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I arrived from another country early at 12 pm. I filled out the documents in 30 minutes and sat in the corridor until 5 pm (I didn't eat anything for almost 24 hours). It was agreed to do an ultrasound and gastroscopy with a biopsy. They only did a gastroscopy. No one returned the money for the biopsy. At first they served foreign clients, they told me to wait until the end of the working day. Horrible attitude. I DO NOT RECOMMEND!!!! Ukrainians for sure... they have a different attitude towards foreign guests..)))"},"order":{"illness":{"name":{"ar":"إلتهاب المعدة","en":"Gastritis"}},"diagnostic":{"name":{"ar":"كبسولة التنظير","en":"Capsule endoscopy"}}},"clinic_info":{"id":460,"name":"KCM Clinic","alias":"kcm-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-12-06T07:01:23.203+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":false},{"name":"is_notification_sent","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"ar":"أولاً، كان الامتحان في الساعة 14:00، في اليوم السابق للامتحان أرادوا تقديمه إلى الساعة 11:00. وصلت من بلد آخر قبل الساعة 12 ظهراً. ملأت المستندات في 30 دقيقة وجلست في الممر حتى الساعة 5 مساءً (لم أتناول أي شيء لمدة 24 ساعة تقريبًا). تقرر إجراء فحص بالموجات فوق الصوتية ومنظار المعدة مع خزعة. تم إجراء تنظير المعدة فقط. لم يقم أحد بإعادة أموال الخزعة. في البداية قاموا بخدمة العملاء الأجانب، وطلبوا الانتظار حتى نهاية يوم العمل. موقف فظيع. غير مستحسن!!!! ربما الأوكرانيون... لديهم موقف مختلف تجاه الضي","en":"Firstly, the examination was at 2 pm, the day before the examination they wanted to postpone it to 11 am. I arrived from another country early at 12 pm. I filled out the documents in 30 minutes and sat in the corridor until 5 pm (I didn't eat anything for almost 24 hours). It was agreed to do an ultrasound and gastroscopy with a biopsy. They only did a gastroscopy. No one returned the money for the biopsy. At first they served foreign clients, they told me to wait until the end of the working da"}},"comment_about_bookimed":{"ar":"أولًا، كان الامتحان في الساعة 2 ظهرًا، في اليوم السابق للامتحان أرادوا تأجيله إلى الساعة 11 صباحًا. وصلت من بلد آخر مبكرًا في الساعة 12 ظهرًا. ملأت المستندات في 30 دقيقة وجلست في الممر حتى الساعة 5 مساءً (لم أتناول أي شيء لمدة 24 ساعة تقريبًا). تم الاتفاق على إجراء فحص بالموجات فوق الصوتية ومنظار المعدة مع خزعة. قاموا بإجراء تنظير المعدة فقط. لم يقم أحد بإعادة أموال الخزعة. في البداية قاموا بخدمة العملاء الأجانب، وطلبوا مني الانتظار حتى نهاية يوم العمل. موقف فظيع. أنا لا أوصي!!!! الأوكرانيون بالتأكيد... لديهم موقف مختلف تجاه الضيوف الأجانب...))))","en":"Firstly, the examination was at 2 pm, the day before the examination they wanted to postpone it to 11 am. I arrived from another country early at 12 pm. I filled out the documents in 30 minutes and sat in the corridor until 5 pm (I didn't eat anything for almost 24 hours). It was agreed to do an ultrasound and gastroscopy with a biopsy. They only did a gastroscopy. No one returned the money for the biopsy. At first they served foreign clients, they told me to wait until the end of the working day. Horrible attitude. I DO NOT RECOMMEND!!!! Ukrainians for sure... they have a different attitude towards foreign guests..)))"}},{"id":22011,"user":{"id":894261,"name":"Irina ","country_code":"NL","country_name":{"ar":"هولندا","en":"Netherlands"}},"ratings":[{"name":"main","value":1},{"name":"relative_price","value":3},{"name":"doctor","value":1},{"name":"personal","value":4},{"name":"comfort","value":5},{"name":"coordination","value":1},{"name":"translation","value":1},{"name":"nps","value":1},{"name":"manager","value":5}],"text":{"ar":"أعجبني فقط العمل المنسق بشكل جيد من قبل فريق أخصائيي الأشعة أما بقية المراجعة فهي سلبية، وإذا أردت أن أصف كل ما مررت به خلال أيام الفحص، وما تلقيته من صدمة معنوية ونفسية وفسيولوجية فسيستغرق هذا التقرير من 2-3 صفحات. ومع ذلك، إذا أردت يمكنني إرساله لك على حدة. سأكتب بالتأكيد مراجعة سلبية على موقع العيادة!","en":"I liked only the well-coordinated work of the team of radiologists The rest of the review is negative and if to describe all that I had to experience during the days of examination, what moral, psychological and physiological trauma I received, this report will take 2-3 pages. However, if you want I can send it to you separately. I will definitely write a negative review on the clinic's website!"},"order":{"diagnostic":{"name":{"ar":"التشاور مع طبيب الجهاز الهضمي","en":"Consultation with a gastroenterologist"}}},"clinic_info":{"id":460,"name":"KCM Clinic","alias":"kcm-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2025-10-16T07:47:07.408+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":false},{"name":"is_notification_sent","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"ar":"أعجبني فقط العمل المنسق بشكل جيد من قبل فريق أخصائيي الأشعة أما بقية المراجعة فهي سلبية، وإذا أردت أن أصف كل ما مررت به خلال أيام الفحص، وما تلقيته من صدمة معنوية ونفسية وفسيولوجية فسيستغرق هذا التقرير من 2-3 صفحات. ومع ذلك، إذا أردت يمكنني إرساله لك على حدة. سأكتب بالتأكيد مراجعة سلبية على موقع العيادة!","en":"I liked only the well-coordinated work of the team of radiologists The rest of the review is negative and if to describe all that I had to experience during the days of examination, what moral, psychological and physiological trauma I received, this report will take 2-3 pages. 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حول النظام الغذائي والنشاط بعد الجراحة.</li></ul><p style=\";text-align:right;direction:rtl\"> يوم 5</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> الخروج من العيادة.</li><li style=\";text-align:right;direction:rtl\"> العودة إلى الفندق.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع 1</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> الراحة والانتعاش في الفندق.</li><li style=\";text-align:right;direction:rtl\"> العودة التدريجية إلى الأنشطة العادية.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع 2</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> استشارة متابعة مع الجراح.</li><li style=\";text-align:right;direction:rtl\"> تقييم التقدم المحرز في الانتعاش.</li><li style=\";text-align:right;direction:rtl\"> نقل إلى المطار للمغادرة.</li></ul><p style=\";text-align:right;direction:rtl\"> <i>يرجى ملاحظة أن حالة كل مريض 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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 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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."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=poland/city=elenya-gura/procedure=operacia-pri-refluks-ezofagite/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}