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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 contact","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"If the surgeon will not be your primary point of contact for follow-up after surgery, make sure to ask who will be responsible for your post-gastrectomy care.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Ask whether you can speak with other patients who had this operation with the surgeon","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Can I speak to other patients who have had this operation with you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Ask whether a registered dietitian is available before surgery","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Will I meet with a registered dietitian before surgery?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Surgeon avoids giving their own complication figures when asked about them","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Most surgeons keep track of their own complications, or their hospital likely does, and they will be forthcoming about their own outcomes and how they manage them.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"No dietitian meeting is offered before surgery, though it matters as much as after","scope":"procedure","source":{"url":"https://ccr.cancer.gov/surgical-oncology-program/clinical-team/questions-to-ask-your-surgeon","host":"ccr.cancer.gov","quote":"Meeting with a registered dietitian before surgery is as important as meeting with one after.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"The care team does not discuss what to expect before treatment starts","scope":"treatment_type","source":{"url":"https://www.cancer.gov/types/stomach/patient/stomach-treatment-pdq","host":"cancer.gov","quote":"Talking with your cancer care team before treatment begins about what to expect will be helpful.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"Treatment plan is set without the patient and care team working together on it","scope":"treatment_type","source":{"url":"https://www.cancer.gov/types/stomach/patient/stomach-treatment-pdq","host":"cancer.gov","quote":"You and your cancer care team will work together to decide your treatment plan, which may include more than one type of treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Difficulty swallowing or food getting stuck","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/recovery/","host":"nhs.uk","quote":"are having difficulty swallowing, or feel that food is getting stuck","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Losing weight quickly","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/recovery/","host":"nhs.uk","quote":"are losing weight quickly","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Dizziness, faintness, or tummy cramps after 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 written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your cancer cannot be removed by surgery","name":"Chemotherapy","source":{"url":"https://www.nhs.uk/conditions/stomach-cancer/treatment/","host":"nhs.uk","quote":"before and after surgery to help make the cancer smaller after surgery to help stop the cancer coming back at the same time as other treatments to help make them more effective to help control and improve the symptoms of advanced cancer or if the cancer cannot be removed by surgery","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":37},{"id":"A2","text":"Your cancer is advanced and you need symptom control","name":"Radiotherapy","source":{"url":"https://www.nhs.uk/conditions/stomach-cancer/treatment/","host":"nhs.uk","quote":"with chemotherapy (chemoradiotherapy) to help stop the cancer coming back to help control and improve the symptoms for advanced cancer","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":140}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"total-gastrectomy","name":"Total gastrectomy with Roux-en-Y reconstruction","how_it_works":{"text":"All of the stomach is removed in this type of gastrectomy","source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/how-its-done/","host":"nhs.uk","quote":"The type of gastrectomy you have will depend on whether all of your stomach needs to be removed (total gastrectomy) or only part of it (partial gastrectomy).","tier":"tier1_medical","fetched_at":"2026-11-13","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":"2026-11-13","http_status":200}}},{"id":"distal-gastrectomy","name":"Distal (subtotal) gastrectomy","how_it_works":{"text":"Only part of the stomach is removed in this type of gastrectomy","source":{"url":"https://www.nhs.uk/tests-and-treatments/gastrectomy/how-its-done/","host":"nhs.uk","quote":"The type of gastrectomy you have will depend on whether all of your stomach needs to be removed (total gastrectomy) or only part of it (partial gastrectomy).","tier":"tier1_medical","fetched_at":"2026-11-13","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 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surgery).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=kitaj/city=syamen/procedure=gastrektomiya/"}],"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":3},"manualSeo":[],"updatedAt":"2026-11-09T22:21:01.554Z","activeCountries":["CN","ES","TR","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}