Mediclinic City Hospital along with the other Mediclinic Dubai Facilities offer ethical, evidence based weight reduction programme according to recognized international standards of patient care.
Mediclinic Parkview Hospital, Mediclinic City Hospital, Mediclinic Welcare Hospital and Mediclinic Dubai Mall have received accreditation from the European Association for the Study of Obesity (EASO) as a Collaborating Centre for Obesity Management (COM).
Through this accreditation the four facilities now offer comprehensive medical and surgical services for the treatment of adults with obesity with the aim of improving health through weight management.
Our multi-disciplinary team is comprised of:
- Consultant Endocrinologists
- Consultant Bariatric Surgeons
- Bariatric Coordinator
- Bariatric Dieticians
- Exercise Therapists
Services and benefits:
- Implement state-of-the art evidence-based care for obese patients
- Our multi-disciplinary team reviews all weight reduction cases
- Decisions are made in the patient’s best interest as per recognised international standards
- We offer a full range of treatment modalities coordinated by our multidisciplinary team
- Members of the multi-disciplinary team are readily accessible to provide advice and guidance
- Access to patient support group
- Our service is fully compliant with the American Society for Metabolic and Bariatric Surgery guidelines
- Facilitate, and empower patients to make healthy lifestyle changes
Patients will be over 18 years of age, independently mobile and attending to activities of daily living (ADLs):
- Patients with BMI ≥ 40 kg/m2.
- With BMI 35–40 kg/m2 with co-morbidities e.g type 2 diabetes, hypertension, hyperlipidemia, obstructive sleep apnea (OSA), non-alcoholic steatohepatitis (NASH), non-alcoholic fatty liver disease (NAFLD).
- Patients with BMI 30-34.9 kg/m2 with recent onset type 2 diabetes or metabolic syndrome may be offered bariatric procedure.
- Patients with BMI ≥ 27 kg/m2 will be considered for pharmacotherapy, balloons and endoscopic sleeve gastroplasty.
All patients entering the programme will be assessed by a bariatric coordinator or physician (endocrinologist) at first visit for suitability and given a management pathway.
There are five main components of the programme:
1- Dietician and weight reduction coordinator
Your weight reduction coordinator will work as the patient’s first line of contact to:
- Organise a multidisplinary team for weight management cases to define the most suitable procedure for weight loss
- Assist clients in devising and carrying out weight-loss plan, using established dietary programs or procedures
- Interviews client to obtain information on weight development history, eating habits, medical restrictions, and nutritional objectives
- Explain programme and procedures base on the international guidelines, which should be followed to lose desired amount of weight, and answer client questions
- Follow up and monitor patient’s progress post procedure
The weight reduction coordinator At Mediclinic City Hospital is Ms. Sreela Nair, Dietician. To know more about the program, you can write to her on Sreela.Nair@mediclinic.ae
2- Medical management
The endocrinologist will help to:
Formulate an individualised medical investigation and therapeutic plan in collaboration with other members of the MDT
Facilitate the use of licensed weight loss medications e.g. saxenda
Evaluate the clinical presence and importance of diseases associated with obesity (e.g. diabetes, dyslipidemia, hypertension, cardiac function, obstructive sleep apnea, non-alcoholic fatty liver disease etc.) and their optimal management
Assess cardiovascular risk factors, including obstructive sleep apnea and other potential health problems, and ensure they are addressed preoperatively and postoperatively if bariatric surgery is contemplated
Monitor for nutritional deficiencies (vitamin D and folic acid) preoperatively, 3–6 months postoperatively, and annually thereafter or as needed
3. The bariatric surgeon will:
Possess advanced bariatric and laparoscopic skills
Assess the individual patient’s suitability for surgery taking into account factors such as age, co-morbidities and previous medical and surgical history
Provide clear explanation on benefits, risks and common complications of surgical procedures to enable patients give informed consent. The recent NCEPOD report recommended that ‘As for all elective surgery, a deferred two-stage consent process with sufficient time lapse should be utilised, and details of benefits and risks should be clearly described, and supported with written information’
Provide patients the likely weight reduction outcomes after different surgical procedures and emphasise the need for long-term lifestyle changes and follow-up postoperatively
Advise and support the patients in choosing appropriate bariatric surgical procedure
4. The gastroenterologist will:
- Play an important role in preoperative assessment and postoperative management. Gastroenterologists are one of the integral members of the multi-disciplinary teams
- Assess and deal with common complications of surgery related to GI tract structure, function, and mucosal integrity procedures
- Assess and treat nutritional deficiencies (vitamin B12, folate, zinc and anaemia) in collaboration with dietician
- Help optimise care of the bariatric patient and set the stage for effective development, testing, and use of the many new endoscopic, intraluminal, and pharmacological GI-based therapies for obesity that are under development
5. The psychologist/psychiatrist will:
- Evaluate patients before bariatric surgery if mental health issues identified during initial evaluation
- Provide pre-operative evaluation where needed enabling identification of interventions that can enhance long-term compliance and weight maintenance
- Provide psychological support if eating or binge disorders identified as it increases risk of and lower weight loss and weight regain after some bariatric procedures