Expert weight loss surgeons in Inland Empire Region
Has managing your weight felt like a losing battle? If so, the surgical weight loss center at Riverside Community Hospital (RCH) has options that can help you live a healthier life.
Our weight loss procedures
Riverside Community Hospital offers three main procedures for surgical weight loss: Roux-en-Y gastric bypass, sleeve gastrectomy and revision weight loss surgery.
Roux-en-Y gastric bypass
This laparoscopic procedure effectively reduces the stomach size by stapling and separating the upper portion of the stomach. Part of the intestine is bypassed causing some calories to be malabsorbed. Rapid weight loss is the result of the restricted food intake and the malabsorption. The procedure takes about two to four hours to complete and you will typically be in the hospital for two to three nights.
This is a restrictive laparoscopic procedure. A "banana" or "sleeve-shaped" stomach is created by stapling and removing part of the stomach. Remaining is a narrow tube or sleeve with a one to four ounce capacity. This procedure may be modified to a Roux-en-Y gastric bypass for additional weight loss. The procedure takes about one hour and 30 minutes and you will be hospitalized for one to two nights.
A normal stomach can hold approximately three pints of food. After sleeve gastrectomy, a stomach may only hold four ounces of food. However, over time it may be able to hold more.
Revision weight loss surgery
Revision weight loss surgery is a procedure performed on patients who have already undergone a form of bariatric surgery and have either had complications from the surgery or have not successfully achieved significant weight loss results from the initial surgery.
Weight loss surgery requirements
Being overweight can have serious health consequences: decreased life expectancy, increased risk of heart disease and stroke, high cholesterol, diabetes, sleep apnea, high blood pressure and more.
Bariatric surgery is intended for individuals who are diagnosed with severe or "morbid" obesity. These patients have a body mass index (BMI) of 40 or higher (or approximately 100 pounds or more of excess weight), or who have a BMI between 30 and 39.9 (or approximately 75 pounds or more of excess weight) and who have one or more of the obesity-related conditions listed above.
Bariatric surgery patient education
Participants who are scheduled to have surgery at RCH are required to be educated about weight loss surgery to gain an understanding about the journey on which they are about to engage.
Prior to your scheduled surgery, all patients will attend a pre-operative and a nutrition education class. The pre-operative education classes are scheduled in the bariatric surgeon's office, or with the coordinator of the bariatric program at RCH. The nutrition classes will be scheduled with one of the dietitians at RCH. For your convenience, both classes are scheduled on the same day. Classes are held on Tuesday’s.
The educational classes are the first step to ensuring your success after surgery.
For contact information, please call our Consult-A-Nurse line at (951) 788-3463. For additional information about weight loss surgery education, please call Latanya Davidson-Wilson, Bariatric Coordinator, (951) 788-3432.
Bariatric surgery FAQs
It is possible, but follow the instructions from your surgeon about managing your diabetes before the surgery. Many people see big improvements in Type 2 diabetes or even remission after surgery. There have been some studies that reported improvement of Type 1 diabetes after bariatric surgery.
Right away! You will begin walking in the hospital. The key is to start SLOW. If you lift weights or do sports, do “low impact” for the first month. Build slowly over several weeks. Do not swim until wounds have healed.
Most patients return to work after two to four weeks. Some people are able to work from home as early as one week after surgery. Many patients may have low energy due to the reduced calorie intake from one to two weeks. Most patients gain their energy back after they start eating soft food.
Most people will have some pain, and most people will need to take an oral pain medication for a few days after surgery. Most patients did not feel the pain was a major issue during recovery.
You need to take a multivitamin for life. In addition, you may need higher doses of certain vitamins or minerals, especially iron, calcium and vitamin D. Be sure to have your labs drawn each year.