{"meta":{"humanUrl":"https://pl.bookimed.com/clinics/country=germany/city=wuppertal/procedure=bronchial-fistula-closure-via-bronchoscopy/best/","canonicalUrl":"https://pl.bookimed.com/clinics/country=germany/city=wuppertal/procedure=bronchial-fistula-closure-via-bronchoscopy/best/","jsonUrl":"https://pl.bookimed.com/clinics/country=germany/city=wuppertal/procedure=bronchial-fistula-closure-via-bronchoscopy/best/data.json","title":"Best clinics for Zamknięcie przetoki oskrzelowej podczas bronchoskopii in Niemcy — Ratings & Reviews | Bookimed","description":"1 top-rated clinics for Zamknięcie przetoki oskrzelowej podczas bronchoskopii in Niemcy. Compare rankings, prices, and patient reviews on Bookimed.","heading":"Best clinics for Zamknięcie przetoki oskrzelowej podczas bronchoskopii in Niemcy","locale":"pl","schemaVersion":"ClinicBestPageDataV1","snapshotId":"c35d01c1-a6251157","contentVersion":"c35d01c1","generatedAt":"2026-11-13T09:25:24.086Z"},"filters":{"country":"germany","city":"wuppertal","procedure":"bronchial-fistula-closure-via-bronchoscopy","page":1},"pagination":{"page":1,"totalCount":1,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"Niemcy","url":"/clinics/country=germany/"},{"name":"Wuppertal","url":"/clinics/country=germany/city=wuppertal/"},{"name":"Zamknięcie przetoki oskrzelowej podczas bronchoskopii","url":"/clinics/country=germany/procedure=bronchial-fistula-closure-via-bronchoscopy/"},{"name":"Best","url":"/clinics/country=germany/city=wuppertal/procedure=bronchial-fistula-closure-via-bronchoscopy/best/"}],"entities":[{"name":"Niemcy","alias":"germany","type":"country","id":22},{"name":"Wuppertal","alias":"wuppertal","type":"city","id":2687},{"name":"Zamknięcie przetoki oskrzelowej podczas bronchoskopii","alias":"bronchial-fistula-closure-via-bronchoscopy","type":"procedure","id":1628}],"clinics":{"clinics":[{"text":"<p>Helios Universitätsklinikum Wuppertal to prywatne wielospecjalistyczne centrum medyczne zlokalizowane w Düsseldorfie w Niemczech, specjalizujące się w ortopedii, urologii, kardiochirurgii i chirurgii ogólnej. Szpital przyjmuje zarówno dorosłych, jak i dzieci, a rocznie wybiera go około 150 000 pacjentów. Najczęściej odwiedzają go pacjenci z krajów WNP, Bałkanów oraz państw Ligi Arabskiej.</p>","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":1664.2094168987858,"price_to":2218.945889198381,"currency":"USD","id":56475},"diagnostic":{"id":417,"name":"Badanie kontrolne dla mężczyzn","alias":"check-up-for-men"}}],"reviews":[],"clinic":{"id":7769,"alias":"helios-universitaetsklinikum-wuppertal","name":"Helios Gesundheit","short_description":"<p>Helios Universitätsklinikum Wuppertal to prywatne wielospecjalistyczne centrum medyczne zlokalizowane w Düsseldorfie w Niemczech, specjalizujące się w ortopedii, urologii, kardiochirurgii i chirurgii ogólnej. Szpital przyjmuje zarówno dorosłych, jak i dzieci, a rocznie wybiera go około 150 000 pacjentów. Najczęściej odwiedzają go pacjenci z krajów WNP, Bałkanów oraz państw Ligi Arabskiej.</p>","images":[{"base_url":"clinic/6ac8a229ace62","title":"Główne wejście Helios Klinik Rottweil, nowoczesny ceglany ośrodek medyczny w Niemczech"},{"base_url":"clinic/6ac8a22b7b107","title":"Nowoczesna szklana fasada szpitala Helios Klinikum Krefeld w Niemczech"},{"base_url":"clinic/6ac8a22d81c1d","title":"Widok zewnętrzny Helios Klinik Wesermarsch w Niemczech, nowoczesny budynek i flagi"},{"base_url":"clinic/6ac8a22f88955","title":"Nowoczesny budynek kliniki Helios Klinik Wesermarsch w Niemczech"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Niemcy","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Wuppertal","id":2687,"alias":"wuppertal"},"address":"Heusnerstraße 40, 42283 Barmen, Germany"},"rating":{"rating":0,"google":3.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":51},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/614dbaf74d46e.jpeg","name":"Międzynarodowy system akredytacji interwencyjnych usług onkologicznych (IASIOS)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"Niemieckie Towarzystwo Onkologiczne DKG","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6841934325139.jpeg","name":"ISO 9001:2015 Systemy zarządzania jakością"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"American College of Surgeons","country_code":"US"}],"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":5},"doctors":{"doctors":[{"doctor":{"id":11917,"alias":"kurt-rasche-chief-of-pulmonology","name":"Kurt Rasche Chief Of Pulmonology","clinic_id":7769,"photo":"doctor/69f9d9e5b5e42","first_year_working":1984,"created_at":"2026-05-05T11:52:03.990+00:00","short_description":"<p>Dr Kurt Rasche jest ordynatorem oddziału pulmonologii w Szpitalu Uniwersyteckim Helios w Wuppertalu. Kieruje certyfikowanym Centrum Leczenia Raka Płuc oraz oddziałem medycyny snu. Dzięki wieloletniemu doświadczeniu klinicznemu koncentruje się na przewlekłych chorobach płuc i zaburzeniach oddychania. Dr Rasche przyjmuje pacjentów w szpitalu, który rocznie obsługuje 150 000 osób.</p><ul><li>Specjalista w dziedzinie chorób wewnętrznych, pulmonologii, alergologii i intensywnej terapii.</li><li>Leczy złożone schorzenia, w tym POChP, astmę, zapalenie płuc i raka płuc.</li><li>Wykonuje bronchoskopową dylatację balonową oraz operacje raka płuc.</li><li>Kieruje centrum certyfikowanym przez Niemieckie Towarzystwo Onkologiczne.</li></ul>","specialities":[{"id":"imm.001","name":"Alergolog","illness_kind_id":21},{"id":"plm.001","name":"Pulmonolog","illness_kind_id":28},{"id":"rhb.001","name":"Rehabilitator","illness_kind_id":41},{"id":"smn.001","name":"","illness_kind_id":7}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":7769,"alias":"helios-universitaetsklinikum-wuppertal","name":"Helios Gesundheit","short_description":"<p>Helios Universitätsklinikum Wuppertal to prywatne wielospecjalistyczne centrum medyczne zlokalizowane w Düsseldorfie w Niemczech, specjalizujące się w ortopedii, urologii, kardiochirurgii i chirurgii ogólnej. Szpital przyjmuje zarówno dorosłych, jak i dzieci, a rocznie wybiera go około 150 000 pacjentów. Najczęściej odwiedzają go pacjenci z krajów WNP, Bałkanów oraz państw Ligi Arabskiej.</p>","images":[{"base_url":"clinic/6ac8a229ace62","title":"Główne wejście Helios Klinik Rottweil, nowoczesny ceglany ośrodek medyczny w Niemczech"},{"base_url":"clinic/6ac8a22b7b107","title":"Nowoczesna szklana fasada szpitala Helios Klinikum Krefeld w Niemczech"},{"base_url":"clinic/6ac8a22d81c1d","title":"Widok zewnętrzny Helios Klinik Wesermarsch w Niemczech, nowoczesny budynek i flagi"},{"base_url":"clinic/6ac8a22f88955","title":"Nowoczesny budynek kliniki Helios Klinik Wesermarsch w Niemczech"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Niemcy","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Wuppertal","id":2687,"alias":"wuppertal"},"address":"Heusnerstraße 40, 42283 Barmen, Germany"},"rating":{"rating":0,"google":3.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":51},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/614dbaf74d46e.jpeg","name":"Międzynarodowy system akredytacji interwencyjnych usług onkologicznych (IASIOS)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"Niemieckie Towarzystwo Onkologiczne DKG","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6841934325139.jpeg","name":"ISO 9001:2015 Systemy zarządzania jakością"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"American College of Surgeons","country_code":"US"}]}},{"doctor":{"id":12087,"alias":"maen-al-zqoul","name":"Maen Al Zqoul","clinic_id":7769,"photo":"doctor/6a1012d9ae479","first_year_working":2012,"created_at":"2026-05-22T08:24:55.350+00:00","description":"<p>Doktor Maen Al-Zkul jest doświadczonym specjalistą w dziedzinie pulmonologii i chorób wewnętrznych, pełniącym funkcję starszego lekarza prowadzącego w oddziale pulmonologii, alergologii, medycyny snu i wspomagania oddychania w klinice Helios w Wuppertalu. Specjalizuje się w diagnostyce i leczeniu chorób układu oddechowego i przewlekłych chorób płuc, a także w wykonywaniu nowoczesnych procedur bronchoskopowych. W swojej praktyce stosuje nowoczesne metody diagnostyczne i małoinwazyjne metody leczenia, zwracając szczególną uwagę na bezpieczeństwo pacjentów i indywidualne podejście.</p><p>Główne obszary specjalizacji:<br />- pulmonologia<br />- choroby wewnętrzne<br />- leczenie chorób płuc<br />- medycyna układu oddechowego<br />- procedury bronchoskopowe<br />- alergologia</p><p>Mocnymi stronami doktora Maena Al-Zkula są wieloletnie doświadczenie w dziedzinie pulmonologii i medycyny układu oddechowego, specjalizacja w diagnostyce i leczeniu złożonych chorób układu oddechowego, a także praca w jednym z wiodących niemieckich ośrodków medycznych. Doktor ma duże doświadczenie w wykonywaniu nowoczesnych zabiegów bronchoskopowych i stosuje aktualne międzynarodowe standardy diagnostyki, leczenia oraz terapii oddechowej.</p>","specialities":[{"id":"imm.001","name":"Alergolog","illness_kind_id":21},{"id":"plm.001","name":"Pulmonolog","illness_kind_id":28}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":7769,"alias":"helios-universitaetsklinikum-wuppertal","name":"Helios Gesundheit","short_description":"<p>Helios Universitätsklinikum Wuppertal to prywatne wielospecjalistyczne centrum medyczne zlokalizowane w Düsseldorfie w Niemczech, specjalizujące się w ortopedii, urologii, kardiochirurgii i chirurgii ogólnej. Szpital przyjmuje zarówno dorosłych, jak i dzieci, a rocznie wybiera go około 150 000 pacjentów. Najczęściej odwiedzają go pacjenci z krajów WNP, Bałkanów oraz państw Ligi Arabskiej.</p>","images":[{"base_url":"clinic/6ac8a229ace62","title":"Główne wejście Helios Klinik Rottweil, nowoczesny ceglany ośrodek medyczny w Niemczech"},{"base_url":"clinic/6ac8a22b7b107","title":"Nowoczesna szklana fasada szpitala Helios Klinikum Krefeld w Niemczech"},{"base_url":"clinic/6ac8a22d81c1d","title":"Widok zewnętrzny Helios Klinik Wesermarsch w Niemczech, nowoczesny budynek i flagi"},{"base_url":"clinic/6ac8a22f88955","title":"Nowoczesny budynek kliniki Helios Klinik Wesermarsch w Niemczech"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Niemcy","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Wuppertal","id":2687,"alias":"wuppertal"},"address":"Heusnerstraße 40, 42283 Barmen, Germany"},"rating":{"rating":0,"google":3.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":51},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/614dbaf74d46e.jpeg","name":"Międzynarodowy system akredytacji interwencyjnych usług onkologicznych (IASIOS)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"Niemieckie Towarzystwo Onkologiczne DKG","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6841934325139.jpeg","name":"ISO 9001:2015 Systemy zarządzania jakością"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"American College of Surgeons","country_code":"US"}]}}],"meta":{"total_count":2,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Hiszpania","alias":"spain","iso_code":"ES"},{"name":"Niemcy","alias":"germany","iso_code":"DE"},{"name":"Turcja","alias":"turkey","iso_code":"TR"}],"cities":[{"name":"Wuppertal","alias":"wuppertal"},{"name":"Solingen","alias":"solingen"}],"operations":[{"name":"Operacja raka płuc","alias":"lung-cancer-surgery"},{"name":"Pneumonektomia (pulmonektomia)","alias":"pneumonectomy"},{"name":"Dylatacja balonowa oskrzeli przy użyciu bronchoskopii","alias":"bronchoscopic-balloon-dilatation-therapy-for-copd-chronic-obstructive-pulmonary-disease"},{"name":"Zamknięcie przetoki oskrzelowej podczas bronchoskopii","alias":"bronchial-fistula-closure-via-bronchoscopy"}],"diagnostics":[{"name":"Test na bieżni","alias":"exercise-test"},{"name":"Badanie kontrolne dla mężczyzn","alias":"check-up-for-men"},{"name":"Tomografia komputerowa klatki piersiowej","alias":"ct-of-the-chest"},{"name":"Program kontrolny Premium","alias":"premium-check-up"},{"name":"Badanie kontrolne dla dzieci","alias":"check-up-for-children"},{"name":"Zdjęcie rentgenowskie klatki piersiowej","alias":"chest-x-ray"}],"illnesses":[{"name":"Astma","alias":"asthma"},{"name":"Zapalenie płuc","alias":"pneumonia"},{"name":"Przewlekła obturacyjna choroba płuc (POChP)","alias":"copd-chronic-obstructive-pulmonary-disease"}],"illnessKinds":[{"name":"Pulmonologia","alias":"pulmonology"}],"illness_kinds":[{"name":"Pulmonologia","alias":"pulmonology"}]},"popularSearches":[{"name":"Operacja raka płuc","alias":"lung-cancer-surgery","type":"operation","id":374},{"name":"Pneumonektomia (pulmonektomia)","alias":"pneumonectomy","type":"operation","id":407},{"name":"Dylatacja balonowa oskrzeli przy użyciu bronchoskopii","alias":"bronchoscopic-balloon-dilatation-therapy-for-copd-chronic-obstructive-pulmonary-disease","type":"operation","id":1602},{"name":"Zamknięcie przetoki oskrzelowej podczas bronchoskopii","alias":"bronchial-fistula-closure-via-bronchoscopy","type":"operation","id":1628},{"name":"Terapia oczyszczania dróg oddechowych","alias":"airway-clearance-therapy","type":"operation","id":1761},{"name":"Badanie kontrolne dla mężczyzn","alias":"check-up-for-men","type":"diagnostic","id":417},{"name":"Konsultacja z przygotowaniem planu leczenia","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Program kontrolny Premium","alias":"premium-check-up","type":"diagnostic","id":421},{"name":"Konsultacja z pulmonologiem","alias":"consultation-pulmonologist","type":"diagnostic","id":105},{"name":"Zdjęcie rentgenowskie klatki piersiowej","alias":"chest-x-ray","type":"diagnostic","id":525},{"name":"Astma","alias":"asthma","type":"illness","id":153},{"name":"Zapalenie płuc","alias":"pneumonia","type":"illness","id":631},{"name":"Przewlekła obturacyjna choroba płuc (POChP)","alias":"copd-chronic-obstructive-pulmonary-disease","type":"illness","id":3542}],"operationPrices":{"operation_prices":{"1628":{"operation":{"name":"Zamknięcie przetoki oskrzelowej podczas bronchoskopii","alias":"bronchial-fistula-closure-via-bronchoscopy","use_for_listing":true},"country_price":{"US":{"amount":18000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3800,"max_amount":6800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DE":{"amount":7500,"max_amount":14000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":3600,"max_amount":5500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":6500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":false,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":false,"KR":false,"CZ":false,"AT":false,"ES":false,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false}}}},"operationIndicators":{"details":{"days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":0},"illness_kind_details":{"requests_processed":2086}},"direction":{"id":28,"name":"Pulmonologia","alias":"pulmonology"},"illness_kind":{"id":28,"name":{"en":"Pulmonology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Desk work after discharge once cough and breathlessness are controlled; depends on underlying lung condition."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any procedural complication within 30 days, such as bleeding, pneumothorax, hypoxia, pneumonia or device migration."},"contraindications":["Large fistula with uncontrolled active pleural infection (empyema) without drainage","Severe respiratory failure or hemodynamic instability","Uncorrectable bleeding disorder","Active untreated lung infection","Fistula too large or wide for endoscopic closure","Residual or recurrent tumor at fistula needing prior oncologic treatment","Known allergy to sealant, valve or occluder material"],"days_in_clinic":{"min":2,"max":5,"unit":"nights","qualifier":"Observation after bronchoscopy, chest imaging and checking for air leak or pleural drainage."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Light walking early; strenuous exercise only after imaging confirms closure and the pulmonologist approves."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Closure confirmed by follow-up bronchoscopy and imaging; may need repeat sessions."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"After chest drain removal, stable imaging and no air leak; clinician clearance required."},"follow_up_visits":[{"purpose":"assessment","after":{"min":7,"max":14,"unit":"days","qualifier":"Clinical check and chest imaging, often remote or local."},"requirement":"routine"},{"purpose":"result_review","after":{"min":28,"max":60,"unit":"days","qualifier":"Follow-up bronchoscopy or CT to confirm closure; valve removal if used."},"requirement":"routine"}],"indications":["Postoperative bronchopleural fistula after lobectomy or pneumonectomy","Small to medium bronchial stump or anastomotic dehiscence","Persistent air leak not resolving with drainage"],"main_risks":["Bleeding","Pneumothorax","Aspiration or pneumonia","Cough, bronchospasm or hypoxia","Device migration or expectoration","Anesthesia-related complications"],"pain":"Mild throat soreness and chest discomfort for a few days; usually controlled with simple analgesics.","preparation":["Chest CT and bronchoscopic assessment of fistula size and location","Blood tests including coagulation and inflammation markers","Pleural infection control and chest drainage if needed","Fasting for 6-8 hours before anesthesia","Review of blood thinners with the team","Cardiorespiratory fitness assessment"],"recovery_timeline":[{"phase":"Day 0-2","description":"Monitoring in hospital after bronchoscopy; chest imaging and drain assessment.","restrictions":["Avoid forceful coughing","Nothing by mouth until the throat is no longer numb"]},{"phase":"Day 3-14","description":"Gradual return to normal activity; antibiotics if infection present; drain removal when leak stops.","restrictions":["No heavy lifting","No air travel until cleared"]},{"phase":"Week 2-8","description":"Follow-up imaging and bronchoscopy to confirm closure.","restrictions":["Avoid strenuous exercise","Avoid smoking"]}],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Return to ordinary daily activity; breathing exercises may help."},"result_longevity":"Durable if the fistula heals fully; recurrence is possible, particularly with infection, radiation or residual disease.","revision_rate_pct":{"min":25,"max":45,"unit":"percent","qualifier":"Repeat bronchoscopic closure or device change for persistent leak or recurrence within 3 months."},"scars":"No external scars; the bronchoscope passes through the mouth or nose.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"Some fistulas need repeat sealant or valve placement."},"stages":[{"code":"assessment","label":"Bronchoscopic assessment of the fistula","after":{"min":0,"max":0,"unit":"days","qualifier":"Same session as closure."}},{"code":"closure","label":"Endoscopic closure with sealant, valve or occluder","after":{"min":0,"max":0,"unit":"days","qualifier":"Same session."}},{"code":"repeat_closure","label":"Repeat closure if leak persists","after":{"min":7,"max":30,"unit":"days","qualifier":"Only if needed."}}],"qualifier":"Usually one procedure; repeats are common in persistent leaks."},"success":{"metric":"Fistula closure with no air leak","value":65,"unit":"percent","horizon":"1-3 months after procedure, including repeat sessions","population":"Adults with small to medium postoperative bronchopleural fistula","evidence_status":"limited"},"techniques":[{"name":"Endobronchial valve placement","suits_whom":"Peripheral or small fistulas with persistent air leak.","recovery":"Short stay; valve later removed or left in place."},{"name":"Tissue sealant or glue application","suits_whom":"Small fistulas up to about 3-5 mm.","recovery":"Short stay; repeat applications possible."},{"name":"Septal or vascular occluder device","suits_whom":"Medium fistulas not suitable for sealants.","recovery":"Short stay with imaging follow-up."},{"name":"Airway stent","suits_whom":"Larger central or anastomotic dehiscence.","recovery":"Longer monitoring; stent removal later."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Bronchoscopy procedure time; longer with multiple devices."},"initial_assessment_documents":["Chest CT scan report and images","Previous bronchoscopy report","Thoracic surgery operative report","Recent chest X-ray","List of blood thinners","Discharge summary with drain details"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Usually one trip with 5-10 day stay; second trip only for repeat closure or follow-up bronchoscopy at clinic."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the clinic explains possible complications and side effects before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Confirm how aftercare will be coordinated after treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Confirm how medical notes will be transferred to the treating team","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"As the doctor could be involved in your aftercare, discuss with them how to transfer medical notes to the overseas team.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","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}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"It gives details of follow-up arrangements for continuing care","document":"follow-up letter","source":{"url":"https://www.fhft.nhs.uk/patients-and-visitors/patient-information-library/bronchoscopy-fph","host":"fhft.nhs.uk","quote":"The doctor may wish to see you before you go home, and you will be given a letter giving you details of follow-up arrangements.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"It explains what to expect after bronchoscopy and whom to contact if problems occur","document":"discharge advice","source":{"url":"https://www.cht.nhs.uk/services/clinical-services/endoscopy/bronchoscopy/after-the-procedure","host":"cht.nhs.uk","quote":"This will include advice about what to expect following your procedure and contact numbers if you have any problems.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your fistula may need surgery","name":"Fistula surgery","source":{"url":"https://medlineplus.gov/fistulas.html","host":"medlineplus.gov","quote":"In some cases, you may need antibiotics and/or surgery.","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":"endobronchial-valve-placement","name":"Endobronchial valve placement","how_it_works":{"text":"The valve blocks airflow through the leaking lung segment","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11669537/","host":"pmc.ncbi.nlm.nih.gov","quote":"(1) employing bronchoscopy and balloon occlusion to identify the leaking lobe or segment of the lung; (2) once the EBV is positioned, directing the patient to conduct breathing cycles to check for continuous air leakage in the water-seal bottle.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"tissue-sealant-or-glue-application","name":"Tissue sealant or glue application","how_it_works":{"text":"Sealant is delivered to the fistula site to block the leak","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3241098/","host":"pmc.ncbi.nlm.nih.gov","quote":"Endoscopic treatment of BPF is based on the delivery of biological glue, coils, covered stents, and sealants to the BPF site.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"septal-or-vascular-occluder-device","name":"Septal or vascular occluder device","how_it_works":{"text":"An expanding occluder seals the fistula opening","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3241098/","host":"pmc.ncbi.nlm.nih.gov","quote":"The self-expanding nitinol made AVP occluder to be delivered under direct bronchoscopic guidance over a loader wire into the fistula followed by bronchography to assure correct device positioning and sealing of the BPF.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"airway-stent","name":"Airway stent","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=germany/city=vuppertal/procedure=zakrytie-bronhialnoy-fistuly-cherez-bronhoskopiyu/"}],"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":53937},"manualSeo":[],"updatedAt":"2026-11-08T01:20:07.335Z","activeCountries":["DE","TR","AT","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}