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objects","Follow staged diet"]},{"phase":"Weeks 2-6","description":"Progression to soft then regular-texture small meals; many return to desk work.","restrictions":["Avoid strenuous exercise and heavy lifting until cleared"]},{"phase":"Months 3-12+","description":"Ongoing weight loss, supplementation and metabolic monitoring; full activity.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated laparoscopic surgery; no formal physiotherapy program usually needed."},"result_longevity":"Weight loss and metabolic improvement are generally durable over many years, but some weight regain is common. Lasting results depend on the operation, diet, supplementation and lifelong follow-up.","revision_rate_pct":{"min":3,"max":15,"unit":"percent","qualifier":"Reoperation or conversion for complications, reflux or weight regain within about 5-10 years."},"scars":"Typically several small laparoscopic incisions (about 0.5-1.5 cm) on the abdomen that fade over months; larger scars if open surgery is required.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for a primary laparoscopic procedure."},"stages":[{"code":"surgery","label":"Laparoscopic metabolic/bariatric operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of admission."}}],"qualifier":"Primary single-stage operation; staged approaches are exceptional."},"success":{"metric":"Excess weight loss after surgery","value":65,"unit":"percent of excess body weight","horizon":"12-18 months","population":"Adults with severe obesity after primary sleeve gastrectomy or gastric bypass","evidence_status":"proven"},"techniques":[{"name":"Laparoscopic sleeve gastrectomy","suits_whom":"Patients with obesity with or without type 2 diabetes who want a non-bypass option; less suited to severe reflux.","recovery":"Hospital stay about 1-2 nights; return to desk work in about 2-3 weeks."},{"name":"Laparoscopic Roux-en-Y gastric bypass","suits_whom":"Patients with obesity and type 2 diabetes, or significant reflux, often favored for stronger metabolic effect.","recovery":"Hospital stay about 2-3 nights; return to desk work in about 2-4 weeks."},{"name":"One-anastomosis (mini) gastric bypass","suits_whom":"Selected patients with obesity or diabetes; practiced in many centers.","recovery":"Hospital stay about 1-3 nights; similar recovery to gastric bypass."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Operating time for one primary laparoscopic operation; sleeve gastrectomy at the shorter end, gastric bypass longer."},"initial_assessment_documents":["Recent HbA1c and fasting glucose results","List of diabetes medications and insulin doses","Previous abdominal surgery reports","Upper endoscopy or gastroscopy report","Recent blood tests with lipid profile"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days including 1-3 hospital nights. Follow-up visits usually done remotely or at home."},"clinic_checks":null,"red_flags":null,"warning_signs":null,"take_home":null,"alternatives":null,"technique_details":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=rumuniya/procedure=metabolicheskaya-hirurgiya/"}],"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":"2026-11-11T17:40:10.514Z","activeCountries":["RO","TR","US","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}