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грудей","alias":"breast-cancer"},{"name":"Рак мигдаликів","alias":"tonsil-cancer"}],"illnessKinds":[{"name":"Онкологія","alias":"oncology"},{"name":"Гастроентерологія","alias":"gastroenterology"}],"illness_kinds":[{"name":"Онкологія","alias":"oncology"},{"name":"Гастроентерологія","alias":"gastroenterology"}]},"popularSearches":[{"name":"Імунотерапія","alias":"immunotherapy","type":"operation","id":283},{"name":"Імунотерапія Кейтрудою (Пембролізумаб)","alias":"keytruda","type":"operation","id":491},{"name":"Хіміотерапія","alias":"chemotherapy","type":"operation","id":37},{"name":"Пересадка кісткового мозку","alias":"bone-marrow-transplantation","type":"operation","id":141},{"name":"Радіочастотна абляція","alias":"radiofrequency-ablation","type":"operation","id":116},{"name":"МРТ одного 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кишки","alias":"removal-of-duodenal-polyp","use_for_listing":true},"country_price":{"UA":{"amount":450,"max_amount":850,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"US":{"amount":4800,"max_amount":8500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1300,"max_amount":2400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1800,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":false,"US":false,"TR":false,"TH":false},"description":"<p>Ця терапія усуває новоутворення в тонкій кишці, покращуючи травлення та запобігаючи таким потенційним ускладненням, як рак.</p>"},"430":{"operation":{"name":"Видалення поліпів 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процедура передбачає видалення аномальних утворень тканин у шлунку для запобігання раку та полегшення симптомів.</p>"}}},"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":46119}},"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 років досвіду Лікар-онколог, сертифікат ESMO","linkedin":"","specialities":[{"id":"onc.001","name":"Онколог","illness_kind_id":10}]},"direction":{"id":10,"name":"Онкологія","alias":"oncology"},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["sedation"],"back_to_work_days":{"min":1,"max":3,"unit":"days","qualifier":"After endoscopic polypectomy of small to moderate gastric polyps; larger polyps or EMR may need longer."},"complication_rate_pct":{"min":1,"max":7,"unit":"percent","qualifier":"Any complication including bleeding and post-polypectomy ulcer; perforation under 1%, higher with larger polyps or EMR."},"contraindications":["Uncorrected coagulopathy or bleeding disorder","Unstable cardiopulmonary condition making sedation unsafe","Suspected perforation or acute abdomen","Patient unable to cooperate or consent","Suspected deep invasive cancer, usually needing another approach (relative)","Unmanageable anticoagulant or antiplatelet therapy (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Typical endoscopic polypectomy with same-day discharge; brief observation only."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Strenuous exercise after small polyp removal; longer after large polyps or EMR, per endoscopist."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Time to mucosal healing and confirmed complete removal on follow-up endoscopy; larger polyps or EMR take longer."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"After same-day polypectomy with no bleeding; EMR or large polyps may need 3-7 days per endoscopist."},"follow_up_visits":[{"purpose":"result_review","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Review of histology results and plan for surveillance endoscopy."}}],"indications":["Gastric polyps that are symptomatic (bleeding, obstruction) or large","Adenomatous or dysplastic gastric polyps","Suspicious or uncertain-histology polyps needing complete excision","Large hyperplastic polyps, or with bleeding or anemia","Fundic gland polyps with dysplasia or large size"],"main_risks":["Bleeding during or after the procedure","Perforation (rare)","Post-polypectomy ulcer or syndrome","Sedation-related cardiopulmonary events","Incomplete resection needing repeat removal","Aspiration"],"pain":"Usually minimal under sedation; mild bloating, throat soreness or epigastric discomfort for a day or two afterwards.","preparation":["Fasting for about 6–8 hours before the procedure","Pre-procedure review of medical history, allergies and bleeding risk","Coagulation tests if indicated","Informed consent","Arrange an escort home after sedation","Review anticoagulant or antiplatelet plan with physician"],"recovery_timeline":[{"phase":"Same day","description":"Observation until sedation wears off, then discharge with light diet.","restrictions":["No driving for 24 hours","Avoid alcohol"]},{"phase":"Days 1–7","description":"Soft diet, mild discomfort resolves; watch for black stools, vomiting blood or severe pain.","restrictions":["Avoid NSAIDs unless approved","Avoid heavy lifting"]},{"phase":"Weeks 1–2","description":"Mucosal healing and return to normal activity; histology 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Surveillance endoscopy is advised per histology.","revision_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Residual or recurrent polyp needing repeat endoscopic removal; higher with large sessile lesions or persisting cause."},"scars":"No external scars or skin incision; polypectomy sites heal inside the stomach without visible marks.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single endoscopic session for removal of a limited number of polyps."},"stages":[{"code":"endoscopic_polypectomy","label":"Endoscopic polypectomy with histology","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial session."}}],"qualifier":"Large or numerous polyps may need staged removal; not typical."},"success":{"metric":"Complete endoscopic removal of polyp","value":90,"unit":"percent","horizon":"At follow-up endoscopy within 1-3 months","population":"Adults with small to moderate gastric polyps treated by endoscopic polypectomy","evidence_status":"limited"},"techniques":[{"name":"Endoscopic snare polypectomy (hot or cold)","suits_whom":"Small to moderate pedunculated or sessile polyps.","recovery":"Same-day discharge; light activity within 1–3 days."},{"name":"Endoscopic mucosal resection (EMR)","suits_whom":"Larger sessile polyps or flat lesions limited to the mucosa.","recovery":"Same-day discharge or short observation; longer dietary and activity precautions."},{"name":"Cold or hot forceps removal","suits_whom":"Very small polyps.","recovery":"Same-day discharge with minimal restrictions."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":1,"unit":"hours","qualifier":"Endoscopic polypectomy session for a limited number of polyps; larger lesions or EMR take longer."},"initial_assessment_documents":["Previous gastroscopy (EGD) report","Gastroscopy images or video","Biopsy histology report","List of blood thinners","Recent blood count and coagulation tests"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single same-day endoscopic session; stay 2-4 days. Histology review is done remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether the team doing the procedure regularly undertakes large polyp removal. Why: this experience reduces the chance of bleeding or perforation","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"The complex polyp service undertakes these procedures on a regular basis and hence has the experience to reduce the chance of such events.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask whether your general health is assessed before the procedure. Why: this aims to reduce the risk of anesthetic complications","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"You can have complications related to anaesthetic, we aim to reduce this risk by assessing your general health prior to the endoscopy procedure and you will be closely monitored by qualified staff during and after the examination.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Ask whether the endoscopist will discuss the alternatives to endoscopic removal with you in detail","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"These options will be discussed with you in detail at your pre assessment appointment and by the Endoscopist undertaking the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask whether you will receive clear aftercare details before you leave, such as follow-up arrangements","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"Before you are discharged from the ward you will be given clear details concerning follow up arrangements and aftercare information.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask whether an overnight stay for monitoring is planned after the procedure","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"You will be admitted to the ward for overnight stay after your procedure for monitoring purposes.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Ask whether the polyp can be removed in one piece. Why: this lets the team judge how deep any cancer reaches","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"If the polyp is in one piece we can usually tell how deep any cancerous cells reach if they are present.","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":"The clinic offers no pre-assessment or discussion of alternatives to endoscopic removal","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"These options will be discussed with you in detail at your pre assessment appointment and by the Endoscopist undertaking the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"No general health check before the procedure is offered or mentioned","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"You can have complications related to anaesthetic, we aim to reduce this risk by assessing your general health prior to the endoscopy procedure and you will be closely monitored by qualified staff during and after the examination.","tier":"tier1_medical","fetched_at":"2026-11-13","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":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heavy or persistent bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23479-polypectomy","host":"my.clevelandclinic.org","quote":"This is normal, but be sure to consult your healthcare provider if you have heavy or persistent bleeding.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Abdominal pain","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23479-polypectomy","host":"my.clevelandclinic.org","quote":"Symptoms may include abdominal pain , fever and leukocytosis (high white blood cell count, a sign that your immune system has been activated).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Blood in your stool","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21148-endoscopic-mucosal-resection","host":"my.clevelandclinic.org","quote":"Blood in your stool.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Chest pain","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21148-endoscopic-mucosal-resection","host":"my.clevelandclinic.org","quote":"Advertisement Blood in your stool . Chest pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Dizziness or fainting","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21148-endoscopic-mucosal-resection","host":"my.clevelandclinic.org","quote":"Advertisement Blood in your stool . Chest pain . Dizziness or fainting","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":"Results decide whether further treatment is needed; the home doctor needs them","document":"pathology laboratory result","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"Sometimes decisions about further treatment can only be made once these results are available.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Gives the home doctor the follow-up arrangements needed to continue care","document":"follow-up and aftercare details","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"Before you are discharged from the ward you will be given clear details concerning follow up arrangements and aftercare information.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"The report documents the gastric polyp removal and supports follow-up care","document":"procedure report","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"A full report will be sent to your GP and/or hospital consultant.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T4","text":"Contact details help patients obtain care if complications occur after discharge","document":"complication contacts","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/endoscopic-removal-of-large-gastric-polyps/","host":"gatesheadhealth.nhs.uk","quote":"You will be given contact details in the event of any complications that may 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