قام البروفيسور الدكتور بوريس بفافنباخ، رئيس قسم أمراض الجهاز الهضمي والأورام، بإجراء أكثر من 9000 إجراء طبي ولديه أكثر من 130 منشوراً علمياً في هذا المجال. تقدم العيادة حزمة شاملة بقيمة 3500 يورو تغطي الاستشارة والتشخيص وبدء العلاج خلال إقامة في المستشفى لمدة 7 أيام. وباعتباره مركزاً معتمداً من جمعية السرطان الألمانية ومستشفى أكاديمياً تابعاً لجامعة كولونيا، فإنه يتبع بروتوكولات جودة صارمة. البروفيسور بفافنباخ عضو في الجمعيات الألمانية والأوروبية لأمراض الجهاز الهضمي.
يُعد مستشفى Solingen المحلي / المستشفى الأكاديمي التابع لجامعة كولونيا من بين أفضل العيادات في ألمانيا وفقًا لمجلة Focus - وهي واحدة من أكثر الطبعات الألمانية انتشارًا. Städtisches Klinikum Solingen هي مؤسسة طبية معتمدة تعالج أكثر من 60.000 مريض سنويًا.
\n","images":[{"base_url":"clinic/5c87c67033d52","title":"الواجهة الحديثة لمبنى مركز ميديكال سنتر في زولينغن، ألمانيا"},{"base_url":"clinic/5ab24b5fb69f7","title":"طاقم طبي يراجع جدول العمليات على الشاشة في مركز سولنجن الطبي"},{"base_url":"clinic/5ab24b6047e9a","title":"غرفة التصوير المقطعي في مركز سولينغن الطبي مع مريض وطبيب"},{"base_url":"clinic/5ab24b60a6459","title":" room"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"ألمانيا","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"زولينغن","id":341,"alias":"solingen"},"address":"Gotenstraße 1, 42653 Solingen, Germany"},"rating":{"rating":4.7,"google":3.3,"percent_of_satisfied_clients":92},"statistics":{"number_of_reviews":69,"doctors_number":400,"year_foundation":1863},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb7161d3319.jpeg","name":"أفضل طبيب لعلاج الانزلاق الغضروفي","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"الجمعية الألمانية لمكافحة السرطان","country_code":"DE"}],"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":32},"doctors":{"doctors":[{"doctor":{"id":192,"alias":"boris-pfaffenbach","name":"Boris Pfaffenbach","photo":"doctor/5acf60222c3a5","first_year_working":1992,"created_at":"2016-02-18T14:28:10.000+00:00","short_description":"البروفيسور بوريس فافنباخ هو طبيب ذو خبرة عالية في أمراض الجهاز الهضمي والأورام من ألمانيا متخصص في الفحوصات بالمنظار وعلاج أمراض الجهاز الهضمي والمرارة والبنكرياس. وهو رئيس قسم أمراض الجهاز الهضمي والأورام والطب الباطني في المركز الطبي في سولينجن ولديه خبرة واسعة في هذا المجال ، بما في ذلك 9000 عملية جراحية تحت إمرته. وهو حاصل على درجات علمية في الطب العام والطب الباطني وأمراض الجهاز الهضمي ، وهو مؤلف وشريك في تأليف أكثر من 130 مطبوعة. وهو عضو في العديد من المنظمات المهنية ، بما في ذلك الجمعي","specialities":[{"id":"gst.001","name":"أخصائي أمراض الجهاز الهضمي","illness_kind_id":13},{"id":"onc.001","name":"أخصائي الأورام السريرية","illness_kind_id":10},{"id":"sur.007","name":"أخصائي جراحة الأورام","illness_kind_id":33}],"statistics":{"review_count":2,"review_score":5,"operations_performed_count":0,"awards_count":0},"certificates":[{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/68ac878764a05.jpeg","name":"German Society for Gastroenterology, Digestive and Metabolic Diseases"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/68ac87d56b430.jpeg","name":"European Society of Gastrointestinal Endoscopy"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/68ac8839c432e.jpeg","name":"German Dietitian Association"}]},"clinic":{"id":268,"alias":"medical-center-in-solingen","name":"Medical Center in Solingen","short_description":"
يُعد مستشفى Solingen المحلي / المستشفى الأكاديمي التابع لجامعة كولونيا من بين أفضل العيادات في ألمانيا وفقًا لمجلة Focus - وهي واحدة من أكثر الطبعات الألمانية انتشارًا. Städtisches Klinikum Solingen هي مؤسسة طبية معتمدة تعالج أكثر من 60.000 مريض سنويًا.
\n","images":[{"base_url":"clinic/5c87c67033d52","title":"الواجهة الحديثة لمبنى مركز ميديكال سنتر في زولينغن، ألمانيا"},{"base_url":"clinic/5ab24b5fb69f7","title":"طاقم طبي يراجع جدول العمليات على الشاشة في مركز سولنجن الطبي"},{"base_url":"clinic/5ab24b6047e9a","title":"غرفة التصوير المقطعي في مركز سولينغن الطبي مع مريض وطبيب"},{"base_url":"clinic/5ab24b60a6459","title":" room"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"ألمانيا","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"زولينغن","id":341,"alias":"solingen"},"address":"Gotenstraße 1, 42653 Solingen, Germany"},"rating":{"rating":4.7,"google":3.3,"percent_of_satisfied_clients":92},"statistics":{"number_of_reviews":69,"doctors_number":400,"year_foundation":1863},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb7161d3319.jpeg","name":"أفضل طبيب لعلاج الانزلاق الغضروفي","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"الجمعية الألمانية لمكافحة السرطان","country_code":"DE"}]}}],"meta":{"total_count":1,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"ألمانيا","alias":"germany","iso_code":"DE"},{"name":"أوكرانيا","alias":"ukraine","iso_code":"UA"},{"name":"إسبانيا","alias":"spain","iso_code":"ES"},{"name":"إسرائيل","alias":"israel","iso_code":"IL"},{"name":"الإمارات العربية المتحدة","alias":"united-arab-emirates","iso_code":"AE"},{"name":"النمسا","alias":"austria","iso_code":"AT"},{"name":"الهند","alias":"india","iso_code":"IN"},{"name":"تايلاند","alias":"thailand","iso_code":"TH"},{"name":"تركيا","alias":"turkey","iso_code":"TR"},{"name":"جمهورية التشيك","alias":"czech-republic","iso_code":"CZ"},{"name":"لاتفيا","alias":"latvia","iso_code":"LV"}],"cities":[{"name":"دوسلدورف","alias":"dusseldorf"},{"name":"إسن","alias":"essen"},{"name":"زولينغن","alias":"solingen"}],"operations":[{"name":"إستئصال الثدي","alias":"mastectomy"},{"name":"استئصال الكلية بالمنظار","alias":"laparoscopic-nephrectomy"},{"name":"العلاج الكيميائي","alias":"chemotherapy"},{"name":"استئصال الغدة الدرقية","alias":"thyroid-resection"},{"name":"استئصال سرطان الكبد","alias":"removal-of-liver-cancer"},{"name":"استئصال سرطان القولون","alias":"removal-of-colon-cancer"},{"name":"إزالة ورم في المخ","alias":"removal-of-the-brain-tumor"},{"name":"العلاج الإشعاعي الموضعي","alias":"brachytherapy"},{"name":"الموجات الفوق صوتية عالية التكثيف المركزة HIFU","alias":"high-intensity-focused-ultrasound-ablation-hifu"},{"name":"استئصال البروستاتا","alias":"prostatectomy"},{"name":"استئصال ورم الحبل الشوكي","alias":"removal-of-spinal-cord-tumor"},{"name":"جراحة سرطان الجلد","alias":"melanoma-surgery"},{"name":"استئصال الكلية","alias":"nephrectomy"},{"name":"جراحة سرطان المعدة","alias":"gastrectomy"},{"name":"العلاج بالإشعاع","alias":"radiotherapy"},{"name":"العلاج البيولوجي","alias":"biological-therapy"},{"name":"استئصال ورم عبر الأنف","alias":"transnasal-resection-of-tumor"},{"name":"استئصال المريء","alias":"esophagectomy"},{"name":"استئصال الأمعاء الدقيقة","alias":"small-intestine-surgery"},{"name":"استئصال البروستاتا بوساطة روبوت دا فينشي","alias":"radical-prostatectomy-via-da-vinci-robotic-surgery"},{"name":"استئصال البروستاتا عبر الاحليل (TURP)","alias":"transurethral-resection-of-the-prostate-turp"},{"name":"العلاج باليود المشع","alias":"radioiodine-therapy"},{"name":"استئصال سرطان الثدي","alias":"operation-on-breast-cancer"},{"name":"استئصال عنق الرحم","alias":"trachelectomy-cervicectomy"}],"diagnostics":[{"name":"PET / CT","alias":"pet-ct"},{"name":"التصوير بالرنين المغناطيسي لمنطقة واحدة","alias":"mri-one-department"},{"name":"تنظير القولون","alias":"colonoscopy"},{"name":"تنظير مع خزعة","alias":"gastroscopy--biopsy"},{"name":"خزعة التنظير المهبلي","alias":"biopsy-colposcopy"},{"name":"التصوير الشعاعي للثدي","alias":"mammography"},{"name":"الموجات فوق الصوتية للغدة الدرقية","alias":"thyroid-ultrasound"},{"name":"كبسولة التنظير","alias":"capsule-endoscopy"},{"name":"الخزعة","alias":"biopsy"},{"name":"خزعة البروستات","alias":"prostate-biopsy"},{"name":"تحليل موسع للدم","alias":"extended-analysis-of-blood"},{"name":"تحليل الدم الكيميائي الحيوي","alias":"biochemical-analysis-of-blood"},{"name":"فحص الواسمات السرطانية في الدم","alias":"identification-of-tumor-markers"},{"name":"التصوير الومضاني","alias":"scintigraphy"},{"name":"التشاور مع طبيب الأورام","alias":"consultation-of-oncologist"},{"name":"تنظير القولون مع خزعة","alias":"colonoscopy-with-biopsy-or-removal-of-1-polyp"},{"name":"اختبار PSA","alias":"psa-test"},{"name":"التشاور مع طبيب الثدي","alias":"consultation-mammalogy"},{"name":"التصوير بالرنين المغناطيسي لكامل الجسم","alias":"whole-body-mri"},{"name":"Сomplex تشخيص الأورام","alias":"somplex-oncology-diagnostic"},{"name":"طفرة جين BRAF","alias":"braf-gene-mutation"},{"name":"التشريح المرضي","alias":"revision-of-biopsy-and-immunohistochemistry"},{"name":"التشاور مع طبيب الكبد","alias":"consultation-of-a-hepatologist"},{"name":"غرامة إبرة خزعة الطموح","alias":"fine-needle-aspiration-biopsy"}],"illnesses":[{"name":"سرطان اللوزتين","alias":"tonsil-cancer"},{"name":"الورم السحائي","alias":"meningoblastoma"},{"name":"سرطان المرارة","alias":"gallbladder-cancer"},{"name":"سرطان المعدة","alias":"stomach-cancer"},{"name":"سرطان عنق الرحم","alias":"cervical-cancer"},{"name":"سرطان البروستات","alias":"prostate-cancer"},{"name":"سرطان الكلى","alias":"kidney-cancer"},{"name":"السرطان الغدي","alias":"adenocarcinoma"},{"name":"فقر الدم اللاتنسجي","alias":"aplastic-anemia"},{"name":"سرطان الغدد الليمفاوية","alias":"lymphoma"},{"name":"سرطان المريء","alias":"esophageal-cancer"},{"name":"سرطان المستقيم","alias":"rectal-cancer"},{"name":"التوتة","alias":"thymoma"},{"name":"سرطان الدماغ","alias":"brain-cancer"},{"name":"سرطان الثدي","alias":"breast-cancer"},{"name":"سرطان الرحم","alias":"cancer-of-the-uterus"},{"name":"الورم اللمفي","alias":"lymphangioma"},{"name":"سرطان الرئة","alias":"lung-cancer"},{"name":"مرحلة سرطان الكبد 3","alias":"liver-cancer-stage-3"},{"name":"سرطان المبيض","alias":"ovarian-cancer"},{"name":"سرطان المعدة المرحلة 2","alias":"stomach-cancer-stage-2"},{"name":"metaplasia المعدة","alias":"gastric-metaplasia"},{"name":"ورم سيني غدي","alias":"sigmoid-adenocarcinoma"},{"name":"سرطان الجلد","alias":"melanoma"}],"illnessKinds":[{"name":"طب الأورام","alias":"oncology"},{"name":"طب الأورام وأمراض الدم","alias":"hematology"},{"name":"سرطان الأطفال","alias":"pediatric-oncology"}],"illness_kinds":[{"name":"طب الأورام","alias":"oncology"},{"name":"طب الأورام وأمراض الدم","alias":"hematology"},{"name":"سرطان الأطفال","alias":"pediatric-oncology"}]},"popularSearches":[{"name":"العلاج المناعي","alias":"immunotherapy","type":"operation","id":283},{"name":"العلاج المناعي مع Keytruda (Pembolizumab)","alias":"keytruda","type":"operation","id":491},{"name":"العلاج الكيميائي","alias":"chemotherapy","type":"operation","id":37},{"name":"زرع نخاع العظم","alias":"bone-marrow-transplantation","type":"operation","id":141},{"name":"الترددات اللاسلكية","alias":"radiofrequency-ablation","type":"operation","id":116},{"name":"التصوير بالرنين المغناطيسي لمنطقة واحدة","alias":"mri-one-department","type":"diagnostic","id":6},{"name":"تنظير القولون","alias":"colonoscopy","type":"diagnostic","id":9},{"name":"PET / CT","alias":"pet-ct","type":"diagnostic","id":1},{"name":"التشاور مع طبيب الأورام","alias":"consultation-of-oncologist","type":"diagnostic","id":102},{"name":"التشاور مع وضع خطة العلاج","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457}],"operationPrices":{"operation_prices":{"154":{"operation":{"name":"العلاج البيولوجي","alias":"biological-therapy","use_for_listing":true},"country_price":{"TR":{"amount":2500,"max_amount":6500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DE":{"amount":9000,"max_amount":21000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":6500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":900,"max_amount":7000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"TR":false,"DE":false,"TH":false,"ES":true},"description":"يستخدم هذا العلاج الكائنات الحية لعلاج المرض عن طريق تحفيز جهاز المناعة في الجسم.
"},"283":{"operation":{"name":"العلاج المناعي","alias":"immunotherapy","use_for_listing":true},"country_price":{"TR":{"amount":3000,"max_amount":3500,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":12000,"max_amount":24000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":20000,"max_amount":40000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":4000,"max_amount":18000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"TR":true,"DE":false,"TH":false,"ES":true},"description":"يعزز هذا العلاج دفاعات الجسم الطبيعية لمحاربة أمراض مثل السرطان ، ويقلل من الآثار الجانبية.
"},"393":{"operation":{"name":"Bacillus Calmette-Guérin (BCG) العلاج","alias":"bcz-terapia","use_for_listing":true},"country_price":{"TR":{"amount":1500,"max_amount":2900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DE":{"amount":4000,"max_amount":7000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1500,"max_amount":2600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":2600,"max_amount":4300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":false,"DE":false,"TH":false,"ES":false},"description":"يساعد هذا العلاج ، الذي يستخدم لقاح السل ، في علاج سرطان المثانة ، من خلال الإدخال المباشر في المثانة.
"},"491":{"operation":{"name":"العلاج المناعي مع Keytruda (Pembolizumab)","alias":"keytruda","use_for_listing":true},"country_price":{"TR":{"amount":3900,"max_amount":7400,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":6000,"max_amount":8100,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":8000,"max_amount":16000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":5300,"max_amount":7900,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"DE":true,"TH":false,"ES":true},"description":"العلاج هو علاج يقوي جهاز المناعة في الجسم لمحاربة السرطان ، وذلك باستخدام دواء فعال وموجه للغاية.
"},"696":{"operation":{"name":"العلاج المناعي لسرطان البروستاتا","alias":"immunotherapy-for-prostate-cancer","use_for_listing":true},"country_price":{"TR":{"amount":8000,"max_amount":25000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":9500,"max_amount":19500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":12000,"max_amount":25000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":6200,"max_amount":18000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"TR":true,"DE":false,"TH":false,"ES":true},"description":"يعزز هذا العلاج جهاز المناعة في الجسم لمحاربة سرطان البروستاتا ، ويقدم علاجًا موجهًا وجيد التحمل.
"},"712":{"operation":{"name":"العلاج المناعي لسرطان الرئة","alias":"immunotherapy-for-lung-cancer","use_for_listing":true},"country_price":{"TR":{"amount":8000,"max_amount":13000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":18000,"max_amount":42000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":18000,"max_amount":42000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":5000,"max_amount":17500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"TR":true,"DE":false,"TH":false,"ES":true},"description":"يعزز هذا العلاج دفاعات الجسم الطبيعية لمحاربة سرطان الرئة باستخدام مواد يصنعها الجسم نفسه.
"},"713":{"operation":{"name":"العلاج المناعي لسرطان الثدي","alias":"immunotherapy-for-breast-cancer","use_for_listing":true},"country_price":{"TR":{"amount":4800,"max_amount":16000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":14000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":8000,"max_amount":14000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":2200,"max_amount":28000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"TR":true,"DE":false,"TH":false,"ES":true},"description":"يعزز هذا العلاج جهاز المناعة لديك لمحاربة واستئصال خلايا سرطان الثدي بشكل فعال.
"},"714":{"operation":{"name":"العلاج المناعي لسرطان الكلى","alias":"immunotherapy-for-kidney-cancer","use_for_listing":true},"country_price":{"TR":{"amount":8000,"max_amount":25000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"DE":{"amount":9500,"max_amount":18500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":18000,"max_amount":32000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":2200,"max_amount":18000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"TR":true,"DE":false,"TH":false,"ES":true},"description":"يعزز هذا العلاج دفاعات الجسم الطبيعية ، وغالبًا ما يطيل عمر مرضى سرطان الكلى.
"}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":3,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":46119}},"direction":{"id":10,"name":"طب الأورام","alias":"oncology"},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":2,"unit":"days","qualifier":"Most return the next day; fatigue or infusion reaction can delay return."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any adverse event in first year (infusion reactions, infections); serious infections about 1-5%"},"contraindications":["Active serious infection, including sepsis","Untreated latent or active tuberculosis","Active hepatitis B infection","Moderate to severe heart failure (TNF inhibitors)","Demyelinating disease such as multiple sclerosis","Active malignancy or recent cancer","Pregnancy or breastfeeding without specialist review","Known allergy to the biologic or its components","Planned live vaccination during treatment"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Infusion given as outpatient; no overnight stay needed."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light activity resumes next day if no infusion reaction or fatigue."},"final_result_months":{"min":2,"max":4,"unit":"months","qualifier":"Depends on disease and drug; clinical response often assessed after induction doses."},"fly_home_after_days":{"min":1,"max":2,"unit":"days","qualifier":"After observation confirms no delayed infusion reaction; later if induction continues abroad."},"follow_up_visits":[{"purpose":"assessment","after":{"min":14,"max":14,"unit":"days","qualifier":"Second induction dose and tolerance check"},"requirement":"routine"},{"purpose":"assessment","after":{"min":42,"max":42,"unit":"days","qualifier":"Third induction dose and early response review"},"requirement":"routine"},{"purpose":"result_review","after":{"min":84,"max":120,"unit":"days","qualifier":"Response assessment with blood tests and maintenance planning"},"requirement":"routine"}],"indications":["Rheumatoid arthritis","Psoriatic arthritis and ankylosing spondylitis","Moderate to severe plaque psoriasis","Crohn's disease","Ulcerative colitis","Inadequate response to conventional immunosuppressants"],"main_risks":["Infusion or injection-site reactions","Serious infections","Tuberculosis or hepatitis B reactivation","Allergic reaction or anaphylaxis","Anti-drug antibodies and loss of response","Headache, fatigue, nausea","Rare lymphoma or demyelination"],"pain":"Minimal; only a needle insertion for the intravenous infusion. Mild headache or fatigue may follow.","preparation":["Tuberculosis screening (chest X-ray, IGRA)","Hepatitis B and C and HIV testing","Baseline blood tests and liver function","Review of current medications","Update non-live vaccinations before starting","Pregnancy test where relevant","Exclude active infection before each dose"],"recovery_timeline":[{"phase":"Infusion day","description":"Intravenous infusion with observation for reactions; most go home the same day.","restrictions":["Report fever, rash or breathing difficulty immediately"]},{"phase":"Days 1-3","description":"Mild fatigue or headache may occur; normal activity usually continues.","restrictions":["Avoid contact with infected people"]},{"phase":"Weeks 2-6","description":"Further induction doses; symptoms begin to improve.","restrictions":["No live vaccines","Report any infection promptly"]},{"phase":"Months 2-4","description":"Full clinical response assessed; maintenance schedule set.","restrictions":["Regular infection and blood monitoring"]}],"rehabilitation_days":{"min":0,"max":1,"unit":"days","qualifier":"No formal rehabilitation; brief rest after each infusion."},"result_longevity":"Benefit lasts only while treatment continues; maintenance dosing, typically every 8 weeks (interval varies by drug), is usually needed. Symptoms often relapse after stopping.","revision_rate_pct":null,"scars":"None; no incisions. Only a temporary needle puncture mark at the infusion site.","sessions_or_stages":{"sessions":{"min":3,"max":3,"unit":"visits","qualifier":"Induction doses at weeks 0, 2 and 6; maintenance continues long term."},"stages":[{"code":"induction_1","label":"First infusion","after":{"min":0,"max":0,"unit":"days","qualifier":"Start of treatment"}},{"code":"induction_2","label":"Second infusion","after":{"min":14,"max":14,"unit":"days","qualifier":"Two weeks after first"}},{"code":"induction_3","label":"Third infusion","after":{"min":42,"max":42,"unit":"days","qualifier":"Six weeks after first"}}],"qualifier":"Induction course; maintenance infusions every 8 weeks follow, usually at home clinic."},"success":{"metric":"Clinical response after induction (IV anti-TNF, e.g. Crohn's disease)","value":60,"unit":"percent of patients","horizon":"8-14 weeks after starting treatment","population":"Adults with moderate to severe Crohn's disease despite conventional therapy","evidence_status":"limited"},"techniques":[{"name":"Intravenous monoclonal antibody infusion","suits_whom":"Crohn's, ulcerative colitis, rheumatoid arthritis needing supervised dosing","recovery":"Same-day discharge; normal activity next day."},{"name":"Subcutaneous self-injection biologics","suits_whom":"Patients preferring home dosing, e.g. psoriasis or arthritis","recovery":"No recovery time; mild injection-site reaction."},{"name":"Interleukin inhibitor therapy","suits_whom":"Psoriasis and spondyloarthritis","recovery":"No downtime; periodic injections."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":2,"max":3,"unit":"hours","qualifier":"Per infusion including observation; longer for first dose."},"initial_assessment_documents":["Tuberculosis screening results","Hepatitis B and C test results","HIV test results","Baseline blood counts and liver tests","Current medication list","Vaccination record"],"travel_trips":{"min":3,"max":3,"one_trip_possible":false,"qualifier":"Induction infusions at weeks 0, 2 and 6; maintenance every 8 weeks usually continues at the home clinic."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=germany/city=zolingen/procedure=biologicheskaya-terapiya/"}],"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":2},"manualSeo":[],"updatedAt":"2026-11-05T14:00:23.274Z","activeCountries":["TR","ES","DE","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}