{"meta":{"humanUrl":"https://es.bookimed.com/clinics/country=spain/city=barcelona/procedure=laparoscopic-anti-reflux-gerd-surgery/best/","canonicalUrl":"https://es.bookimed.com/clinics/country=spain/city=barcelona/procedure=laparoscopic-anti-reflux-gerd-surgery/best/","jsonUrl":"https://es.bookimed.com/clinics/country=spain/city=barcelona/procedure=laparoscopic-anti-reflux-gerd-surgery/best/data.json","title":"Best clinics for Cirugía laparoscópica antirreflujo (ERGE) in España — Ratings & Reviews | Bookimed","description":"1 top-rated clinics for Cirugía laparoscópica antirreflujo (ERGE) in España. Compare rankings, prices, and patient reviews on Bookimed.","heading":"Best clinics for Cirugía laparoscópica antirreflujo (ERGE) in España","locale":"es","schemaVersion":"ClinicBestPageDataV1","snapshotId":"5e3841ae-780d759b","contentVersion":"5e3841ae","generatedAt":"2026-11-13T02:50:21.619Z"},"filters":{"country":"spain","city":"barcelona","procedure":"laparoscopic-anti-reflux-gerd-surgery","page":1},"pagination":{"page":1,"totalCount":1,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"España","url":"/clinics/country=spain/"},{"name":"Barcelona","url":"/clinics/country=spain/city=barcelona/"},{"name":"Cirugía laparoscópica antirreflujo (ERGE)","url":"/clinics/country=spain/procedure=laparoscopic-anti-reflux-gerd-surgery/"},{"name":"Best","url":"/clinics/country=spain/city=barcelona/procedure=laparoscopic-anti-reflux-gerd-surgery/best/"}],"entities":[{"name":"España","alias":"spain","type":"country","id":34},{"name":"Barcelona","alias":"barcelona","type":"city","id":98},{"name":"Cirugía laparoscópica antirreflujo (ERGE)","alias":"laparoscopic-anti-reflux-gerd-surgery","type":"procedure","id":884}],"clinics":{"clinics":[{"text":"<p>El Dr. Vilalobos Mori Rafael Noé cuenta con más de 20 años de especialización en cirugía mínimamente invasiva del ERGE, realizando la funduplicatura de Nissen laparoscópica con precisión. El procedimiento tiene un coste aproximado de 16.000–19.000 €, que suele cubrir la cirugía, la anestesia, 2 noches de estancia y un diagnóstico completo que incluye endoscopia digestiva alta y monitorización del pH. El Centro Médico Teknon cuenta con las acreditaciones JCI y EFQM, lo que garantiza estándares de calidad internacionales. El Dr. Vilalobos combina su amplia experiencia con una atención postoperatoria integral para una recuperación óptima.</p><doctor id=\"8375\"></doctor>","text_type":"mt_wow_description","best_texts":{"techniques":"Funduplicatura de Nissen laparoscópica, procedimiento RefluxStop™","good_fit_for":"Alivio a largo plazo de los síntomas del reflujo","why_its_ranked":"Clínica acreditada por la JCI con cirujanos especializados en tratamientos mínimamente invasivos para el ERGE. Ofrece tanto la funduplicatura de Nissen tradicional como el innovador RefluxStop™ para obtener resultados duraderos."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":15532.621224388668,"price_to":24408.40478118219,"currency":"USD","id":55158},"operation":{"id":884,"name":"Cirugía laparoscópica antirreflujo (ERGE)","alias":"laparoscopic-anti-reflux-gerd-surgery"}},{"prices":{"price_from":390,"price_to":390,"currency":"USD","id":60454},"diagnostic":{"id":106,"name":"Consulta con un gastroenterólogo","alias":"consultation-gastroenterologist"}},{"prices":{"price_from":950,"price_to":1510,"currency":"USD","id":15066},"diagnostic":{"id":10,"name":"Gastroscopia con biopsia","alias":"gastroscopy--biopsy"}}],"reviews":[],"clinic":{"id":78,"alias":"teknon-medical-center","name":"Centro Médico Teknon","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/78-6abd276198357.png","short_description":"<p><strong>Centro Médico Teknon</strong> es un centro médico privado y multidisciplinar situado en Barcelona, España, y forma parte de Quirónsalud, el mayor grupo hospitalario privado de España. El centro está especializado en neurocirugía, ortopedia, oncología y cirugía cardíaca, y también ofrece atención en cardiología, medicina reproductiva, oftalmología y diagnóstico avanzado. Con acreditación JCI y reconocido como uno de los principales hospitales privados de Barcelona, Centro Médico Teknon trata casos complejos y atiende a pacientes internacionales, incluidas figuras públicas, deportistas y celebridades. El centro atiende exclusivamente a adultos y recibe alrededor de 10 000 pacientes al año, principalmente de países de habla rusa, la Mancomunidad de Naciones, Estados Unidos, Canadá y Australia.</p>\n","images":[{"base_url":"clinic/5c87be3904761","title":"Fachada de la clínica Centro Médico Teknon con gran escalera en Barcelona, España"},{"base_url":"clinic/5ab24c738630b","title":"Fachada de la clínica Centro Médico Teknon con jardín en Barcelona, España"},{"base_url":"clinic/5ac3164cd87d2","title":"Equipo médico frente al edificio de la clínica Centro Médico Teknon en Barcelona, España"},{"base_url":"clinic/5ac3156221add","title":"Entrada de la clínica Centro Médico Teknon en Barcelona, España"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"España","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Carrer de Vilana, 12, 08022 Barcelona, Spain"},"rating":{"rating":4.7,"google":3.5,"percent_of_satisfied_clients":93},"statistics":{"number_of_reviews":497,"doctors_number":400,"year_foundation":1994},"accreditations":[{"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/5db98320c06c8.jpeg","name":"Fundación Europea para la Gestión de la Calidad","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5df778168a0e7.jpeg","name":"GANADOR DEL PREMIO IMTJ MEDICAL TRAVEL EN 2019","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa15d1e46dd.jpeg","name":"Elección del paciente en Neurología","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa164eddd5f.jpeg","name":"Elección del paciente en Neurocirugía","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa16d49cbac.jpeg","name":"Elección del paciente para el tratamiento de la epilepsia","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Los Mejores Hospitales del Mundo 2021 por Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":59},"doctors":{"doctors":[{"doctor":{"id":1099,"alias":"fermin-mearin-manrique","name":"Fermín Mearin Manrique","clinic_id":78,"photo":"doctor/5acf6109aebe8","first_year_working":1979,"created_at":"2017-09-18T10:34:37.000+00:00","short_description":"<p>El doctor es un gastroenterólogo altamente experimentado con más de 40 años de práctica, especializado en el diagnóstico y tratamiento de condiciones del sistema digestivo, con un enfoque particular en el manejo de trastornos digestivos funcionales.&lt;\\/p&gt;</p><p>Actualmente, el doctor dirige el Servicio del Sistema Digestivo en el Centro Médico Teknon y fundó el Instituto Teknon para el Estudio y Tratamiento del Estreñimiento e Incontinencia.&lt;\\/p&gt;</p><p>El doctor ha ocupado posiciones significativas, incluyendo Especialista Jefe en Gastroenterología en el Centro Médico Teknon desde 2001, y ha contribuido con más de 400 trabajos científicos en el campo.&lt;\\/p&gt;</p>","specialities":[{"id":"gst.001","name":"Gastroenterólogo","illness_kind_id":13}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0},"certificates":[{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659c5ce3f3872.jpeg","name":"The American Gastroenterological Association"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659c5cf0d12e3.jpeg","name":"The Spanish Society of Digestive Pathology"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659c5d276ee70.jpeg","name":"European Society of Neurogastroenterology and Motility"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659c5d3a64b07.jpeg","name":"The World Gastroenterology Organisation"}]},"clinic":{"id":78,"alias":"teknon-medical-center","name":"Centro Médico Teknon","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/78-6abd276198357.png","short_description":"<p><strong>Centro Médico Teknon</strong> es un centro médico privado y multidisciplinar situado en Barcelona, España, y forma parte de Quirónsalud, el mayor grupo hospitalario privado de España. El centro está especializado en neurocirugía, ortopedia, oncología y cirugía cardíaca, y también ofrece atención en cardiología, medicina reproductiva, oftalmología y diagnóstico avanzado. Con acreditación JCI y reconocido como uno de los principales hospitales privados de Barcelona, Centro Médico Teknon trata casos complejos y atiende a pacientes internacionales, incluidas figuras públicas, deportistas y celebridades. El centro atiende exclusivamente a adultos y recibe alrededor de 10 000 pacientes al año, principalmente de países de habla rusa, la Mancomunidad de Naciones, Estados Unidos, Canadá y Australia.</p>\n","images":[{"base_url":"clinic/5c87be3904761","title":"Fachada de la clínica Centro Médico Teknon con gran escalera en Barcelona, España"},{"base_url":"clinic/5ab24c738630b","title":"Fachada de la clínica Centro Médico Teknon con jardín en Barcelona, España"},{"base_url":"clinic/5ac3164cd87d2","title":"Equipo médico frente al edificio de la clínica Centro Médico Teknon en Barcelona, España"},{"base_url":"clinic/5ac3156221add","title":"Entrada de la clínica Centro Médico Teknon en Barcelona, España"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"España","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Carrer de Vilana, 12, 08022 Barcelona, Spain"},"rating":{"rating":4.7,"google":3.5,"percent_of_satisfied_clients":93},"statistics":{"number_of_reviews":497,"doctors_number":400,"year_foundation":1994},"accreditations":[{"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/5db98320c06c8.jpeg","name":"Fundación Europea para la Gestión de la Calidad","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5df778168a0e7.jpeg","name":"GANADOR DEL PREMIO IMTJ MEDICAL TRAVEL EN 2019","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa15d1e46dd.jpeg","name":"Elección del paciente en Neurología","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa164eddd5f.jpeg","name":"Elección del paciente en Neurocirugía","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa16d49cbac.jpeg","name":"Elección del paciente para el tratamiento de la epilepsia","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Los Mejores Hospitales del Mundo 2021 por Newsweek","country_code":"US"}]},"procedure_prices":[{"prices":{"price_from":15532.621224388668,"price_to":24408.40478118219,"currency":"USD","id":55158},"operation":{"id":884,"name":"Cirugía laparoscópica antirreflujo (ERGE)","alias":"laparoscopic-anti-reflux-gerd-surgery"}}]}],"meta":{"total_count":1,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Alemania","alias":"germany","iso_code":"DE"},{"name":"Austria","alias":"austria","iso_code":"AT"},{"name":"Azerbaiyán","alias":"azerbaijan","iso_code":"AZ"},{"name":"Corea del Sur","alias":"republic-of-korea","iso_code":"KR"},{"name":"Egipto","alias":"egypt","iso_code":"EG"},{"name":"España","alias":"spain","iso_code":"ES"},{"name":"India","alias":"india","iso_code":"IN"},{"name":"Israel","alias":"israel","iso_code":"IL"},{"name":"Italia","alias":"italy","iso_code":"IT"},{"name":"Japón","alias":"japan","iso_code":"JP"},{"name":"México","alias":"mexico","iso_code":"MX"},{"name":"Polonia","alias":"poland","iso_code":"PL"},{"name":"República Dominicana","alias":"dominican-republic","iso_code":"DO"},{"name":"Suiza","alias":"switzerland","iso_code":"CH"},{"name":"Tailandia","alias":"thailand","iso_code":"TH"},{"name":"Turquía","alias":"turkey","iso_code":"TR"},{"name":"Ucrania","alias":"ukraine","iso_code":"UA"}],"cities":[{"name":"Madrid","alias":"madrid"},{"name":"Barcelona","alias":"barcelona"}],"operations":[{"name":"Terapia hormonal","alias":"hormonal-therapy"},{"name":"Resección de estómago","alias":"stomach-resection"},{"name":"Terapia dirigida","alias":"targeted-therapy"},{"name":"Hidroterapia de colon","alias":"colon-hydrotherapy"},{"name":"Resección de vesícula biliar","alias":"resection-of-gallbladder"},{"name":"Cirugía laparoscópica antirreflujo (ERGE)","alias":"laparoscopic-anti-reflux-gerd-surgery"},{"name":"Apendectomía","alias":"appendectomy"},{"name":"Colecistectomía","alias":"sholecystectomy"},{"name":"Eliminación de pólipos gástricos","alias":"polypectomy"},{"name":"Esofagectomía","alias":"esophagectomy"},{"name":"Resección del intestino delgado","alias":"small-intestine-surgery"},{"name":"Eliminación de pólipo duodenal","alias":"removal-of-duodenal-polyp"},{"name":"Funduplicatura transoral sin incisión (TIF)","alias":"transoral-incisionless-fundoplication-tif"}],"diagnostics":[{"name":"Ultrasonido","alias":"u.s."},{"name":"Resonancia magnética de un área","alias":"mri-one-department"},{"name":"Colonoscopia","alias":"colonoscopy"},{"name":"Chequeo basico","alias":"basic-check-up"},{"name":"Chequeo masculino","alias":"check-up-for-men"},{"name":"TC (tomografía computarizada)","alias":"ct"},{"name":"Chequeo Premium","alias":"premium-check-up"},{"name":"Biopsia","alias":"biopsy"},{"name":"Chequeo Gastroenterológico","alias":"gastroenterological-check-up"},{"name":"Chequeo Pediátrico","alias":"check-up-for-children"},{"name":"Gastroscopia con biopsia","alias":"gastroscopy--biopsy"},{"name":"Prueba de sangre de marcador tumoral","alias":"identification-of-tumor-markers"},{"name":"Fibroscan","alias":"fibroscan"},{"name":"Resonancia magnética de la cavidad abdominal","alias":"mri-of-the-abdominal-cavity"},{"name":"Colonografía por TC","alias":"virtual-colonography"},{"name":"Consulta con creación de plan de tratamiento","alias":"consultation-with-creation-of-treatment-plan"},{"name":"Análisis bioquímico de sangre","alias":"biochemical-analysis-of-blood"},{"name":"Gastroscopia","alias":"esophagogastroduodenoscopy-egd"},{"name":"Consulta con un gastroenterólogo","alias":"consultation-gastroenterologist"},{"name":"Hemograma completo","alias":"total-blood"},{"name":"Resonancia magnética abdominal","alias":"abdominal-mri"}],"illnesses":[{"name":"Colitis ulcerosa","alias":"ulcerative-colitis"},{"name":"Gastritis","alias":"gastritis"},{"name":"Enfermedad de Crohn","alias":"crohn-s"},{"name":"Pancreatitis","alias":"pancreatitis"},{"name":"Úlcera gástrica","alias":"gastric-ulcer"},{"name":"Gastrocele","alias":"gastrocele"},{"name":"El esófago de Barrett","alias":"barretts-esophagus"},{"name":"Colelitiasis","alias":"cholelithiasis"},{"name":"Pólipos del tracto gastrointestinal","alias":"polyps-of-the-gastrointestinal-tract"}],"illnessKinds":[{"name":"Gastroenterología","alias":"gastroenterology"}],"illness_kinds":[{"name":"Gastroenterología","alias":"gastroenterology"}]},"popularSearches":[{"name":"Terapia hormonal","alias":"hormonal-therapy","type":"operation","id":263},{"name":"Resección de estómago","alias":"stomach-resection","type":"operation","id":218},{"name":"Terapia dirigida","alias":"targeted-therapy","type":"operation","id":284},{"name":"Hidroterapia de colon","alias":"colon-hydrotherapy","type":"operation","id":1226},{"name":"Resección de vesícula biliar","alias":"resection-of-gallbladder","type":"operation","id":243},{"name":"Ultrasonido","alias":"u.s.","type":"diagnostic","id":37},{"name":"Resonancia magnética de un área","alias":"mri-one-department","type":"diagnostic","id":6},{"name":"Colonoscopia","alias":"colonoscopy","type":"diagnostic","id":9},{"name":"Chequeo basico","alias":"basic-check-up","type":"diagnostic","id":420},{"name":"Chequeo masculino","alias":"check-up-for-men","type":"diagnostic","id":417},{"name":"Cirrosis","alias":"cirrhosis","type":"illness","id":73},{"name":"Colitis ulcerosa","alias":"ulcerative-colitis","type":"illness","id":71},{"name":"Gastritis","alias":"gastritis","type":"illness","id":72},{"name":"Enfermedad de Crohn","alias":"crohn-s","type":"illness","id":135},{"name":"Pancreatitis","alias":"pancreatitis","type":"illness","id":67}],"operationPrices":{"operation_prices":{"884":{"operation":{"name":"Cirugía laparoscópica antirreflujo (ERGE)","alias":"laparoscopic-anti-reflux-gerd-surgery","use_for_listing":true},"country_price":{"US":{"amount":18000,"max_amount":34000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3700,"max_amount":7000,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":5100,"max_amount":11000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":7500,"max_amount":10500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":7500,"max_amount":11500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":false,"PL":true,"KR":false,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false},"description":"<p>Esta terapia utiliza pequeñas incisiones para reparar la fuga de ácido del estómago, aliviando la acidez estomacal y ofreciendo una recuperación rápida y menos dolorosa.</p>"},"1637":{"operation":{"name":"Funduplicatura transoral sin incisión (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":3600,"max_amount":5200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":7000,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":5000,"max_amount":7800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":6500,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":false,"TH":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":"Gastroenterología","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 work after uncomplicated laparoscopic fundoplication; physically demanding work usually takes longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any perioperative complication within 30 days; serious ones and conversion to open surgery under 2%"},"contraindications":["Unfit for general anesthesia due to severe cardiopulmonary disease","Uncorrected coagulopathy or bleeding disorder","Severe uncontrolled portal hypertension or advanced liver cirrhosis","Pregnancy (elective surgery usually deferred)","Symptoms not caused by gastroesophageal reflux (relative)","Severe motility disorder such as achalasia (relative; needs alternative)","Extensive prior upper abdominal surgery with dense adhesions (relative)"],"days_in_clinic":{"min":1,"max":2,"unit":"nights","qualifier":"Typical inpatient stay after uncomplicated laparoscopic fundoplication, with or without hiatal hernia repair."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking early; heavy lifting and strenuous core exercise avoided about 4-6 weeks."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Swallowing and bloating symptoms typically settle over weeks to a few months; reflux control is assessed by then."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"From surgery; after 1-2 hospital nights and first postoperative check, subject to surgeon clearance and swallowing comfort."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":3,"max":5,"unit":"days","qualifier":"From surgery; in-clinic check before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"From surgery; review of diet progression, 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":null,"red_flags":null,"warning_signs":null,"take_home":null,"alternatives":null,"technique_details":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=barselona/procedure=operacia-pri-refluks-ezofagite/"}],"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":15},"manualSeo":[],"updatedAt":"2026-11-08T06:40:10.089Z","activeCountries":["ES","TR","MX","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}