Cognitive Behavioral Psychotherapy

It is a structured, short-term, patient-oriented method suitable for adults and children, group or individual therapies, with a practical approach to problem-solving. Cognitive behavioral therapy focuses on the complex relationship among emotions, thoughts, and attitudes that are at the basis of our problems.


The Mindfulness Based Stress Reduction program (MBSR) is a scientific approach developed by Jon Kabat Zinn at the University of Massachusetts Medical School-Center for Mindfulness. The MBSR program includes 8 weekly sessions; generally, group therapy is proposed, but individual sessions can be organized on request.

A healthy diet and regular physical activity are the two pillars for good health and preventing most common chronic diseases. More specifically, a balanced intake of nutrients, and adjusted to the individual needs, is essential for healthier and longer life.

The nutritional program conducted at UPMC Institute for Health includes:

  • A nutritional assessment (history and data collection, anthropometric and bioelectrical impedance analysis).

  • A personalized diet to:

    • Reach optimal body weight in underweight, overweight, and obese individuals;

    • Prevent or better manage conditions such as diabetes mellitus, hypertension, dyslipidemia, food allergies, and intolerances;

    • Manage particular physiological conditions (e.g., pregnancy, breast-feeding, and menopause);

    • Prevent tumors;

    • Educate on healthy eating.

EndoBarrier is a device that produces the same effects of intestinal bypass surgery.

Compared to other surgical approaches against obesity, this technique has several benefits. First of all, it’s less invasive as it does not involve surgery. Second, it’s reversible because once inserted the device can be removed at any time. Finally, it’s less expensive compared to traditional surgery for obesity.

EndoBarrier is introduced endoscopically inside the patient’s duodenal lumen in order to reduce food absorption and, possibly, modify the insulin production. EndoBarrier is a flexible waterproof tube anchored to the duodenal bulb with a removable anchor. Using an endoscope, doctors insert a sort of “protective liner” inside the patient’s mouth. Once in place, the liner creates a physical barrier between digested food and the intestinal wall. The EndoBarrier can stay in place for up to 12 months, after which it is removed.

Preliminary results of studies conducted in other EU countries are very encouraging, showing a loss of over 40% of excessive weight and, most of all, clinical remission of type 2 diabetes with a significant improvement of the conditions of patients undergoing this treatment.

According to the World Health Organization (WHO), diabetes will be the seventh leading cause of death in 2030. WHO estimates that, globally, 422 million adults were living with diabetes in 2014 (in Italy 8.5% of the population aged over 30 years had diabetes). These cases are mainly type 2 diabetes whose principal causes are obesity and lack of physical exercise. In 2014, globally more than 1 out of 3 adults was overweight and more than 1 out of 10 was obese (in Italy: 64% of adult population was overweight and 23.7% was obese). (Global Report on Diabetes – WHO, 2016).

To get an initial assessment about your suitability for the Endobarrier® procedure, fill out the form with your doctor’s help.
Our specialists will verify your suitability for the procedure and will call you back.

A healthy liver is a vital component of good general health. The liver has a great functional reserve, but liver diseases can be asymptomatic for decades before signs and symptoms develop. The buildup of fat in the liver (also in people who are not overweight) is an early index of risk for systemic diseases, such as metabolic (e.g., diabetes) or cardiovascular (e.g., arterial hypertension, myocardial infarction, stroke) diseases. Monitoring the health of your liver is now possible with non-invasive and painless physical tests, such as medical ultrasound and liver elastography.

Liver elasticity is measured through the propagation speed and reflection of the elastic waves generated by a FibroScan, which gives the non-invasive indirect measurement of fat buildup (lipid molecules) in the liver without the need for a liver biopsy. Liver elasticity is usually altered by the following three conditions: congestion following cardiovascular diseases, inflammation caused by edema and infiltration by immune cells, and fibrosis following a chronic liver disease that leads to cirrhosis.

The FibroScan is a device, similar to an ultrasonograph, for measuring the elasticity of the liver through the ultrasounds generated by a probe on the surface of the liver, expressed in kPa, as well as the degree of steatosis, and the CAP index, i.e., the number of lipid molecules in the liver. The more the damage, the less elastic is the liver, and the higher the value.

The FibroScan is virtually operator-independent, and results are highly reproducible and can be repeated over time. The test does not require a specific preparation for the patient, only fasting.

The FibroScan is:
➢ Non-invasive
➢ Painless
➢ Fast (15 minutes)
➢ Reliable
➢ Objective

Hepatology, cardiology, diabetology, psychology assessment
Upper abdomen ultrasound
Lower abdomen ultrasound
Complete abdomen ultrasound
Liver and biliary tree ultrasound (screening for focal lesions)
Thyroid ultrasound
Neck ultrasound for lymph nodes
Abdominal aorta ultrasound
Cutaneous and subcutaneous ultrasound
Breast ultrasound
Muscle and superficial structure ultrasound
Testicular ultrasound
Abdominal vessel and renal artery ultrasound
Urinary system ultrasound
Echo (color) Doppler of liver and bile ducts
Kidney and adrenal gland echo (color) Doppler
Echo (color) = Doppler of the spleen
Echo (color) Doppler of the urinary system
Thyroid and parathyroid echo (color) Doppler
Elastometry (FibroScan) with CAP index
EKG (with final report)
Color Doppler echocardiography
Color Doppler echocardiography for sports assessment
Echo (color) Doppler of the supra-aortic trunks
Echo (color) Doppler of the portal vein
Echo (color) Doppler of lower limb and districtual arteries
Echo (color) Doppler of upper limb and districtual arteries
Venous arterial lower limb Echo (color) Doppler
Echo (color) Doppler of iliac artery vessels
Holter blood pressure monitoring
Holter cardiac monitoring
Pressure and cardiac Holter monitoring for sports assessment
Cardiac stress test (bicycle ergometer)
Cardiac stress test (bicycle ergometer) for sports assessment

For further information on our services, please contact the Center.


How to reach us

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At the UPMC Institute for Health Chianciano Terme, we offer preventive medicine services for gastrointestinal, pancreatic, and cardiac diseases, metabolic syndrome, and diabetes. In other words, we take care of you.


UPMC Italy is the Italian division of the University of Pittsburgh Medical Center (UPMC). It manages ISMETT IRCCS, a center of excellence in the field of organ transplantation and a government-approved research hospital in Palermo. UPMC Italy also operates the UPMC San Pietro FBF Advanced Radiotherapy Center in Rome, and is collaborating with Ri.MED Foundation toward the establishment of the Biomedical Research and Biotechnology Center (BRBC) in Carini, Palermo.


UPMC is an integrated global health enterprise headquartered in Pittsburgh, PA, USA. Its deep clinical, operational, and managerial expertise, combined with real-world experience, has made UPMC a leading health care provider in the United States. UPMC International shares clinical, technological, and managerial knowledge and expertise with partners across the globe customizing solutions to build the best possible health care for patients, close to home.

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