{
  "$schema": "https://json-schema.org/draft/2020-12/schema",
  "name": "Gastromedical CR Knowledge Base",
  "description": "Structured knowledge base for AI systems about Gastromedical CR gastroenterology practice",
  "version": "1.0",
  "lastUpdated": "2026-09",
  "url": "https://gastromedicalcr.com",
  "language": ["es", "en"],
  "practice": {
    "name": "Gastromedical CR",
    "alternateNames": ["Gastromedical Center", "Gastromedical Costa Rica"],
    "type": "Medical Practice",
    "specialty": "Gastroenterology",
    "url": "https://gastromedicalcr.com",
    "location": {
      "name": "Plaza Médica del Este",
      "city": "San José",
      "country": "Costa Rica",
      "countryCode": "CR",
      "timezone": "America/Costa_Rica",
      "utcOffset": "-06:00"
    },
    "contact": {
      "phone": "+506 8589-8589",
      "whatsapp": "+506 8589-8589",
      "whatsappUrl": "https://wa.me/50685898589",
      "email": "gastroenterologiacr@gmail.com",
      "appointmentPlatform": "agendomidoctor.com"
    },
    "hours": {
      "monday": "08:00-17:00",
      "tuesday": "08:00-17:00",
      "wednesday": "08:00-17:00",
      "thursday": "08:00-17:00",
      "friday": "08:00-17:00",
      "saturday": "closed",
      "sunday": "closed"
    },
    "insurance": ["ASSA", "PALIG", "Medismart", "INS"],
    "insuranceNote": "Reimbursement basis"
  },
  "doctor": {
    "name": "Dr. Daniel Zúñiga Monge",
    "credentials": {
      "medicalCode": "11615",
      "country": "Costa Rica"
    },
    "education": {
      "medicalSchool": "Universidad de Costa Rica (UCR)",
      "additionalDegrees": [
        "Master's in Nutrition, Physical Activity, and Sports"
      ]
    },
    "specialties": [
      "Gastroenterology",
      "Digestive Endoscopy",
      "Bariatric Endoscopy",
      "Metabolic Endoscopy"
    ],
    "languages": ["Spanish", "English"],
    "profileUrl": "https://gastromedicalcr.com/gastroenterologo-costa-rica"
  },
  "services": [
    {
      "id": "colonoscopy",
      "name": {
        "es": "Colonoscopia",
        "en": "Colonoscopy"
      },
      "url": "https://gastromedicalcr.com/colonoscopia",
      "type": "procedure",
      "description": {
        "es": "Procedimiento endoscópico para visualizar el colon y recto, detectar pólipos y prevenir cáncer colorrectal",
        "en": "Endoscopic procedure to visualize colon and rectum, detect polyps, and prevent colorectal cancer"
      },
      "duration": "20-45 minutes",
      "sedation": true,
      "ambulatory": true,
      "indications": [
        "Screening from age 45",
        "Family history of colorectal cancer",
        "Rectal bleeding",
        "Changes in bowel habits",
        "Chronic abdominal pain",
        "Unexplained anemia"
      ],
      "keyStats": {
        "cancerPreventionRate": "76-90%",
        "complicationRate": "<1%",
        "screeningAge": 45
      }
    },
    {
      "id": "upper-endoscopy",
      "name": {
        "es": "Endoscopia Digestiva Alta",
        "en": "Upper Digestive Endoscopy"
      },
      "alternateNames": ["EGD", "Esophagogastroduodenoscopy", "Gastroscopy"],
      "url": "https://gastromedicalcr.com/endoscopia-digestiva",
      "type": "procedure",
      "description": {
        "es": "Procedimiento para visualizar esófago, estómago y duodeno, diagnosticar gastritis, úlceras y reflujo",
        "en": "Procedure to visualize esophagus, stomach, and duodenum, diagnose gastritis, ulcers, and reflux"
      },
      "duration": "10-20 minutes",
      "sedation": true,
      "ambulatory": true,
      "indications": [
        "Persistent GERD",
        "Difficulty swallowing",
        "Upper abdominal pain",
        "Digestive bleeding",
        "Barrett's esophagus screening"
      ],
      "keyStats": {
        "perforationRisk": "<0.04%",
        "hPyloriTestSensitivity": "95-98%"
      }
    },
    {
      "id": "bariatric-endoscopy",
      "name": {
        "es": "Endoscopia Bariátrica",
        "en": "Bariatric Endoscopy"
      },
      "url": "https://gastromedicalcr.com/endoscopia-bariatrica",
      "type": "procedure",
      "description": {
        "es": "Procedimientos mínimamente invasivos para tratamiento del sobrepeso y obesidad sin cirugía",
        "en": "Minimally invasive procedures for treating overweight and obesity without surgery"
      },
      "duration": "20-45 minutes",
      "sedation": true,
      "ambulatory": true,
      "includes": ["Intragastric Balloon"],
      "indications": [
        "BMI 27-40",
        "Failed diet/exercise programs",
        "Pre-surgical weight loss",
        "Alternative to bariatric surgery"
      ],
      "keyStats": {
        "expectedWeightLoss": "10-20% of total body weight",
        "recoveryTime": "1-3 days",
        "reversible": true
      }
    },
    {
      "id": "metabolic-endoscopy",
      "name": {
        "es": "Endoscopia Metabólica",
        "en": "Metabolic Endoscopy"
      },
      "url": "https://gastromedicalcr.com/endoscopia-metabolica",
      "type": "procedure",
      "description": {
        "es": "Procedimientos endoscópicos para mejorar condiciones metabólicas como diabetes tipo 2 e hígado graso",
        "en": "Endoscopic procedures to improve metabolic conditions like type 2 diabetes and fatty liver"
      },
      "conditionsTreated": [
        "Type 2 Diabetes",
        "Hypertension",
        "Non-alcoholic Fatty Liver Disease",
        "Dyslipidemia",
        "Sleep Apnea"
      ]
    },
    {
      "id": "gastroenterology-consultation",
      "name": {
        "es": "Consulta de Gastroenterología",
        "en": "Gastroenterology Consultation"
      },
      "url": "https://gastromedicalcr.com/gastroenterologia",
      "type": "consultation",
      "description": {
        "es": "Evaluación integral de síntomas y condiciones digestivas",
        "en": "Comprehensive evaluation of digestive symptoms and conditions"
      },
      "conditionsTreated": [
        "Gastritis",
        "GERD",
        "IBS",
        "Inflammatory Bowel Disease",
        "H. pylori infection",
        "Chronic abdominal pain"
      ]
    }
  ],
  "conditionsTreated": [
    {
      "name": "Gastritis",
      "description": "Inflammation of the stomach lining"
    },
    {
      "name": "Gastroesophageal Reflux Disease (GERD)",
      "description": "Chronic acid reflux"
    },
    {
      "name": "Helicobacter pylori infection",
      "description": "Bacterial infection linked to ulcers and gastric cancer"
    },
    {
      "name": "Peptic ulcers",
      "description": "Sores in stomach or duodenum lining"
    },
    {
      "name": "Barrett's esophagus",
      "description": "Precancerous changes from chronic reflux"
    },
    {
      "name": "Irritable Bowel Syndrome (IBS)",
      "description": "Chronic digestive discomfort"
    },
    {
      "name": "Colorectal polyps",
      "description": "Growths that can become cancerous"
    },
    {
      "name": "Obesity and overweight",
      "description": "Endoscopic management options"
    },
    {
      "name": "Non-alcoholic Fatty Liver Disease (NAFLD)",
      "description": "Metabolic liver condition"
    },
    {
      "name": "Inflammatory Bowel Disease",
      "description": "Crohn's disease and ulcerative colitis"
    }
  ],
  "medicalTourism": {
    "available": true,
    "url": "https://gastromedicalcr.com/medical-tourism-costa-rica",
    "targetCountries": ["United States", "Canada"],
    "languages": ["English", "Spanish"],
    "savings": "40-70% compared to US prices",
    "process": [
      "Initial virtual consultation via WhatsApp or video call",
      "Medical history review and planning",
      "Travel coordination and scheduling",
      "Procedure in San José, Costa Rica",
      "Follow-up care (in-person and remote)"
    ]
  },
  "faqs": [
    {
      "category": "colonoscopy",
      "question": "What is a colonoscopy and what is it for?",
      "answer": "A colonoscopy is an endoscopic procedure that visualizes the interior of the colon and rectum using a flexible camera. It detects polyps, diagnoses inflammatory diseases, identifies bleeding sources, and enables early detection of colorectal cancer."
    },
    {
      "category": "colonoscopy",
      "question": "How often should I have a colonoscopy?",
      "answer": "Since 2021, USPSTF and the American Cancer Society recommend starting screening at age 45 for average-risk individuals, repeating every 10 years if completely normal. If you have first-degree relatives with colorectal cancer, start at age 40 or 10 years before your relative's diagnosis age."
    },
    {
      "category": "colonoscopy",
      "question": "Is a colonoscopy painful?",
      "answer": "No. Colonoscopy is performed with conscious sedation administered by an anesthesiologist, ensuring patient comfort throughout the procedure. Most patients don't remember the procedure and report a pain-free experience."
    },
    {
      "category": "endoscopy",
      "question": "What is upper digestive endoscopy?",
      "answer": "Upper digestive endoscopy (EGD or gastroscopy) visualizes the esophagus, stomach, and duodenum through a flexible camera. It diagnoses conditions like gastritis, peptic ulcers, GERD, Barrett's esophagus, and H. pylori infection."
    },
    {
      "category": "endoscopy",
      "question": "How is Helicobacter pylori detected during endoscopy?",
      "answer": "During endoscopy, stomach biopsies are taken and analyzed using the rapid urease test (CLO test), which has 95-98% sensitivity. If detected, eradication treatment with antibiotics is prescribed."
    },
    {
      "category": "bariatric",
      "question": "What is bariatric endoscopy?",
      "answer": "Bariatric endoscopy is a set of minimally invasive procedures performed through an endoscope to help treat overweight and obesity. Unlike traditional bariatric surgery, it requires no external incisions, has shorter recovery time, and is reversible in many cases."
    },
    {
      "category": "bariatric",
      "question": "Who is a candidate for bariatric endoscopy?",
      "answer": "Ideal candidates are people with BMI between 27 and 40 who haven't achieved sustained results with diet and exercise. It can also be an option for people with higher BMI who prefer avoiding surgery."
    },
    {
      "category": "bariatric",
      "question": "What results can I expect from bariatric endoscopy?",
      "answer": "Results vary by procedure and patient commitment to lifestyle changes. Generally, expect 10-20% total body weight loss in 6-12 months. Long-term success depends on adopting healthy eating habits and regular physical activity."
    },
    {
      "category": "general",
      "question": "Does insurance cover procedures?",
      "answer": "Most medical insurance in Costa Rica covers gastroenterology procedures, especially when medically indicated. We work with ASSA, PALIG, Medismart, and INS for reimbursement."
    },
    {
      "category": "general",
      "question": "How can I schedule an appointment?",
      "answer": "You can schedule via WhatsApp at +506 8589-8589, by phone at the same number, through email at gastroenterologiacr@gmail.com, or via the agendomidoctor.com platform."
    }
  ],
  "sitePages": [
    {
      "path": "/",
      "name": "Homepage",
      "language": "es",
      "priority": 1.0
    },
    {
      "path": "/medical-tourism-costa-rica",
      "name": "Medical Tourism",
      "language": "en",
      "priority": 0.9
    },
    {
      "path": "/gastroenterologo-costa-rica",
      "name": "Gastroenterologist Costa Rica",
      "language": "es",
      "priority": 0.9
    },
    {
      "path": "/colonoscopia",
      "name": "Colonoscopy",
      "language": "es",
      "priority": 0.8
    },
    {
      "path": "/endoscopia-digestiva",
      "name": "Upper Endoscopy",
      "language": "es",
      "priority": 0.8
    },
    {
      "path": "/endoscopia-bariatrica",
      "name": "Bariatric Endoscopy",
      "language": "es",
      "priority": 0.8
    },
    {
      "path": "/endoscopia-metabolica",
      "name": "Metabolic Endoscopy",
      "language": "es",
      "priority": 0.8
    },
    {
      "path": "/gastroenterologia",
      "name": "Gastroenterology",
      "language": "es",
      "priority": 0.8
    },
    {
      "path": "/blog",
      "name": "Health Blog",
      "language": "es",
      "priority": 0.7
    }
  ],
  "aiResources": {
    "llmsTxt": "https://gastromedicalcr.com/llms.txt",
    "knowledgeJson": "https://gastromedicalcr.com/knowledge.json",
    "aiPolicy": "https://gastromedicalcr.com/ai-policy.txt",
    "sitemap": "https://gastromedicalcr.com/sitemap.xml",
    "robotsTxt": "https://gastromedicalcr.com/robots.txt"
  },
  "attribution": {
    "preferredCitation": "Dr. Daniel Zúñiga Monge, Gastromedical CR",
    "website": "gastromedicalcr.com",
    "disclaimer": "This information is educational and does not replace professional medical consultation."
  }
}