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Long-haul may need longer."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"After surgery, before flying home; wound and diet advancement check."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":45,"unit":"days","qualifier":"After surgery; weight, dietitian nutrition and supplement review."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"After surgery; weight progress and planned laboratory monitoring."}}],"indications":["BMI ≥40 kg/m²","BMI ≥35 kg/m² with diabetes, hypertension or sleep apnea","BMI 30-35 kg/m² with metabolic disease (selected patients)","Failure of supervised non-surgical weight loss"],"main_risks":["Staple-line leak","Bleeding","Infection","Venous thromboembolism","Stricture or narrowing of the sleeve","New or worsened gastroesophageal reflux","Nutritional deficiencies (e.g., vitamin B12, iron, vitamin D)","Gallstones","Nausea, vomiting, dehydration","Anesthesia-related complications","Port-site hernia"],"pain":"Moderate postoperative pain at port sites and abdomen, plus shoulder-tip pain from gas, usually controlled with oral analgesics; mostly settles within 1-2 weeks.","preparation":["Multidisciplinary evaluation (surgeon, dietitian, psychologist)","Preoperative blood tests, ECG and anesthesia assessment","Upper endoscopy or imaging as indicated","Screening for sleep apnea and cardiometabolic conditions","Preoperative low-calorie or liver-shrinking diet for about 1-2 weeks","Smoking cessation","Review of current medications with the surgical team","Fasting before surgery"],"recovery_timeline":[{"phase":"Hospital stay (nights 1-3)","description":"Monitoring, early walking, sips of fluids, pain and nausea control, clot prevention, and hydration and wound checks before discharge.","restrictions":["No solid food","Avoid heavy exertion","Discharge only when drinking adequately and pain is controlled"]},{"phase":"Days 4-14","description":"Clear then full liquid diet, regular short walks and wound healing. Return to desk work and ordinary light activity around days 7-14 if uncomplicated.","restrictions":["No heavy lifting","Small slow sips with a daily fluid target","Take prescribed supplements and medicines"]},{"phase":"Weeks 2-4","description":"Pureed foods per dietitian plan; continue walking and gradually increase light activity.","restrictions":["No strenuous exercise or core strain","Avoid carbonated drinks","Protein priority"]},{"phase":"Weeks 4-8","description":"Soft then regular textures introduced; exercise and heavier lifting resume around 4-6 weeks if the surgeon clears.","restrictions":["Small portions","Lifelong vitamin and mineral supplementation"]},{"phase":"Months 3-18","description":"Ongoing weight loss with nutrition and laboratory monitoring until stabilization around 12-18 months.","restrictions":["Lifelong dietary and follow-up adherence"]},{"phase":"At any time","description":"Seek urgent care for fever, severe abdominal pain, chest pain, breathlessness, persistent vomiting, bleeding, calf swelling or wound discharge. Do not wait.","restrictions":["Do not fly or travel while these symptoms are present"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Return to light daily activity and desk work after uncomplicated surgery; exercise (4-6 weeks) is separate."},"result_longevity":"Stomach reduction is permanent, but long-term weight maintenance depends on diet, activity and follow-up; some weight regain is common over years.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Later revision or conversion surgery (e.g., to bypass) for weight regain or reflux within about 5-10 years; excludes early reoperation."},"scars":"Several small (about 0.5-1.5 cm) laparoscopic port scars on the upper abdomen that usually fade over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; follow-up checks are not counted as treatment."},"stages":[{"code":"sleeve_gastrectomy","label":"Laparoscopic sleeve gastrectomy","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Standalone primary sleeve gastrectomy in one operation."},"success":{"metric":"Mean percent excess weight loss","value":60,"unit":"percent","horizon":"About 5 years","population":"Adults after primary laparoscopic sleeve gastrectomy; group mean, individual results vary.","evidence_status":"limited"},"techniques":[{"name":"Multiport laparoscopic sleeve gastrectomy","suits_whom":"Most adult candidates; standard approach.","recovery":"Hospital stay 1-3 nights; return to desk work in 1-2 weeks."},{"name":"Robotic-assisted sleeve gastrectomy","suits_whom":"Selected patients with higher BMI or complex anatomy, where available.","recovery":"Hospital stay usually 1-3 nights; early recovery similar to multiport laparoscopic surgery."},{"name":"Single-incision laparoscopic sleeve gastrectomy","suits_whom":"Selected lower-risk patients seeking fewer incisions.","recovery":"Hospital stay usually 1-3 nights; early recovery similar to multiport laparoscopic surgery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for uncomplicated primary laparoscopic sleeve gastrectomy."},"initial_assessment_documents":["Recent blood tests including HbA1c","Front and side full-body photos","List of diabetes and blood thinner medications","Previous abdominal surgery reports","Upper endoscopy or gastroscopy report"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage operation; stay about 5-10 days, including 1-3 hospital nights. Later reviews can be remote or local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how many sleeve gastrectomies the surgeon performs; higher sleeve volume is linked to fewer complications","scope":"procedure","source":{"url":"https://researchconnect.stonybrook.edu/en/publications/effect-of-surgeon-volume-on-sleeve-gastrectomy-outcomes/","host":"researchconnect.stonybrook.edu","quote":"High SG volume is associated with improved 30-day readmission, reoperation, and complication rates.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Confirm whether follow-up care is scheduled at the same facility as the surgery","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":"2026-11-11","http_status":403}},{"id":"C3","text":"Check whether the facility and the healthcare 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":"2026-11-11","http_status":403}},{"id":"C4","text":"Confirm the surgeon you consult is the one who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information promising 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}},{"id":"F2","text":"Pressure to decide quickly, or cheap time-limited offers to book","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Package deals that bundle the surgery with holidays","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Be wary of package deals which combine surgery with holidays.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Vomiting blood or sick like coffee grounds","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/complications/","host":"nhs.uk","quote":"you're vomiting blood or poo, or your sick looks like coffee grounds or soil.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W2","text":"Non-stop bleeding from the bottom","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/complications/","host":"nhs.uk","quote":"you're bleeding non-stop from your bottom","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W3","text":"Severe tummy pain","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/complications/","host":"nhs.uk","quote":"you have severe tummy pain","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W4","text":"Chest pain together with leg pain and swelling","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/complications/","host":"nhs.uk","quote":"you have chest pains and pain and swelling in your leg","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W5","text":"High temperature, or feeling hot, cold or shivery","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/tests-and-treatments/weight-loss-surgery/complications/","host":"nhs.uk","quote":"a high temperature, or you're feeling hot, cold or shivery","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Tells the home doctor about the treatment and future care needs","document":"discharge letter for gp","source":{"url":"https://www.nhs.uk/nhs-services/hospitals/going-into-hospital/being-discharged-from-hospital","host":"nhs.uk","quote":"You'll also be given a letter for your GP, providing information about your treatment and future care needs.","tier":"tier1_medical","fetched_at":"2026-11-11","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":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want a reversible option if restrictions prove hard to cope with","name":"Gastric band","source":{"url":"https://111.wales.nhs.uk/Weightlosssurgery(Bariatricsurgery)","host":"111.wales.nhs.uk","quote":"A gastric band is reversible, so if you find it difficult to cope with the restrictions associated with life after surgery","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200},"operation_id":355}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"technique_details":{"status":"ok","items":[{"id":"multiport-laparoscopic","name":"Multiport laparoscopic sleeve gastrectomy","how_it_works":{"text":"Surgical staplers remove most of the stomach, making it much smaller","source":{"url":"https://asmbs.org/patients/sleeve-gastrectomy","host":"asmbs.org","quote":"Surgical staplers are used to remove 80% of the stomach, making it much smaller.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"robotic-assisted-sleeve","name":"Robotic-assisted sleeve gastrectomy","how_it_works":{"text":"Surgeon controls the instruments from a control station nearby","source":{"url":"https://www.whittington.nhs.uk/mini-apps/leaflet/?id=589","host":"whittington.nhs.uk","quote":"The Surgeon controls the instruments from a control station nearby.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"single-incision-laparoscopic","name":"Single-incision laparoscopic sleeve gastrectomy","how_it_works":{"text":"One small cut near the navel is used for the operation","source":{"url":"https://today.uic.edu/making-weight-loss-surgery-easier-for-patients/","host":"today.uic.edu","quote":"There is just one tiny cut on the side of the belly button","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=mexico/city=gvadalahara/procedure=rukavnaya-rezekciya/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"city_filter":[{"id":396,"name":"Tijuana","alias":"tijuana","country_iso_code":"MX"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":18},"manualSeo":[],"updatedAt":"2026-11-13T14:19:43.000Z","activeCountries":["TR","US","MX","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}