Phase 1: Pre-Arrival Services (Before Coming to Germany)

WEGOVITA assists in:

• Virtual consultation with Germany’s leading gastric cancer surgeons.
• Review of biopsy results, endoscopy reports, CT/MRI scans, and tumor markers.
• Personalized treatment recommendations & cost estimates.
• Translation of medical documents (if required).
• Visa assistance, accommodation arrangements, and airport-hospital transfers.
• Translation of medical documents (if required).

 Estimated Cost: €1,500 – €3,000

Phase 2: Initial Examination & Diagnostic Workup (Upon Arrival in Germany)

Step 1: Initial Medical Consultation & Physical Examination

•  Comprehensive oncological assessment & symptom review.
•  Nutritional and digestive function evaluation before surgery.

Step 2: Blood Tests & Tumor Markers

• CEA, CA 19-9, and AFP – Biomarkers for gastric cancer monitoring.
• Liver and kidney function tests to ensure surgical eligibility.

Step 3: Imaging & Staging of Disease

• High-Resolution Endoscopy with Biopsy – Confirms tumor presence.
• Endoscopic Ultrasound (EUS) – Determines the depth of tumor invasion.
• PET-CT Scan with Radioactive Tracer – Detects micrometastases & lymph node involvement.
• MRI & CT Scan (Abdomen & Pelvis) – Evaluates tumor size & spread before surgery.

 Estimated Cost for Diagnostics: €5,000 – €9,000

Phase 3: Surgical Treatment – Minimally Invasive Gastrectomy

Step 4: Surgery – Robotic-Assisted or Laparoscopic Gastrectomy

Definition: A procedure to remove cancerous tissue while preserving as much healthy stomach function as possible.

Surgical Options:

 Endoscopic Submucosal Dissection (ESD) – For very early-stage (T1a) tumors confined to the stomach lining.

 Partial Gastrectomy – Removes only the affected portion of the stomach while maintaining digestive function.

 Total Gastrectomy – Removes the entire stomach if the cancer is widespread, followed by digestive tract reconstruction.

 Robotic-Assisted Gastrectomy – Provides greater precision with faster recovery & fewer complications.

Ideal for:

 Patients with Stage 1 & 2 gastric cancer requiring tumor removal.

 Minimally invasive treatment seekers for faster recovery.

 Estimated Cost for Surgery: €30,000 – €65,000

Phase 4: Intraoperative Radioactive Tracer Process to Prevent Recurrence

 Before surgery, a special radioactive tracer (Technetium-99m or Indocyanine Green) is injected to highlight cancerous tissue.

 Fluorescence-guided imaging during surgery ensures complete tumor removal while preserving healthy tissue.

 Lymph node mapping detects micrometastases, preventing recurrence.

 Estimated Additional Cost for Radioactive Tracer Process: €8,000 – €15,000

Phase 5: Post-Surgery Hospital Stay & Recovery

️Step 6: Hospital Stay & Post-Operative Monitoring

 Duration: 7-10 days in a specialized gastric cancer unit.

 24/7 monitoring, pain management, and nutritional therapy.

 Post-surgical imaging (CT/MRI) to confirm complete cancer removal.

 Estimated Cost for Hospitalization & Recovery: €8,000 – €15,000

Phase 6: Follow-Up & Rehabilitation

Step 7: Comprehensive Follow-Up Plan (6-12 Months Post-Surgery)

 Routine oncological check-ups every 3-6 months for the first 2 years.

 Tumor marker monitoring (CEA, CA 19-9) to detect recurrence.

 Nutritional counseling for optimal digestive health.

 Estimated Cost for Follow-Up Plan (1 Year): €5,000 – €10,000