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Vitamin B12 and iron needs persist lifelong, especially after total gastrectomy.","revision_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Unplanned early reoperation (leak, bleeding, abscess, obstruction) within about 30 days; late revision, such as for bile reflux, is rarer."},"scars":"Laparoscopic or robotic approach leaves several small scars of about 0.5-1.5 cm plus a slightly longer extraction incision; open surgery leaves a midline upper-abdominal scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation under one admission."},"stages":[{"code":"gastric_resection","label":"Gastric resection with lymph node dissection and reconstruction","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the single operation."}}],"qualifier":"One surgical session; any adjuvant oncologic treatment is separate."},"success":{"metric":"5-year overall survival after curative gastrectomy for gastric cancer","value":60,"unit":"percent","horizon":"5 years","population":"Adults with resectable gastric cancer, all stages, curative-intent gastrectomy","evidence_status":"limited"},"techniques":[{"name":"Laparoscopic or robotic distal (subtotal) gastrectomy","suits_whom":"Tumors or ulcers in the lower stomach, suitable for minimally invasive access.","recovery":"Typically 4-7 nights in hospital; faster return to activity than open surgery."},{"name":"Open distal (partial/subtotal) gastrectomy","suits_whom":"Larger or more complex lesions, prior extensive abdominal surgery, or when minimally invasive approach is unsuitable.","recovery":"Typically 6-8 nights in hospital; longer recovery."},{"name":"Total gastrectomy with Roux-en-Y reconstruction","suits_whom":"Tumors of the upper or middle stomach or diffuse disease requiring removal of the whole stomach.","recovery":"Typically 6-8 nights in hospital; greater nutritional adaptation needed."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2.5,"max":5,"unit":"hours","qualifier":"Operative time for a typical partial/subtotal gastrectomy with lymphadenectomy; total gastrectomy or complex cases may take longer."},"initial_assessment_documents":["Gastroscopy report","Stomach biopsy pathology report","Contrast-enhanced CT scan of chest and abdomen","Endoscopic ultrasound report (if available)","Recent blood tests including hemoglobin and albumin","Previous abdominal surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay 4-8 nights in hospital plus about 2-4 weeks nearby before flying home. Later reviews can be local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the specialist team looking after you will discuss the benefits and side effects of surgery","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/stomach-cancer/treatment/","host":"nhs.uk","quote":"The specialist team looking after you will discuss all the benefits and side effects.","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 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":"C4","text":"Check that you are satisfied with the facilities and standards where you will be treated","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":"C5","text":"Check how your aftercare will be coordinated, so you know who follows you up","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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A surgeon or hospital that will not discuss the details of surgery is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"rcseng.ac.uk","quote":"Be wary of surgeons and hospitals that do not want to discuss the details of surgery with you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Meetings only with sales staff, and no consultation with the surgeon, is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"make sure you have a consultation with the surgeon (avoid meetings only with sales people)","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":"Home doctor needs them to follow the discharge plan","document":"written discharge instructions","source":{"url":"https://www.mskcc.org/cancer-care/patient-education/about-your-gastrectomy-surgery","host":"mskcc.org","quote":"You'll also get written discharge instructions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Lists medicines prescribed at discharge so the home doctor can continue them","document":"discharge prescriptions","source":{"url":"https://www.mskcc.org/cancer-care/patient-education/about-your-gastrectomy-surgery","host":"mskcc.org","quote":"Your healthcare provider will write your discharge order and prescriptions before you leave.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"A small area of cancer, and you want to avoid major surgery","name":"Endoscopic submucosal dissection","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/endoscopic-submucosal-dissection-early-cancers-food-pipe-or-stomach","host":"guysandstthomas.nhs.uk","quote":"An ESD removes pre-cancerous cells, or small areas of cancer, without the need for major surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403},"operation_id":null},{"id":"A2","text":"Your stomach cancer is found at a very early stage","name":"Endoscopic mucosal resection","source":{"url":"https://www.cancer.gov/types/stomach/patient/stomach-treatment-pdq","host":"cancer.gov","quote":"Endoscopic mucosal resection is a procedure that uses an endoscope to remove carcinoma in situ and early-stage cancer","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","name":"Laparoscopic or robotic distal (subtotal) gastrectomy","how_it_works":{"text":"Part of the stomach is removed through several small cuts","source":{"url":"https://hey.nhs.uk/patient-leaflet/patient-information-total-partial-gastrectomy","host":"hey.nhs.uk","quote":"Usually this is performed by 'keyhole' surgery, which requires a number of small cuts in the stomach.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":6,"max":8,"unit":"weeks","label":"6–8 weeks","source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/recovery/","host":"nhs.uk","quote":"It usually takes 6 to 8 weeks to heal from a gastrectomy and get back to your usual activities, but it can take up to a year to recover fully.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"open-distal-gastrectomy","name":"Open distal (partial/subtotal) gastrectomy","how_it_works":{"text":"Part of the stomach is removed through a larger cut","source":{"url":"https://hey.nhs.uk/patient-leaflet/patient-information-total-partial-gastrectomy","host":"hey.nhs.uk","quote":"If keyhole surgery cannot be performed, there may be a larger cut down the middle of your stomach.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":6,"max":8,"unit":"weeks","label":"6–8 weeks","source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/recovery/","host":"nhs.uk","quote":"It usually takes 6 to 8 weeks to heal from a gastrectomy and get back to your usual activities, but it can take up to a year to recover fully.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"total-gastrectomy","name":"Total gastrectomy with Roux-en-Y reconstruction","how_it_works":{"text":"The whole stomach is removed and the gullet joins the small bowel","source":{"url":"https://hey.nhs.uk/patient-leaflet/patient-information-total-partial-gastrectomy","host":"hey.nhs.uk","quote":"If all your stomach is removed, the oesophagus (gullet) is joined directly to the small bowel.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":6,"max":8,"unit":"weeks","label":"6–8 weeks","source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/recovery/","host":"nhs.uk","quote":"It usually takes 6 to 8 weeks to heal from a gastrectomy and get back to your usual activities, but it can take up to a year to recover fully.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"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=litva/procedure=rezekciya-zheludka/"}],"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":6},"manualSeo":[],"updatedAt":"2026-11-14T02:20:55.447Z","activeCountries":["LT","TR","US","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}