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resolves, oral diet is tolerated and the treating physician clears travel"},"follow_up_visits":[{"purpose":"assessment","after":{"min":7,"max":14,"unit":"days","qualifier":"Discharge review of symptoms, diet and cause-directed plan, usually remote"},"requirement":"routine"},{"purpose":"result_review","after":{"min":28,"max":56,"unit":"days","qualifier":"Repeat labs or imaging to exclude collections, with home-country physician"},"requirement":"routine"},{"purpose":"other","after":{"min":14,"max":90,"unit":"days","qualifier":"Needed if pain, fever or vomiting recurs"},"requirement":"conditional"}],"indications":["Acute pancreatitis","Chronic pancreatitis","Recurrent pancreatitis from gallstones, alcohol or hypertriglyceridemia"],"main_risks":["Acute pancreatitis progressing to necrosis, infection or organ failure","Pancreatic fluid collections or pseudocysts","Malabsorption and diabetes in chronic disease","Medication adverse effects (e.g., opioid-related)","Recurrence if underlying cause is untreated"],"pain":"Severe upper abdominal pain at onset, controlled with IV analgesia in the first days. Pain usually settles to mild within about 1-2 weeks.","preparation":["Send recent imaging and laboratory reports","List current medications and supplements","Stop alcohol completely","Arrange fasting only as directed","Bring prior pancreatitis discharge summaries"],"recovery_timeline":[{"phase":"Days 1-3","description":"Admission, IV fluids, pain control, monitoring and early diagnostics.","restrictions":["Nil by mouth or minimal intake as directed","Bed rest"]},{"phase":"Days 4-10","description":"Early oral or enteral feeding, cause-directed treatment, pain stepped down.","restrictions":["Low-fat diet","No alcohol"]},{"phase":"Days 11-28","description":"Home recovery with gradual return to normal diet and activity.","restrictions":["No alcohol or smoking","Avoid heavy exertion"]},{"phase":"Weeks 4-12","description":"Check-up, lifestyle and enzyme therapy review if needed.","restrictions":["Continue alcohol abstinence","Low-fat diet as advised"]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Return to ordinary daily function and normal diet after discharge"},"result_longevity":"Lasts if the cause is removed and alcohol and smoking are avoided. Chronic disease needs lifelong management and recurrence remains possible.","revision_rate_pct":{"min":15,"max":30,"unit":"percent","qualifier":"Recurrent pancreatitis or readmission within 1-2 years if cause is not removed; higher with ongoing alcohol use"},"scars":"No scars; no incisions in the standard non-surgical protocol.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single inpatient admission with continuous therapy"},"stages":[{"code":"stabilisation","label":"Fluids, analgesia and diagnostics","after":{"min":0,"max":3,"unit":"days","qualifier":"From admission"}},{"code":"nutrition_cause","label":"Nutrition and cause-directed treatment","after":{"min":3,"max":10,"unit":"days","qualifier":"Depends on tolerance of oral feeding"}}],"qualifier":"One continuous inpatient course, not repeated sessions"},"success":{"metric":"Recovery from mild-moderate acute pancreatitis without persistent organ failure","value":90,"unit":"percent","horizon":"Within 4 weeks of admission","population":"Adults with mild to moderate acute pancreatitis treated conservatively","evidence_status":"limited"},"techniques":[{"name":"Supportive care with IV fluids and analgesia","suits_whom":"Acute pancreatitis, mild to moderate","recovery":"Discharge in about 7-10 days"},{"name":"Early enteral nutrition","suits_whom":"Patients unable to eat orally for several days","recovery":"Gradual return to oral diet over 1-2 weeks"},{"name":"Enzyme replacement and pain management","suits_whom":"Chronic pancreatitis with malabsorption or pain","recovery":"Symptom control within weeks; ongoing therapy"},{"name":"Cause-directed treatment such as lipid lowering or alcohol cessation program","suits_whom":"Recurrent pancreatitis with identified cause","recovery":"Prevents recurrence; long-term follow-up"}],"treatment_conditions":["inpatient"],"treatment_duration_hours":null,"initial_assessment_documents":["Abdominal CT or MRI report with images","Serum amylase and lipase results","Abdominal ultrasound report","Discharge summaries from previous pancreatitis episodes","Liver function and blood glucose tests","Endoscopic ultrasound or MRCP report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Inpatient diagnostics and conservative therapy in one trip; stay about 7-14 days. Follow-up is usually remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the clinician's qualifications and the facility's credentials for the procedure","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Decide ahead how you will communicate with your clinician if you do not speak the language","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that the facility is accredited by a recognized international accrediting body","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Patients should only be referred for medical care to institutions that have been accredited by recognized international accrediting bodies (e.g., the Joint Commission International or the International Society for Quality in Health Care).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C4","text":"Check how complications related to the treatment will be addressed","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 discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"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":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Clinic staff who cannot communicate with you clearly before 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discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Pain spreading to your back","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/conditions/pancreatitis/","host":"nhs.uk","quote":"the pain is spreading to your back","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Fainting or severe dizziness","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diseases/8103-pancreatitis","host":"my.clevelandclinic.org","quote":"- Fainting or severe 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