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stitching","name":"Sleeve gastrectomy surgery","source":{"url":"https://my.clevelandclinic.org/health/treatments/24771-endoscopic-sleeve-gastroplasty","host":"my.clevelandclinic.org","quote":"ESG is a minimally invasive alternative to sleeve gastrectomy surgery and other bariatric surgery procedures.","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":"apollo-overstitch-suturing","name":"Apollo OverStitch suturing (running or interrupted full-thickness sutures)","how_it_works":{"text":"A suturing device places stitches between the stomach walls to narrow it","source":{"url":"https://my.clevelandclinic.org/health/treatments/24771-endoscopic-sleeve-gastroplasty","host":"my.clevelandclinic.org","quote":"Using a suturing device, they place about 10 stitches between the two walls of your stomach and draw them 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stomach.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"techniques":[{"id":"apollo-overstitch-suturing","name":"Apollo OverStitch suturing (running or interrupted full-thickness sutures)","how_it_works":{"id":"H1","text":"A suturing device places stitches between the stomach walls to narrow it","source":{"url":"https://my.clevelandclinic.org/health/treatments/24771-endoscopic-sleeve-gastroplasty","host":"my.clevelandclinic.org","quote":"Using a suturing device, they place about 10 stitches between the two walls of your stomach and draw them together.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":3,"unit":"days","label":"2–3 days","source":{"url":"https://www.healthline.com/health-news/former-weightlifter-weight-loss-after-glp1","host":"healthline.com","quote":"Patients typically go home the same day and can return to routine daily activities within two to three days.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Adults with obesity wanting a non-surgical, incisionless option.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Usually 1-7 days to resume normal activity, with staged diet."},{"id":"modified-primary-obesity","name":"Modified primary obesity surgery endoluminal (POSE 2.0) / other plication variants","how_it_works":{"id":"H1","text":"The stomach wall is folded and stitched in place to reduce space","source":{"url":"https://www.nth.nhs.uk/resources/esg-surgery/","host":"nth.nhs.uk","quote":"When these folds are stitched into your stomach tissue, there is less room in your 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surgery","source":{"url":"https://my.clevelandclinic.org/health/treatments/24771-endoscopic-sleeve-gastroplasty","host":"my.clevelandclinic.org","quote":"ESG is a minimally invasive alternative to sleeve gastrectomy surgery and other bariatric surgery procedures.","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},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK passport holders can travel to Italy without a visa for up to 90 days in any 180-day period","source":{"url":"https://www.gov.uk/foreign-travel-advice/italy/entry-requirements","host":"gov.uk","quote":"You can travel without a visa to the Schengen area , which includes Italy, for up to 90 days in any 180-day period.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"U.S. citizens may enter Italy without a visa for up to 90 days for tourist or business purposes","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Italy.html","host":"travel.state.gov","quote":"U.S. citizens may enter Italy for up to 90 days for tourist or business purposes without a visa.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A UK passport must expire at least 3 months after the day you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/italy/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"A U.S. passport must be valid for at least 3 months beyond the period of stay in Italy","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Italy.html","host":"travel.state.gov","quote":"Your passport must be valid for at least 3 months beyond the period of stay.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"medicines","audience":"all","volatile":false,"text":"Foreigners may bring personal medications for 30 days into Italy; bringing a copy of the prescription is recommended","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Italy.html","host":"travel.state.gov","quote":"According to the Ministry of Health, foreigners entering Italy are allowed to bring personal medications for a period of 30 days, but it is recommended that travelers also bring a copy of their prescription with them.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"ghic","audience":"uk","volatile":false,"text":"A UK GHIC or EHIC is needed to get medically necessary state healthcare in Italy","source":{"url":"https://www.gov.uk/foreign-travel-advice/italy/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Italy, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V7","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals in Italy usually require advance payment or proof of adequate insurance before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Italy.html","host":"travel.state.gov","quote":"Private hospitals usually require advance payment or proof of adequate insurance before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V8","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 118 and ask for an ambulance in Italy","source":{"url":"https://www.gov.uk/foreign-travel-advice/italy/health","host":"gov.uk","quote":"Dial 118 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["azerbaijan","brazil","dominican-republic","greece","india","lithuania","mexico","poland","romania","spain","thailand","turkey","united-kingdom","united-states"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":5,"count":2,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Endoscopic sleeve gastroplasty (ESG) in Italy typically costs from _op_1070_price_from_ to _op_1070_price_to_. The final price depends on the clinic tier, city, and surgeon experience. In the US, similar procedures cost around _price_compare_US_average_ on average. Italy offers savings of around _price_percent_discount_%. Standard costs usually include the endoscopic procedure, anesthesia, and initial specialist consultations.</p>\n\n<ul>\n<li><strong>Clinic location:</strong> Costs in major medical hubs like Rome and Bologna often reflect higher facility fees.</li>\n<li><strong>Surgical expertise:</strong> Procedures performed by internationally trained specialists with high case volumes may cost more.</li>\n<li><strong>Technology premiums:</strong> The use of advanced suturing devices during the procedure affects the total price.</li>\n<li><strong>Integrated care:</strong> Some centers include nutritional counseling and follow-up monitoring in their pricing structure.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing a Bariatric Surgery Center of Excellence, like Maria Cecilia Hospital, ensures specialized care. This hospital is JCI-accredited and treats 9,000 patients annually. Experts like Dr. Antonio Braun have performed over 12,000 gastrointestinal interventions. Paying for such high-volume experience can lead to better outcomes. These top-tier clinics often combine surgical expertise with multidisciplinary support. This integrated approach provides significant value compared to basic surgical packages elsewhere.</p>","faq":[{"q":"Who is a candidate for endoscopic sleeve gastroplasty in Italy?","a":"<p>Candidates for endoscopic sleeve gastroplasty in Italy typically possess a body mass index between 30 and 40. Eligibility extends to patients with a body mass index starting at 27 if they present obesity-related comorbidities like hypertension, type 2 diabetes, or sleep apnea.</p> <ul> <li><strong>Weight history:</strong> Documentation of unsuccessful weight loss through medically supervised diet and exercise programs.</li> <li><strong>Medical indications:</strong> Suitable for individuals who do not qualify for or prefer avoiding invasive surgery.</li> <li><strong>Health status:</strong> No active stomach ulcers, large hiatal hernias over 3 cm, or prior gastric surgery.</li> <li><strong>Psychological readiness:</strong> Successful screening to exclude active eating disorders and confirm commitment to lifestyle changes.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Italian bariatric centers like Maria Cecilia Hospital prioritize multidisciplinary expertise. Surgeons such as Dr. Antonio Braun integrate SICOB guidelines into their practice. Data shows Italian clinics often utilize ESG as bridge therapy for patients with a body mass index over 40 to improve safety before traditional surgery. This approach minimizes risks for higher-weight individuals.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that documented weight-loss failure for at least 6 months is often a strict requirement. Those with minor health issues like hypertension often find their candidacy for ESG is viewed more favorably by specialists.</p>"},{"q":"Is endoscopic sleeve gastroplasty reversible?","a":"<p>Endoscopic sleeve gastroplasty is technically reversible because it involves suturing rather than removing tissue. Surgeons can cut the permanent sutures endoscopically to restore original capacity. However, tissue scarring and fibrosis often make reversal complex after 6 months, requiring a permanent mindset for long-term health success.</p> <ul> <li><strong>Reversal method:</strong> Doctors use endoscopic tools to cut and remove the internal gastric sutures.</li> <li><strong>Critical timing:</strong> Reversal is easiest before 6 months while stomach tissue remains flexible.</li> <li><strong>Surgical conversion:</strong> Patients can still transition to laparoscopic sleeve gastrectomy or gastric bypass if needed.</li> <li><strong>Repeatability:</strong> Surgeons may retighten sutures if the stomach stretches, maintaining the restrictive effect.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Italian bariatric specialists like Dr. Antonio Braun at Maria Cecilia Hospital focus on full-thickness suturing for durability. While technically reversible, the 25-plus years of surgical experience at such JCI-accredited clinics suggests viewing this as a primary intervention. Most patients utilize the _price_percent_discount_% savings compared to US costs to invest in long-term nutritional coaching rather than planned reversals.</p> <p><strong>Patient Consensus:</strong> Many patients emphasize treating this as a permanent commitment due to internal scarring visible after 18 months. They recommend discussing fibrosis risks with surgeons in Rome or Bologna before booking.</p>"},{"q":"What is the typical recovery time after endoscopic sleeve gastroplasty?","a":"<p>Typical recovery after endoscopic sleeve gastroplasty (ESG) is rapid, with most patients returning to light activity within 3 to 7 days. This non-surgical procedure requires no incisions, allowing for same-day discharge and a return to strenuous exercise by week 4.</p> <ul> <li><strong>Hospital stay:</strong> Most patients go home the same day as an outpatient procedure.</li> <li><strong>Work hiatus:</strong> Desk-based professionals generally resume work within 3 to 5 days.</li> <li><strong>Dietary stages:</strong> Patients progress from liquids in week 1 to pureed foods in week 2.</li> <li><strong>Full healing:</strong> Internal stomach sutures set fully and solid foods resume by week 4.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Italian centers like Maria Cecilia Hospital utilize elite surgical expertise, with doctors like Antonio Braun having performed 12,000 gastrointestinal interventions. This high volume often translates to more precise suturing. Our data shows that Italian clinics frequently maintain high JCI safety standards while offering ESG at _op_1070_price_from_ to _op_1070_price_to_, which is significantly lower than average US costs.</p> <p><strong>Patient Consensus:</strong> Patients report that walking hourly during the first 3 days is essential for relieving common gas-related discomfort. Following the strict phased diet prevents most complications and often results in an encouraging initial weight loss of 10 lbs.</p>"},{"q":"Which hospitals in Italy are recognized leaders for endoscopic sleeve gastroplasty?","a":"<p>Italy hosts world-class bariatric centers like Agostino Gemelli University Policlinic and San Raffaele Hospital, recognized for pioneering endoscopic sleeve gastroplasty (ESG). These facilities utilize advanced suturing devices to reduce stomach volume without incisions, following European Society of Gastrointestinal Endoscopy (ESGE) standards.</p> <ul> <li><strong>Elite academic centers:</strong> Agostino Gemelli University Policlinic serves as a global pioneer in bariatric endoscopy.</li> <li><strong>Specialized expertise:</strong> Maria Cecilia Hospital features surgeons like Dr. Ismail Ayman with SICOB certification.</li> <li><strong>Accredited facilities:</strong> MultiMedica Sesto San Giovanni holds SICOB accreditation for high-volume bariatric procedure quality.</li> <li><strong>Advanced technology:</strong> Clinica Ruesch employs minimally invasive technology and multidisciplinary teams for obesity treatment.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While public hospitals like Gemelli lead in research, private JCI-accredited facilities like Maria Cecilia Hospital offer faster access. Dr. Antonio Braun at Maria Cecilia has performed over 12,000 procedures. This high volume often correlates with lower complication rates for endoscopic suturing.</p> <p><strong>Patient Consensus:</strong> Patients note that ESG in Italy is primarily accessible through private networks rather than public healthcare. Many suggest verifying the surgeon's specific international training in the U.S. or Turkey before booking.</p>"}],"h2":[{"text":"Яка вартість ендоскопічної рукавної гастропластики (ESG) в Італії?","kind":"content"},{"text":"Переваги та гарантії Bookimed","kind":"content"},{"text":"Ваш особистий лікар-координатор Bookimed","kind":"content"},{"text":"Дізнайтеся про найкращі клініки з ендоскопічної рукавної гастропластики (ESG) у Італії: 3 перевірені клініки та ціни","kind":"content"},{"text":"Огляд процедури Ендоскопічна рукавна гастропластика (ESG) в Італії","kind":"content"},{"text":"Отримайте медичну консультацію щодо ендоскопічної рукавної гастропластики (ESG) в Італії: Обирайте серед найкращих фахівців у галузі","kind":"content"},{"text":"Поділитися цим контентом","kind":"content"},{"text":"Відеоісторії пацієнтів Bookimed","kind":"content"},{"text":"Ключові факти про ендоскопічну рукавну гастропластику (ESG)","kind":"content"},{"text":"FAQ з ендоскопічної рукавної гастропластики (esg) в Італії","kind":"content"},{"text":"Отримати безкоштовну консультацію","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}