We work with our hearts to protect yours
At Rashid Hospital, we offer diagnosis, care and post procedural advice. We will create a successful and viable future plan for you according to your specific needs. At times, it becomes necessary for multiple experts to step in and work in unison because one part of the digestive system impacts the other.
- Chest pain – Gastroesophageal Reflux Disease (GERD)
- Celiac disease
- Crohn’s disease
- Ulcerative Colitis
- Irritable Bowel Syndrome
- Anal fissure
Our unique protocol works on a systematic grid designed to provide the best chance for a full recovery. These specialisations cover:
Basic and advanced diagnostic studies and management of acid reflux and oesophageal disease, management of stomach disorders/ulcers, GI bleeding, and management of chronic colonic diseases (Crohn’s, Ulcerative Colitis, IBS)
- Gastro-esophageal Reflux disease (GERD)
- Peptic ulcer disease and helicobacter pylori gastritis
- Inflammatory bowel diseases (Crohn and Ulcerative Colitis)
- Celiac disease
- Gastrointestinal and colonic bleeding
- Esophageal motility disorders including achalasia
- Pancreatic diseases
- Diverticular disease
- Irritable Bowel Syndrome (IBS) and other functional GI disorders
- Nutritional diseases
Special interest in the diagnosis and management of various liver diseases, including viral hepatitis, fatty liver, and cirrhosis.
- Acute and chronic viral Hepatitis (Including Hepatitis B and Hepatitis C)
- Cirrhosis and management of portal hypertension and liver failure/ decompensation
- Autoimmune Hepatitis
- Fatty liver and NAFLD
- Hemochromatosis, Wilson Disease
- Primary Biliary Cirrhosis and Sclerosing Cholangitis
- Abnormal liver function tests evaluation
- Liver Diseases of Pregnancy
Availing gastroenterology treatment at Emirates Healthcare gives you a true appreciation of what personal care is all about.
At Rashid Hospital Jumeirah, we offer holistic solutions while also focusing on technologically advanced and minimally invasive procedures. This vision of ours also extends to our solutions in the Gastroenterology department.
a. Endoscopic Sleeve Gastroplasty
Endoscopic Sleeve Gastroplasty (ESG) is a relatively new weight loss procedure started at in 2012, and now in use in a number of centers around the world. The procedure is non-surgical and is performed by a trained Gastroenterologist using endoscopic techniques in the hospital under general anesthesia.
Once asleep, the specialist inserts a camera (i.e. endoscope) through the mouth and into the stomach via a protective tube, that protects the oesophagus from injury. Following an examination to confirm it is safe to proceed, a series of stitches are made within the stomach to create a tube which significantly decreases the stomach’s capacity by using FDA approved device (overstitch).
The procedure takes approximately 60 – 90 minutes to perform and the patient is able to be discharged from hospital on the next day.
While the stitches are not dissolvable, over several years the stitches may loosen or come undone- this can happen with vomiting or over-eating. While this is not dangerous at all, this may decrease effectiveness of the procedure over the course of several years. However adding more stitches in the future could be possible if required.
How Does it Work?
The procedure not only forms a tubular-shaped stomach which is significantly more narrow, but also shortens the length of the stomach by approximately 50%. It is thought that the volume reduction of the stomach following ESG is approximately 70%.
In addition, the ESG slows the ability of the stomach to empty, which further enhances the appetite suppression and allows the patient to feel full for longer period of time.
How effective is it and how long does it last?
Studies show the procedure, when combined with a comprehensive dietary and lifestyle program, leads to an average of approximately 20-25% TBWL over 18 months (Total Body Weight Loss; ie a 100 kg person would lose 20 kg on average). One study has indicated that for people whose BMI is between 30 – 40, this procedure performs as well as a surgical sleeve in terms of weight loss over 18 months.
The procedure is designed to be permanent, however the stitches can be removed in early weeks (returning the stomach to full volume) should your doctor decide it is necessary in the future.
The procedure is relatively new, having been developed in 2012, however data show persistent weight loss out to 3 years. It is expected that there may be some weight regain as the stitches loosen or break, however this can be prevented by avoidance of overeating and vomiting.
What are the side effects and risks?
Side effects after the procedure may include abdominal pain, nausea, cramping and vomiting, proper diet and certain medications after the procedures would minimize the risk of these side effects, particularly nausea and vomiting. These side effects last 2-3 days and then typically disappear.
The risks of complications are surprisingly small. There have been no deaths documented with this procedure with well over 5000 cases having been performed worldwide. There are risks of bleeding and infection, however the total risk is less than 1%.
To date, complications that have occurred have been able to be managed with endoscopies, medications or minor procedures. No complication has yet required surgery to resolve, however there is a very small risk that this may be required.
Maximizing your results
Studies demonstrate that a critical component of successful weight loss procedures is engaging with your team of doctors, dietitians, psychologists and support staff. Research confirms that the more often you contact our team, the more successful your weight loss journey will be.
As part of the ESG program, you will be expected to see or be contacted by our dietitian as well as our psychological / psychiatrist therapist 6 – 8 times for 12 months. You will also be required to see your specialist 3 – 4 times over the course of the year. After your first year, it is recommended you see your team every 6-12 months, to guard against the risk of weight regain.
b. Ellipse Balloon
Innovative Elipse Capsule Gastric Balloon for Obesity Management
The Elipse capsule gastric balloon is made of a thin, flexible polymer film and is ingested as a capsule without the need for surgery. The balloon is filled once it reaches a patient’s stomach to reduce hunger, and passes naturally through the GI tract after 4 months
Who are qualified
Anyone with BMI of 27% or more, few medical conditions may exclude the candidacy of some patients for this procedure
What is unique about this gastric balloon
No need for Endoscopy or Surgery or Anesthesia, it is engineered to have self-deflation after 4 months and passes out of the stomach and intestines by natural intestinal contractions.
The procedure takes 15-20 minutes, where the balloon location confirmed by X ray.
Potential side effects
Nausea/ vomiting, abdominal cramps, discomfort, bloating (with proper prescribed medications during the first few days, 80% of the side effects will not be experienced or would be mild)
Risk of partial deflation or occurrence of intestinal obstruction, is a theoretical risk, but it is extremely rare and can be managed when it is diagnosed early, especially if the patient screened properly prior to the procedure.
Expected weight loss
From prior studies, the average weight loss is 10%, and in some recent studies reached to 15% of total body weight, or average decrease of 20-50% of excess body weight,
Follow up by the dietician and the gastroenterologist for 6 months after elipse capsule swallowing yielded the best results