El Centro PAD se especializa en cirugía laparoscópica antirreflujo con asistencia robótica Da Vinci. El procedimiento suele costar entre 5.000 y 9.500 dólares. El Dr. Carlos García Vásquez, cirujano principal de la clínica, está certificado en cirugía robótica Da Vinci y posee un doctorado en Cirugía con honores summa cum laude. Es autor de patentes en cirugía de pared abdominal y se desempeña como Jefe Asociado en el Hospital Universitario Infanta Elena.
Clínica de Gastroenterología y Proctología Centro PAD — centro médico privado en Madrid, España, especializado en gastroenterología, proctología y cirugía digestiva. La clínica realiza procedimientos precisos y mínimamente invasivos —incluyendo cirugía robótica Da Vinci y laparoscópica— para afecciones del colon, recto, pared abdominal y problemas digestivos complejos. Centro PAD atiende a pacientes adultos, cuidando a aproximadamente 160 pacientes al año. La mayoría de los pacientes de la clínica son residentes de Europa y la Mancomunidad de Naciones, América Latina, Estados Unidos, Canadá y Australia.
\n","images":[{"base_url":"clinic/69a21effd0f39","title":"Cirujano en Centro PAD con sistema de cirugía robótica en quirófano"},{"base_url":"clinic/69a21f494fc5d","title":"Cirujano con sistema robótico Da Vinci en la clínica Centro PAD"},{"base_url":"clinic/69a21f12c28c8","title":"Fachada moderna de HLA Hospital Universitario Moncloa en Madrid, España"},{"base_url":"clinic/69a21e2e5d64d","title":"Logotipo de la clínica Centro PAD con gráfico de intestino estilizado"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"España","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Av. de Valladolid, 81B, Moncloa - Aravaca, 28008 Madrid, Spain"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2,"year_foundation":2024},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/67a21921f0080.jpeg","name":"ISO 45001 (Gestión de la Salud y Seguridad Ocupacional)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"Los Mejores Hospitales Inteligentes del Mundo 2023 por Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"La Dra. Carmen Miranda se especializa en la funduplicatura laparoscópica para niños con seguimiento pediátrico en el Hospital Ruber Internacional. El paquete quirúrgico integral puede costar entre 15.000 y 19.000 €, e incluye habitualmente el diagnóstico preoperatorio, la intervención, 1 o 2 noches en una habitación adaptada para niños y los cuidados postoperatorios. El hospital, con certificaciones JCI e ISO, cumple con los estándares internacionales de seguridad para pacientes pediátricos.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":1230,"price_to":1680,"currency":"USD","id":63284},"diagnostic":{"id":9,"name":"Colonoscopia","alias":"colonoscopy"}},{"prices":{"price_from":500,"price_to":500,"currency":"USD","id":63288},"diagnostic":{"id":106,"name":"Consulta con un gastroenterólogo","alias":"consultation-gastroenterologist"}}],"reviews":[],"clinic":{"id":6225,"alias":"hospital-ruber-internacional","name":"Hospital Ruber Internacional","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/6225-6ac3a2c7a2070.png","short_description":"Hospital Ruber Internacional es un centro médico privado de especialidad única en Madrid, España, especializado en neurocirugía, ortopedia y cardiología. El hospital atiende tanto a adultos como a niños, brindando atención a unos 25.000 pacientes cada año. La mayoría de los pacientes provienen de países de la CEI, Europa y la Mancomunidad de Naciones, así como de EE. UU., Canadá y Australia.
\n","images":[{"base_url":"clinic/6756f35ff10ac","title":"Vista exterior nocturna del Hospital Ruber Internacional en Madrid, España"},{"base_url":"clinic/6756f34586526","title":"Equipo médico en Hospital Ruber Internacional con uniformes quirúrgicos, foto grupal en la clínica"},{"base_url":"clinic/6756f34626a12","title":"Habitación de paciente en Hospital Ruber Internacional con cama moderna y vista al jardín"},{"base_url":"clinic/6756f34b1f0c3","title":"Vista exterior del Hospital Ruber Internacional en Madrid, centro médico moderno"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"España","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"40, 416114,-3.714781, Centro, 28013 Madrid, Испания"},"rating":{"rating":5,"google":4.5,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":3,"doctors_number":800,"year_foundation":1942},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"Organización Internacional de Normalización","country_code":"CH"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":2,"total_pages":1}},"clinicsMeta":{"total_count":2,"total_pages":1},"clinicsCount":2,"clinicsCountByEntity":{"clinic_count":59},"doctors":{"doctors":[{"doctor":{"id":11398,"alias":"carlos-garcia-vasquez","name":"Carlos Garcia Vasquez","clinic_id":7532,"photo":"doctor/699b0816c69a3","first_year_working":2006,"created_at":"2026-02-22T13:43:49.356+00:00","short_description":"Cirujano general y del aparato digestivo. Enfoque en cirugía colorrectal, proctológica y de pared abdominal mínimamente invasiva. Jefe adjunto, Hospital Universitario Infanta Elena (2021–). Cirujano asociado, Fundación Jiménez Díaz (2013–).
\nAcreditaciones: Doctor en Cirugía, sobresaliente cum laude (UAM). Certificado en cirugía robótica (Da Vinci X/Xi/5). Formación avanzada en cirugía general laparoscópica (IRCAD, Estrasburgo). Especialista en Cirugía General y del Aparato Digestivo (Fundación Jiménez Díaz).
\nLogros: Investigador (2013–). Autor de una patente para un sistema de implantación protésica de la pared abdominal (2021). Coautor del modelo de utilidad Obturador Rectal (2021). Revisor por pares, International Journal of Surgery Case Reports (2024–). Tutor de tesis (2023–). Publicaciones en Cirugía Española, Experimental Biology and Medicine, Histology and Histopathology y The American Journal of Surgery. Miembro de AEC, AECP e ICOMEM.
","specialities":[{"id":"sur.006","name":"Cirujano colorectal","illness_kind_id":33},{"id":"sur.007","name":"Oncólogo quirúrgico","illness_kind_id":33},{"id":"sur.009","name":"Cirujano gastrointestinal","illness_kind_id":33},{"id":"sur.010","name":"Cirujano general","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":7000}},"clinic":{"id":7532,"alias":"centro-pad","name":"Clínica de Gastroenterología y Proctología Centro PAD","short_description":"Clínica de Gastroenterología y Proctología Centro PAD — centro médico privado en Madrid, España, especializado en gastroenterología, proctología y cirugía digestiva. La clínica realiza procedimientos precisos y mínimamente invasivos —incluyendo cirugía robótica Da Vinci y laparoscópica— para afecciones del colon, recto, pared abdominal y problemas digestivos complejos. Centro PAD atiende a pacientes adultos, cuidando a aproximadamente 160 pacientes al año. La mayoría de los pacientes de la clínica son residentes de Europa y la Mancomunidad de Naciones, América Latina, Estados Unidos, Canadá y Australia.
\n","images":[{"base_url":"clinic/69a21effd0f39","title":"Cirujano en Centro PAD con sistema de cirugía robótica en quirófano"},{"base_url":"clinic/69a21f494fc5d","title":"Cirujano con sistema robótico Da Vinci en la clínica Centro PAD"},{"base_url":"clinic/69a21f12c28c8","title":"Fachada moderna de HLA Hospital Universitario Moncloa en Madrid, España"},{"base_url":"clinic/69a21e2e5d64d","title":"Logotipo de la clínica Centro PAD con gráfico de intestino estilizado"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"España","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Av. de Valladolid, 81B, Moncloa - Aravaca, 28008 Madrid, Spain"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2,"year_foundation":2024},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/67a21921f0080.jpeg","name":"ISO 45001 (Gestión de la Salud y Seguridad Ocupacional)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"Los Mejores Hospitales Inteligentes del Mundo 2023 por Newsweek","country_code":"US"}]},"procedure_prices":[{"prices":{"price_from":8321.047084493928,"price_to":8321.047084493928,"currency":"USD","id":54587},"operation":{"id":884,"name":"Cirugía laparoscópica antirreflujo (ERGE)","alias":"laparoscopic-anti-reflux-gerd-surgery"}}]},{"card_text":"El Dr. César Lévano Linares se especializa en cirugía colorrectal laparoscópica, siendo una referencia reconocida en el campo con técnicas avanzadas.
El Dr. César Lévano Linares es especialista en cirugía general y del aparato digestivo. Trabaja en el Hospital Universitario Rey Juan Carlos y en el Hospital Universitario Fundación Jiménez Díaz. Es reconocido por su labor en cirugía colorrectal laparoscópica.
\nEs doctor en Medicina y Cirugía por la Universidad Autónoma de Madrid. Completó un máster en cirugía colorrectal y del suelo pélvico en la Universidad de Zaragoza. Asimismo, posee un diploma en cirugía laparoscópica por la Universidad Louis Pasteur de Estrasburgo. Cuenta con acreditación europea en cirugía laparoscópica (EACCME).
\nSu investigación abarca el hibernoma retroperitoneal bilateral y la conversión de la cirugía endoscópica endoluminal primaria a bypass gástrico laparoscópico.
","specialities":[{"id":"gst.001","name":"Gastroenterólogo","illness_kind_id":13},{"id":"sur.006","name":"Cirujano colorectal","illness_kind_id":33},{"id":"sur.010","name":"Cirujano general","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":7532,"alias":"centro-pad","name":"Clínica de Gastroenterología y Proctología Centro PAD","short_description":"Clínica de Gastroenterología y Proctología Centro PAD — centro médico privado en Madrid, España, especializado en gastroenterología, proctología y cirugía digestiva. La clínica realiza procedimientos precisos y mínimamente invasivos —incluyendo cirugía robótica Da Vinci y laparoscópica— para afecciones del colon, recto, pared abdominal y problemas digestivos complejos. Centro PAD atiende a pacientes adultos, cuidando a aproximadamente 160 pacientes al año. La mayoría de los pacientes de la clínica son residentes de Europa y la Mancomunidad de Naciones, América Latina, Estados Unidos, Canadá y Australia.
\n","images":[{"base_url":"clinic/69a21effd0f39","title":"Cirujano en Centro PAD con sistema de cirugía robótica en quirófano"},{"base_url":"clinic/69a21f494fc5d","title":"Cirujano con sistema robótico Da Vinci en la clínica Centro PAD"},{"base_url":"clinic/69a21f12c28c8","title":"Fachada moderna de HLA Hospital Universitario Moncloa en Madrid, España"},{"base_url":"clinic/69a21e2e5d64d","title":"Logotipo de la clínica Centro PAD con gráfico de intestino estilizado"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"España","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Av. de Valladolid, 81B, Moncloa - Aravaca, 28008 Madrid, Spain"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2,"year_foundation":2024},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/67a21921f0080.jpeg","name":"ISO 45001 (Gestión de la Salud y Seguridad Ocupacional)"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"Los Mejores Hospitales Inteligentes del Mundo 2023 por Newsweek","country_code":"US"}]},"procedure_prices":[{"prices":{"price_from":8321.047084493928,"price_to":8321.047084493928,"currency":"USD","id":54587},"operation":{"id":884,"name":"Cirugía laparoscópica antirreflujo (ERGE)","alias":"laparoscopic-anti-reflux-gerd-surgery"}}]},{"card_text":"Pionero en ecografía endoscópica en España – El Dr. López-Jamar dirige la Unidad de Endoscopia Digestiva en el Hospital Ruber Internacional.
El Dr. José Miguel Esteban López-Jamar es gastroenterólogo. Desde 2007 dirige las Unidades de Endoscopia Digestiva y Enfermedades Digestivas del Hospital Ruber Internacional. Cuenta con más de 20 años de experiencia. Es pionero en España en ecoendoscopia (EUS). Su trabajo abarca la endoscopia diagnóstica e intervencionista. Emplea técnicas innovadoras y mínimamente invasivas para enfermedades gastrointestinales complejas.
\nFue jefe de Endoscopia (2008–2012) y de Innovación Endoscópica (2012–2014) en el Hospital Clínico San Carlos. Completó formación internacional en el AMC de Ámsterdam, el Institut Paoli-Calmettes de Marsella y el Hospital Zhongshan de Shanghái. Es médico y doctor por la Universidad Complutense de Madrid. Es especialista en gastroenterología. Participa en estudios multicéntricos europeos y ensayos clínicos. Es miembro de la SEPD, la SEED y la ESGE.
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terapia utiliza pequeñas incisiones para reparar la fuga de ácido del estómago, aliviando la acidez estomacal y ofreciendo una recuperación rápida y menos dolorosa.
"},"1637":{"operation":{"name":"Funduplicatura transoral sin incisión (TIF)","alias":"transoral-incisionless-fundoplication-tif","use_for_listing":true},"country_price":{"US":{"amount":13500,"max_amount":21000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3600,"max_amount":5200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":7000,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":5000,"max_amount":7800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":6500,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":false,"TH":false,"ES":true}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":3,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":9886}},"direction":{"id":13,"name":"Gastroenterología","alias":"gastroenterology"},"illness_kind":{"id":13,"name":{"en":"Gastroenterology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":21,"unit":"days","qualifier":"Desk-based work after uncomplicated laparoscopic fundoplication; physically demanding work usually takes longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any perioperative complication within 30 days; serious ones and conversion to open surgery under 2%"},"contraindications":["Unfit for general anesthesia due to severe cardiopulmonary disease","Uncorrected coagulopathy or bleeding disorder","Severe uncontrolled portal hypertension or advanced liver cirrhosis","Pregnancy (elective surgery usually deferred)","Symptoms not caused by gastroesophageal reflux (relative)","Severe motility disorder such as achalasia (relative; needs alternative)","Extensive prior upper abdominal surgery with dense adhesions (relative)"],"days_in_clinic":{"min":1,"max":2,"unit":"nights","qualifier":"Typical inpatient stay after uncomplicated laparoscopic fundoplication, with or without hiatal hernia repair."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking early; heavy lifting and strenuous core exercise avoided about 4-6 weeks."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Swallowing and bloating symptoms typically settle over weeks to a few months; reflux control is assessed by then."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"From surgery; after 1-2 hospital nights and first postoperative check, subject to surgeon clearance and swallowing comfort."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":3,"max":5,"unit":"days","qualifier":"From surgery; in-clinic check before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"From surgery; review of diet progression, swallowing and reflux symptoms."}},{"purpose":"result_review","requirement":"conditional","after":{"min":90,"max":180,"unit":"days","qualifier":"From surgery; symptom outcome review, further testing only if symptoms persist."}}],"indications":["Chronic GERD with persistent symptoms despite optimal medical therapy","Regurgitation or volume reflux not controlled by medication","Reflux complications such as erosive esophagitis or stricture","Coexisting hiatal hernia causing symptoms"],"main_risks":["Dysphagia (difficulty swallowing), usually temporary","Gas-bloat syndrome and inability to belch or vomit","Recurrence of reflux or wrap loosening/herniation","Bleeding, infection or injury to esophagus, stomach, spleen or liver","Conversion to open surgery","Diarrhea or early satiety","Anesthesia-related risks and venous thromboembolism"],"pain":"Mild to moderate pain for the first several days, mostly at the port sites and shoulder tip (from gas), controlled with oral analgesics; swallowing discomfort is common early.","preparation":["GERD confirmed by endoscopy, often pH monitoring and manometry","Barium swallow or imaging when hiatal hernia is suspected","Pre-anesthesia assessment and routine blood tests","Fasting for about 6-8 hours before surgery","Review of current medications and allergies with the surgical team","Stop smoking and optimize weight where possible","Discussion of expected diet changes and realistic outcomes"],"recovery_timeline":[{"phase":"Hospital stay (day 0-2)","description":"Recovery from anesthesia, early mobilization, liquid diet started.","restrictions":["Liquid diet only","Avoid lifting"]},{"phase":"Weeks 1-2","description":"Modified diet progressing from liquids to soft, pureed foods; port site healing.","restrictions":["Small frequent meals","Avoid carbonated drinks","No heavy lifting"]},{"phase":"Weeks 3-6","description":"Gradual return to normal diet and activity; swallowing improves.","restrictions":["Avoid heavy lifting and straining until cleared","Chew food well"]},{"phase":"Months 2-3","description":"Return to full activity; bloating and swallowing symptoms mostly resolve.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Ordinary functional recovery for daily activities and diet progression; no formal rehabilitation program is usually required."},"result_longevity":"Many patients maintain good reflux control for many years, but wrap loosening or recurrence can occur over time and some need medication again.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Reoperation for recurrent reflux, wrap herniation or persistent dysphagia within about 5-10 years"},"scars":"Typically four to five small port-site scars of about 0.5-1.5 cm on the upper abdomen, usually fading to minimal marks.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; follow-up checks are not counted."},"stages":[{"code":"surgery","label":"Laparoscopic fundoplication (with hiatal repair if needed)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Single-stage operation."},"success":{"metric":"Patients with satisfactory reflux control without daily acid medication","value":75,"unit":"percent","horizon":"5 years","population":"Adults with objectively confirmed GERD, typically with good response to acid suppression","evidence_status":"limited"},"techniques":[{"name":"Laparoscopic Nissen fundoplication (360° wrap)","suits_whom":"Most patients with GERD and normal esophageal motility, especially with hiatal hernia.","recovery":"Hospital stay 1-2 nights; temporary dysphagia and bloating common."},{"name":"Laparoscopic Toupet fundoplication (270° posterior partial wrap)","suits_whom":"Patients with weak esophageal motility or higher dysphagia risk.","recovery":"Similar recovery, usually less dysphagia and bloating."},{"name":"Laparoscopic Dor (anterior partial) fundoplication","suits_whom":"Selected patients, often after myotomy or with motility concerns.","recovery":"Similar recovery; fewer swallowing side effects."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for uncomplicated primary laparoscopic fundoplication, with or without hiatal hernia repair."},"initial_assessment_documents":["Upper endoscopy report","Barium swallow report","Esophageal manometry report","24-hour pH monitoring report","List of current reflux medications","Hiatal hernia CT or MRI report, if any"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 5-7 days including 1-2 hospital nights and first postoperative check before flying 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=spain/city=madrid/procedure=operacia-pri-refluks-ezofagite/"}],"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":15},"manualSeo":[],"updatedAt":"2026-11-08T06:40:10.089Z","activeCountries":["ES","TR","MX","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}