. No:3 D:5, 34768, 34692 Ümraniye/İstanbul, Türkiye"},"rating":{"rating":4.6,"google":4.6,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":185,"year_foundation":1988},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d48fc833289.jpeg","name":"Turkish Medical Association","country_code":"TR"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":23,"total_pages":3}},"clinicsMeta":{"total_count":23,"total_pages":3},"clinicsCount":23,"clinicsCountByEntity":{"clinic_count":59},"doctors":{"doctors":[{"card_text":"Specializes in laparoscopic anti-reflux surgery with over _doctor_7666_years_ of experience. Professor at İnönü University, training the next generation of surgeons.
Dr. Cemalettin Aydin is a professor of general surgery at Medipol Acibadem District Hospital in Istanbul. He specializes in gastroenterology surgery and complex weight loss procedures. He completed a prestigious fellowship in gastroenterology surgery at the Türkiye High Specialization Hospital.
Medipol Acibadem District Hospital is a JCI-accredited multispecialty hospital, the 11th in the Medipol Education and Health Group. It specializes in medical oncology, orthopedics, gynecology, and weight loss surgery. The hospital uses the da Vinci robot system for advanced surgeries.
Dr. Bilgic specializes in gastroenterology with advanced training in South Korea and Germany. His expertise includes minimally invasive procedures for digestive disorders.
Dr. Yilmaz Bilgic is a gastroenterologist at the JCI-accredited Medipol Acibadem District Hospital in Istanbul. He specializes in the treatment of Crohn's disease, ulcerative colitis, and complex liver disorders. Dr. Bilgic completed specialized endoscopy training at Anam Hospital in South Korea. He also finished a training course on ERCP at the Olympus Training Center in Germany.
Medipol Acibadem District Hospital is a JCI-accredited multispecialty hospital, the 11th in the Medipol Education and Health Group. It specializes in medical oncology, orthopedics, gynecology, and weight loss surgery. The hospital uses the da Vinci robot system for advanced surgeries.
Specialist Surgeon Doctor Rafail Ibayev performs both laparoscopic and open anti-reflux procedures with extensive surgical experience at Erdem Hospital.
Dr. Rafail Ibayev is a gastrointestinal surgeon at Erdem Hospital in Istanbul. He is a pioneer in minimally invasive and metabolic surgery. Dr. Ibayev performs laparoscopic procedures for stomach, intestine, and rectal diseases. He has extensive experience in weight management surgery, including sleeve gastrectomy and gastric bypass. Dr. Ibayev also treats endocrine and breast conditions using oncoplastic techniques.
Erdem Hospital is a multispecialty medical center in Istanbul, Turkey. It specializes in aesthetics, orthopedics, cardiovascular surgery, and dental care. The hospital opened in 1988 as part of the Erdem Health Group. Its team of over 185 doctors has treated more than 83,000 patients. Patient satisfaction sits at 98%.
Erdem holds the International Health Tourism Authorization Certificate and offers 250+ patient rooms. International patients get an all-inclusive package with VIP transfers, hotel stays, and 24/7 English support. Orthopedic services include ACL repair and spine surgery. The dental team provides titanium implants and full prosthodontics.
","images":[{"base_url":"clinic/6a85ae9138b35","title":"Erdem Hospital modern clinic building exterior in Istanbul, Turkey"},{"base_url":"clinic/6a85ae92c64fc","title":"Erdem Hospital modern clinic building exterior in Istanbul, Turkey"},{"base_url":"clinic/6a85ae9492538","title":"Spacious modern reception hall at Erdem Hospital with geometric marble flooring"},{"base_url":"clinic/6a85ae9655710","title":"Patient room at Erdem Hospital with modern bed and medical equipment"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Erdem Hospital Çakmak Saray Mahallesi Alemdağ Caddesi, Sezer Sk. No:3 D:5, 34768, 34692 Ümraniye/İstanbul, Türkiye"},"rating":{"rating":4.6,"google":4.6,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":185,"year_foundation":1988},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/60d48fc833289.jpeg","name":"Turkish Medical Association","country_code":"TR"}]}},{"doctor":{"id":5175,"alias":"halil-alis-valued-med","name":"Halil Alis","clinic_id":3418,"photo":"doctor/63c6644515ab5","first_year_working":1992,"created_at":"1970-01-20T08:59:06.179+00:00","short_description":"Dr. Halil Alis is a gastrointestinal and laparoscopic surgeon at Valued Med Hub Hospitals. He specializes in bariatric surgery, colorectal procedures, and metabolic management. Dr. Alis focuses on minimally invasive techniques for obesity and digestive system disorders. He practices at a clinic holding the International Health Tourism Authorization Certificate from Turkey.
Valued Med Hub Hospitals is a private multi-specialty center in Istanbul. It has 100 doctors across 20 departments. The clinic treats adults and children in neurosurgery, oncology, ophthalmology, and transplantology and holds an International Health Tourism Authorization Certificate from the Turkish government.
Dr. Mehmet Mehdi Deniz is an Associate Professor of surgery at Medipol Bahçelievler Hospital. He specializes in bariatric surgery and laparoscopic Roux-en-Y gastric bypass. Dr. Deniz is a certified member of the Turkish Surgical Association. He treats obesity and complex gastrointestinal disorders in Istanbul.
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.
Dr. Hamdi Levent Doganay is a professor and gastroenterologist at VM Medical Park Pendik Hospital. He serves on the board of the Turkish Liver Research Association. Dr. Doganay is an editor for major journals like the World Journal of Hepatology. He treats complex conditions including cirrhosis and ulcerative colitis at this JCI-accredited hospital.
VM Medical Park Pendik Hospital is a JCI-accredited multi-specialty hospital in Istanbul. It specializes in neurosurgery, obstetrics, and gynecology. Over 150 physicians treat patients from Europe, North America, and beyond.
Dr. Kaplan Baha Temizgonul, with 1,100+ laparoscopic procedures performed, uses advanced 4K camera instruments for precise, minimally invasive repair. This all-inclusive package at the IFSO-certified Lotus Bariatrics Clinic is priced around _offer_price_, covering a 4-star hotel stay, VIP transfers, and all pre-op tests including lung X-ray and ECG. Patients benefit from a same-day discharge protocol and comprehensive 1-year follow-up care, which includes daily surgeon visits and nutritionist support.
","clinic_entity_text":"Dr. Kaplan Baha Temizgonul has performed 1,100+ laparoscopic anti-reflux procedures during his _doctor_3546_years_ as a gastrointestinal surgeon. The all-inclusive package may cost around $3,200 – typically covering the surgery, 1-night hospital stay, preoperative tests, EGD examination, and 2 nights at a 4-star hotel. He trained in advanced laparoscopy at Bakirkoy Dr. Sadi Konuk Training Hospital. The IFSO-accredited clinic maintains a 95% success rate for obesity treatments.
Dr. Kaplan Baha Temizgonul is a specialist bariatric surgeon at Lotus Bariatrics in Istanbul. He has managed patient follow-ups for up to 17 years after sleeve gastrectomies. Dr. Temizgonul trained at Bakirkoy Dr. Sadi Konuk Hospital, a high-volume center for laparoscopic surgery. He also gained surgical experience in emergency medicine at the Syrian border.
Lotus Bariatrics Clinic is a private single-specialty center in Istanbul focused on obesity treatment and bariatric surgery. It holds an International Health Tourism Authorization Certificate from the Turkish government. The clinic achieves a 95% success rate for obesity treatment.
Professor Halil Alis performs a comprehensive, minimally invasive approach that combines laparoscopic fundoplication with hiatal hernia repair. His authoritative academic leadership is reflected in 74 SCI papers and active memberships in global societies like SAGES and EAES. The package costs around _offer_price_ at the internationally certified VM Medical Park Florya Hospital. This fee covers surgeon fees, all preoperative tests, a 3–4 day hospital stay, and a hotel stay for the patient plus one companion with VIP transfers.
","clinic_entity_text":"Prof. Dr. Halil Aliş has _doctor_8098_years_ of surgical experience and performs laparoscopic anti-reflux procedures at VM Medical Park Florya Hospital. The surgery may cost around $3,600 USD, typically covering fundoplication, 2 nights' stay, pre-op tests, and transfers. As a professor since 2010 and member of SAGES and IFSO, he oversees each case. The university hospital setting follows international protocols with all-inclusive pricing.
Dr. Halil Alis is a gastrointestinal surgeon and Medical Director at VM Medical Park Florya. He is a robotic surgery trainer using the Da Vinci system. Dr. Alis treats obesity, colorectal conditions, and complex digestive diseases. He has authored over 70 scientific papers in international medical journals.
VM Medical Park Florya Hospital is a JCI-accredited university hospital affiliated with Istanbul Aydın University. It excels in neurosurgery, plastic surgery, bariatric surgery, and oncology. The hospital also holds ISO certification and Center of Excellence designations in robotic, colorectal, and bariatric surgery.
This therapy uses tiny incisions to fix stomach\"s acid leak, easing heartburn and offering a quick, less-painful recovery.
"},"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"},"AT":{"amount":7500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":16300,"max_amount":21000,"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}}}},"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 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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 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