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Obesity & Bariatric Surgery

What is obesity?

Obesity has become one of the most challenging diseases that people struggle to be cured from. Diet and exercise are the first treatment options; however, they fail to provide measurable outcomes among moderately and severely obese people. Numerous studies exposed that bariatric surgery & weight-loss surgery, is the appropriate procedure to help those people lose weight and improve their health score.

What is bariatric surgery?

Bariatric (weight loss) surgery is a life-changing technique by which individuals can enjoy a higher quality of life. Weight loss is achieved by reducing the size of the stomach pouch so you will feel full after smaller meals and will not want to eat too many calories for your body to handle. You can choose gastric banding, sleeving or bypass and our surgeons will recommend the best solution for your unique requirements.

How can bariatric surgery help me?

Obesity has become one of the most challenging diseases that people struggle to be cured from. If you have experienced some of the issues associated with trying to lose weight and failing then surgery may be the solution for you. In addition to weight loss, it may lower high blood pressure and high cholesterol. Gradually, it can reduce breathing problems, stops the progression of obesity, and reduce risks of developing new serious conditions.

Why choose bariatric surgery?

Diet and exercise are the first treatment options for obesity; however, if they fail to provide favourable outcomes among moderately and severely obese people then bariatric surgery & weight-loss surgery can be the appropriate procedure to help those people lose weight and improve their health score.

Why take your weight loss journey with us?

When you are looking for bariatric surgery it is recommended that you use a hospital with a high turnover of related surgeries and Zulekha have achieved this with many successful surgeries over many years. Zulekha Hospitals surgeons are internationally recognized in weight loss surgeries and know how to give their clients the best treatment and advice during and post surgery. You will benefit from healthcare of the highest quality and feel safe with Zulekha Hospital taking care of you.

Your Options

Bariatric Surgeon in UAE

Gastric Bypass

This is the most common and successful combined procedure for weight loss surgery. In this procedure, the surgeon creates a small stomach pouch to restrict food intake. Then a Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the lower stomach, the duodenum (the first segment of the small intestine), and the first portion of the jejunum (the second segment of the small intestine). This reduces the amount of calories and nutrients the body absorbs.

bariatrics in uae

Sleeve Gastrectomy

The gastric sleeve procedure involves reducing the size of your stomach. During the operation up to ¾ of the stomach is removed by dividing it, with the new stomach taking the shape of a narrow tube or sleeve. This effectively restricts the stomach capacity without affecting its function, so that the amount of food that can be eaten at one time is restricted.

Bariatric Surgeon in UAE

Gastric Banding

A band is placed around the upper part of stomach to create a small pouch to hold food. The band limits the amount of food that the person eats by giving a feeling of fullness after eating small portions of food.

Gastric Balloon Placement

Weight loss without Scalpel
Non-Surgical Weight loss

Bariatric Surgery is the best available option till date in fight against obesity and other weight related problem like Diabetes, Hypertension, Hypercholesterolemia, and Sleep apnea. But these surgery are minimal invasive, require anesthesia and patient needs to justify criteria according to BMI.

Non –Surgical weight loss procedure like Balloon are reversible temporary, which assist in weight loss and provide opportunity to people to change to healthy life style for sustained result.

Gastric Balloon placement is a procedure without surgery. Gastric balloons; either placed with endoscopy or swallowed like a pill; are indicated in patient who has failed attempt of weight loss with diet and exercise and are between 27.5- 32.5 BMI. Balloon occupy space in stomach and limits food intake. It gives a feeling of early satiety and assist in changing healthy life style at much ease.

Though the amount of weight loss after balloon placement vary person to person, depending upon how strictly one adhere to diet adjustment, follow up with dietician and adept to long term healthy life style which includes eating healthy food and doing mild to moderate exercise regularly. On an average one can expect 10-15% of weight loss, though it varies.

Revision Bariatric Surgery

Revision weight loss surgery is a surgical procedure that is performed on patients who have already undergone a form of bariatric surgery, and have either had complications from such surgery or have not successfully achieved significant weight loss results from the initial surgery.Procedures are usually performed laparoscopically, though open surgery may be required if prior bariatric surgery has resulted in extensive scarring.

Procedures

  • An adjustable gastric band is an inflatable silicone prosthetic device that is placed around the top portion of the stomach. This procedure can be performed as a revision procedure for many patients who have had a previous stomach stapling, gastroplasty procedure, or Roux-en-Y gastric bypass surgery but have regained weight. The procedure is normally performed laparoscopically, though in a small minority of instances prior surgery may have resulted in extensive scarring,requiring open surgery.
  • Roux-en-Y gastric bypass is a commonly chosen revision technique,particularly in patients who have not been successful in meeting their weight loss goals after stomach stapling, gastroplasty, vertical gastric banding, or laparoscopic-adjustable gastric banding. Often the prior procedure still lends itself to a revision to become a Roux-en-Y gastric bypass. It may be performed laparoscopically, and the average recovery time is approximately two weeks.The weight loss success rate after Roux-en-Y gastric bypass revision surgery is generally excellent. There are some associated risks of vitamin deficiency and stomach ulcerformation requiring prevention with multivitamins and proton pump inhibitors.
  • Sleeve gastrectomy removes a large portion of the stomach, with the remaining portion reshaped to become tube-like or sleeve-shaped. This creates an increased sense of satiety and decreased hunger in patients, often leading to weight loss and improved health.The procedure is generally less invasive than many other weight loss surgeries and has a lower potential for complications than may be associated with gastric bypass surgery.
  • Mini-gastric bypass can be performed on patients who have undergone either gastric band or sleeve gastrectomy in the past and have not lost significant weight or regained weight after initial weight loss. This procedure again can be performed laparoscopically. Weight loss is achieved by adding malabsorptive component to the already existing restrictive procedure.

We provide 0% finance on all bariatric procedures

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Our Bariatric Specialists

  • Dubai
  • Sharjah
  • Dr. James Zachariah Pulimuttil
  • Dr. Uday Shankar
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Dr. James Zachariah Pulimuttil

MS FACS, FICS, FMAS, FACRSI, Fellowship in Metabolic and Bariatric Surgery. (TAIWAN) Specialist General Surgeon- (Bariatric, Metabolic & Advanced Laparoscopic Surgery)

Specialist General Surgeon- (Bariatric, Metabolic & Advanced Laparoscopic Surgery)

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Work Experience

  • Dr. James Zachariah graduated in medicine in 1984 and has 28 years of surgical experience following his surgical residency in 1992, from Christian Medical Colleges - Vellore and Ludhiana, where he also worked as a surgical faculty.
  • FELLOWSHIP IN BARIATRIC (OBESITY) SURGERY - 2015 - TAIWAN (AWARD WINNER).
  • FELLOWSHIP IN COLORECTAL SURGERY - 2014 - INDIA (FACRSI).
  • Dr. Zachariah, received the AWARD of OUTSTANDING INTERNATIONAL BARIATRIC FELLOW 2015, at Taiwan, for his excellent work and contribution in the field. He was trained in Bariatric Surgery in Asia Pacific Bariatric and Metabolic Surgery Center, MIN-SHENG HOSPITAL, TAIWAN under Dr. Wei-Jei Lee, a world renowned Bariatric and Metabolic surgeon. He has more than 19 years of experience in Laparoscopic surgery and does primary and revisional bariatric procedures including upper GI endoscopies, regularly.
  • Dr. Zachariah has done considerable research in bariatric and metabolic surgery and has published several papers in the international journals as a first author and co-author and has also presented several papers in the international bariatric surgery conferences.
  • Prior to joining Zulekha Hospital, Dr. Zachariah was the Head of Dept, of General and Laparoscopic Surgery in Care Hospital, Vizag, India.
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Dr. Uday Shankar

MBBS, DNB (Surgery), Diploma in Laparoscopy Surgery (France). Fellowship in Metabolic & Bariatric surgery

Specialist General Surgeon - Advanced Laparoscopy and Bariatric (Obesity) Surgery

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Work Experience

  • Dr. Uday completed his Post graduation in General Surgery from the Prestigious National Board of Examination, New Delhi. He joined the Christian Medical College & Hospital (CMC), which is one of largest tertiary hospitals and medical colleges in India, where he worked as Tutor and consultant.
  • Dr. Uday acquired special training in Advanced Laparoscopy Surgery from prestigious IRCAD, France where he was awarded Diploma in Laparoscopy Surgery.
  • Dr. Uday got a specialized training from Dukes University, Durham, USA in Revisional bariatric surgery for weight regain after primary weight loss surgery.
  • He has more than 15years of experience in advanced laparoscopy surgery and has performed more than 250 bariatric procedures successfully.
  • Dr. Uday special area of interests is Bariatric & Metabolic surgery for obese people suffering from metabolic syndrome (Diabetes, Hypertensive & Lipid Abnormality
  • Dr. Sajad Ali Mohammad
  • Dr. Parag M. Rane
  • Dr. Fadi Alnehlaoui
  • Dr. Nafad Mohamed Lotfy Elhadidi
  • Dr. Saima Asrar
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Dr. Sajad Ali Mohammad

MS, MRCS (UK), Diploma Laparoscopic surgery (France, IRCAD)

Specialist General and Laparoscopic Surgeon

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Work Experience

  • Dr. Sajad has more than 12 years of experience in the field of General & Laparoscopic Surgery.
  • After his graduation from the Government Medical College, Jammu (India), he worked with prestigious Bhopal Memorial Hospital & research Center – Bhopal (India). Meanwhile; he also earned his fellowship in Minimal Access Surgery from the same Hospital.
  • Before joining Zulekha Hospital, Dr. Sajad was associated with Sanad Hospital – Riyadh (Saudi Arabia) for more than 5 years as a General & Laparoscopic Surgeon.
  • He is a member of Saudi Laparoscopic Society and a certified trainer for ATLS (Advanced Trauma Life Support) course.
  • Registered with Irish medical Council
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Dr. Parag M. Rane

M.S, F.M.A.S, F.I.C.S.

Specialist General and Laparoscopic Surgeon

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Work Experience

  • Dr Parag M Rane has worked as Consultant General, Laparoscopic and Bariatric Surgeon for last 25 years with Kaushalya Medical Foundation Trust Hospital, Thane.
  • He has also worked as Consultant  General and Laparoscopic Surgeon with Jupiter Hospital and Currae Speciality Hospital, Thane.
  • He has done his  M.S. in General surgery from Lokmanya Tilak Municipal Medical college, Mumbai in 1991.
  • He is also having the following Fellowships
    • Fellowship in Bariatric and Metabolic Surgery from LASER Institute, Indore, India
    • Fellowship in Minimal Access Surgery from Gem Hospital, Coimbatore, India.
    • Fellowship of International College of Surgeons ( FICS )
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Dr. Fadi Alnehlaoui

MD, MS- GEN SURGERY , MS - SURGICAL ONCOLOGY

Specialist General Laparoscopic & Surgical Oncologist

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Work Experience

  • For more than 16 years he has worked as General and Surgical Oncologist in many public and private hospitals in Aleppo, Syria. These include Hospital Prive Franco-Syrien, Syrian Hospital, Andalus Hospital, Dabbit Hospital, and Badrakhan Hospital.,
  • He was also Specialist Surgeon & Lecturer of Surgery Department at the Aleppo University Hospital Faculty of Medicine, Syria (2005-2008),
  • He also worked as a Surgical Oncologist under Sub-specialist Program (Fellowship) in the Ibn Rushd Center of Oncology, Aleppo, Syria (2007 – 2011).
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Dr. Nafad Mohamed Lotfy Elhadidi

MBBch, MSc, Medical doctorate in surgery

Consultant General Laparoscopic and Vascular Surgeon

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Work Experience

  • Dr. Nafad has obtained Master and Medical Doctorate in General and Vascular Surgery from Cairo University, Egypt.
  • Special training in Redo Bariatric surgery.
  • Fellow in Enodovascular surgery Emory hospital - Atlanta, Georgia.
  • Member of the Arab Gulf Society for Gastroenterology and Catheterology for the treatment of veins and arteries.
  • Member of the International Society of Orthopedic Surgery (IFSO).
  • Member of the American Society of Surgeons.
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Dr. Saima Asrar

MBBS, FCPS

Specialist General and Laparoscopic Surgeon

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Work Experience

  • Dr Saima has got more than 10 years of experience in the department of general and laparoscopic surgery
  • She has worked in Sindh Government hospital, New Karachi, Pakistan as Head of Department and there she started first Laparoscopic surgery clinic, providing laparoscopic cholecystectomy and other surgeries on regular basis
  • She has been working in UAE for the last 7 years
  • She has extensive knowledge of community surgical diagnostic and patient care services in various settings, including in-patient and outpatient clinics, and government/private hospitals and clinics.
  • She is a Member of Healthcare quality chapter of Pakistan productivity and quality society Pakistan – QPSP
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Recognition

The European Accreditation Council for
Bariatric Surgery, has awarded:

Zulekha Hospital

With the Centre of Excellence for Bariatric and Metabolic Surgery accreditation.

His Highness Sheikh Mohammed bin Rashid Al Maktoum

presenting the Dubai Quality Award to

Dr. Zulekha Daud,

Founder and Chairperson

Ms. Zanubia Shams,

Co-chairperson of Zulekha Healthcare Group.

Zulekha Hospitals is proud to receive

the Patient Satisfaction Award

Recognition is for companies receiving
an excellent satisfaction rating.

Zulekha Hospital honored with Dubai Chamber CSR Label 2016

The prestigious Dubai Chamber CSR Label was presented to Dr. Zulekha Daud, Founder and Chairperson, Zulekha Healthcare Group for the fourth consecutive year recognizing our commitment to corporate social responsibility and sustainability.

Our Hospitals

Zulekha Hospital Dubai

Zulekha Hospital Dubai is a 179 bed hospital established in 2004 which offers both inpatient and outpatient care covering a wide range of medical and surgical specialties. The facility boasts state-of-the-art operation theatre arrangements, emergency services, labor rooms and includes multiple centers of excellence such as Cardiology, Plastic Surgery, General Surgery, Oncology, Ophthalmology, Orthopedics, Urology, Gastroenterology, Dermatology and Physiotherapy.

204 Rd, Al Qusais Industrial Area, Dubai, U.A.E.

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Zulekha Hospital Sharjah

Zulekha Hospital Sharjah is a full-fledged, multi-disciplinary hospital with Out-patient and In-patient facilities. What started off as a 30 bed set up with basic facilities for gynecology, obstetrics, surgery, medicine and pediatrics in 1992, today boasts of 185 beds, sprawled over an area of 290,000 square ft.


Al Zahra Street, Sharjah, U.A.E.


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Your Questions

How long will I be out from work after metabolic or bariatric surgery?

After surgery, many patients return to work in 4-6 weeks. You will have low energy for a while after surgery and may need to have some half days, or work every other day for your first week back. Your surgeon will give you clear instructions. Most jobs want you back in the workplace as soon as possible, even if you can’t perform ALL duties right away. Your safety and the safety of others are extremely important – low energy can be dangerous in some jobs. Many patients are worried about getting hernias at incisions. Incisional hernias are almost never a problem from work or lifting they are more often the result of infection.

When can I start exercising again after surgery?

Right away! You will take gentle, short walks even while you are in the hospital. The key is to start slow. Listen to your body and your surgeon. If you lift weights or do sports, stay “low impact” until you are given the all-clear (avoid competition, think participation). Build slowly over several weeks. If you swim, your wounds need to be healed over before you get back in the water.

Does type 2 diabetes make surgery riskier?

It can. Be sure to follow any instructions from your surgeon about managing your diabetes around the time of surgery. Almost everyone with Type 2 Diabetes sees big improvement or even complete remission after surgery. Some studies have even reported improvement of Type 1 Diabetes after bariatric procedures.

Can I have surgery if I have heart disease?

The short answer is yes. One complication of obesity is the increased rate of heart disease; therefore surgery may be the move that allows you to continue a healthy life and manage your heart disease. However, you should choose a hospital that deals with a lot of gastric surgery as they will be experienced and also select a hospital that has heart specialists who can advise the bariatric surgeons on any relevant aspects. Zulekha achieve all these aims so if you have any concerns, please speak to our team, we are happy to discuss all aspects in detail.

Will I lose my hair after bariatric surgery?

Hair follicles are a complex part of humans’ anatomy, they are susceptible to so many aspects of our physiology that it is hard to give a definitive answer to this question. Some patients have noticed hair loss after surgery, while many haven’t. We try to reduce the likelihood of hair loss in our patients with a well-planned post-op diet and the correct amount of vitamins and minerals. We have found that although we cannot prevent hair loss in every single surgery, when it does occur, we can reduce the amount of loss and the duration.

Will I have to go on a diet before I have surgery?

In order to get the best results from your bariatric surgery and to increase the likelihood of a safe operation you will need to go on a 1-2 week liquid diet. The purpose of this is to reduce the amount of fat stored in your liver and allows the surgeon to operate in a clear, safe area with reduced risk. This will also enhance post-operative healing.

Will I have to diet or exercise after the procedure?

Exercise and physical activity in general is recommended after bariatric surgery. Just daily short walks at first will help you recover in a healthy manner, reduce any risks from the surgery and help you return to a normal life as quickly as possible. After 4-12 weeks (depending on the type of surgery) you can start cycling, walking, progressing to swimming once your wound has healed and then on to weights or more vigorous activity as you recover and start losing the weight. We have found that our patients are eager to get going as they start to enjoy more energy than ever before.

I am unable to walk, can I still have surgery?

You will need to speak to your surgeon. We have successfully operated on none mobile people and allowed them to return to a full and active life as a result of bariatric surgery. Please speak to your consultant about any issues you may have.

Can I stop taking my medication after surgery?

Bariatric surgery changes many aspects of one’s life, and medications are no exception. Most patients will be prescribed certain medications and supplements after their surgery, but the surgery can also affect what medications are safe to take for other reasons and how you take them. Your consultant will be able to advise on changes in volume to medication or even reductions in the amount of medicines required.