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Medical area


area-medica-little

Our multidisciplinary team composed of a bariatric surgeon, endocrinologist, clinic psychologist and nutritionist, carries out a detailed medical history and physical exam. We also evaluate the physical and nutritional profile of the patient, with an accurate selection of candidates for surgery.
  • 24-hour service Open or Close

    24-hour service
    All surgical facilities in which Dr. Alberto Pagán operates on have available special unities to perform tests: X-ray TC, high-resolution magnetic resonance, Doppler echocardiography, and pharmacy unity 24-hour service.
    There is also a 24-hour Emergency Service with specialized medical staff, Recovery Room, etc.
    Finally, note the 24-hour ICU with the latest technology in reanimation and intensive care.
    To know more: Clínica Rotger.


  • Endocrinology specialist role Open or Close

    Endocrinology specialist role
    Endocrinology specialists and primary care doctors play a crucial role in the early and effective treatment of these patients. Patients with DMT2 with a bad control of their diabetes can improve or even cured if they are treated before 10 years of diabetes evolution.
    Our multidisciplinary team composed of a bariatric surgeon, endocrinologist, clinic psychologist and nutritionist, carries out a detailed medical history and physical exam. We also evaluate the physical and nutritional profile of the patient, with an accurate selection of candidates for surgery, in order to choose the surgical technique most adequate to each patient.
    After the surgical treatment and the immediate postoperative period both endocrinologist and PCP that have referred contribute to control and collaborate in their evaluation.

  • When diabetes can have indication for surgery? Open or Close

    When diabetes can have indication for surgery?
    Patients with diabetes mellitus type 2 without a good medical treatment control may be candidates for surgery:
    1.- Patients with a body mass index equal or greater than 35 kg/m2.   
    2.- Patients with a body mass index between 30 and 34 kg/m2 with the following characteristics:
    -Age between 18 60 years,
    -Less than 10 years of evolution diabetes mellitus type 2,
    -Diabetes mellitus type 2 difficult to control with medical treatment,
    -“Pancreatic reserve” presence demonstrated by analytical determinations: Insulinaemia, HOMA, Peptide C.

  • How to refer a patient? Open or Close

    How to refer a patient?
    If you have a patient with obesity or diabetes mellitus type 2 that presents a bad response to medical treatment and has overweight, surgery can benefit this kind of patients and be the only method effective to control the diabetes, producing a significant weight loss maintained over time.
    Studies show that reducing body fat improves diabetes mellitus type 2 related to this situation and reduces mortality.

  • High technology at the service of bariatric surgery Open or Close

    High technology at the service of bariatric surgery
    The surgical activity accomplished by Dr. Alberto Pagán is carried out in operating rooms equipped with high technology.
    To carry out these techniques we have available “laparoscopic towers”, which add to the usual devices (television monitors, CO2 insufflators, and light sources) a high quality vision mechanism called videolaparoscope.
    We incorporate a mechanical stitch system with loads of endosuturing GIA type that allow addressing tissues with a greater range of haemostasis and compression and it incorporates an additional row of staples.
    All surgical facilities in which Dr. Alberto Pagán operates on have available special unities to perform tests: X-ray TC, high-resolution magnetic resonance, Doppler echocardiography, and pharmacy unity 24-hour service.
    To know more: Clínica Rotger.