Riverside Community Hospital is here to help you start your weight loss journey today

Center of Excellence in the Inland Empire Region

 

Meet our team of bariatric surgeons and make an appointment today.

 

How can bariatric surgery help me with weight loss?

Bariatric surgery, also commonly referred to as weight loss surgery, is generally performed on patients struggling with obesity. There are several types of bariatric surgery, but they all aim to decrease food intake with the goal of rapid weight loss.

If you are struggling with obesity and traditional weight loss methods haven’t worked for you, then bariatric surgery might be a solution. Undergoing bariatric surgery can improve your life in many ways, from your health to your emotional well-being. Bariatric surgery helps limit food intake and absorption, and it allows for the maintenance of long-term, healthy weight loss goals.

To be referred to a bariatric surgeon in Riverside today, please call our Consult-A-Nurse line at (951) 788-3463.

Riverside Community Hospital offers the following types of minimally invasive bariatric surgeries for weight loss:

Roux-en-Y Gastric Bypass (RYGB)

This laparoscopic procedure effectively reduces the stomach size by stapling and separating the upper portion of the stomach from the lower, known as the remnant stomach. Part of the intestine is rerouted allowing the gastric pouch to bypass the small intestine. This allows for decreased caloric intake by restricting the capacity of the stomach as well as decreased caloric absorption resulting in weight loss. The gastric bypass is a highly effective procedure for weight loss and has a significant impact on obesity-related diseases including Diabetes Mellitus, Hypertension and Obstructive Sleep Apnea but can lead to vitamin and mineral malabsorption. In addition, the gastric bypass is the optimal procedure for Gastroesophageal Reflux Disease in an obese patient. This procedure can take about 3 hours to complete and requires a one or two-night stay in the hospital.

Sleeve Gastrectomy (SG)

This is a restrictive laparoscopic procedure completed with a small incision. 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. Weight loss typically results from restricting the amount of caloric intake by reducing the capacity of the stomach to hold excess quantities of food. A majority of the appetite inducing hormone, Ghrelin, is produced in the top of the stomach, known as the fundus, and is removed during this procedure, reducing your appetite. The sleeve gastrectomy does not require a reroute of your small intestines and does not have a significant malabsorption component. The sleeve gastrectomy has a significant impact regarding obesity-related diseases including Diabetes Mellitus, Hypertension and Obstructive Sleep Apnea.

This procedure also may be modified to a Roux-en-Y Gastric Bypass for additional weight loss. The procedure takes about one hour to complete and requires an overnight stay in the hospital. This surgery reduces the size of the stomach by about 85 percent. 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.

Bilio-Pancreatic Diversion with Duodenal Switch (BPD-DS)

This procedure involves a sleeve gastrectomy, removing part of the stomach and rerouting the intestine. It is more complex but also results in a very reliable and long lasting weight loss procedure. This will move food away from the upper part of the small intestine by leaving only a few feet of the intestine to change the way the foods are broken down and severely limiting the absorption of calories. Most surgeons limit performing this procedure to the severely obese, patients with a body mass index (BMI) greater than 50 kg/m2, or patients with severe obesity-related health concerns. The duodenal switch provides more weight loss than the sleeve gastrectomy or the gastric bypass but increases your risk for malabsorption of vitamins and minerals. The benefits and risks must be carefully discussed between you and your surgeon to determine if a duodenal switch may be right for you.

Revision Bariatric Surgery

Revision bariatric or weight loss surgery refers to procedures performed on patients who have already undergone a form of primary bariatric surgery such as a sleeve gastrectomy, a gastric bypass or gastric banding. The patient may have either had complications from the surgery or have not successfully achieved significant weight loss results from the initial surgery. The type of revision surgery varies based upon which bariatric surgery you initially received. Revision surgery can be performed for multiple reasons, such as to improve or repair a past bariatric surgery or change the type of bariatric surgery performed. For example some patients who receive revision bariatric surgery switch from a gastric sleeve to a gastric bypass. Revision bariatric procedures are often complex procedures performed by experienced bariatric surgeons. Our expert surgeons are trained to provide all forms of revision procedures within our advanced bariatric program.

Robotic Surgery for Bariatrics

At Riverside Community Hospital, bariatric procedures can be performed using our state of the art robotic assisted surgical systems. Benefits of a robotic surgery include minimal scarring, shorter recovery which may lead to an earlier discharge from the hospital, less blood loss and risk of infection as well as significantly less pain. Our board-certified robotically trained surgeons perform the surgery using a console that maneuvers the instruments with expert precision versus traditional handheld tools. Currently, Riverside Community Hospital has two robotic systems that can perform weight loss surgery. Visit the robotics program to learn more about our world class, leading edge technology right here in Riverside.

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 education and patient experience

To ensure that our patients have the very best experience to begin their weight loss journey, the bariatric program at Riverside Community Hospital provides a care team of experts that will focus and support each of our patients on their journey. As it can be overwhelming, know you are supported with a team including, your surgeon, a caring nursing staff, knowledgeable dietitians, and a dedicated coordinator who will help you navigate through your personalized weight loss plan. Patients who are scheduled to have surgery at Riverside Community Hospital 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 nutrition education class. The pre-operative education classes are scheduled with the coordinator of the bariatric program at Riverside Community Hospital. The nutrition classes will be scheduled with one of the dietitians at our facility. 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.

Contact us

To find a bariatric surgeon in Riverside, 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 and other health conditions before the surgery. These types of weight loss procedures can dramatically improve and control complications from health conditions such as Type 2 diabetes, high cholesterol, high blood pressure and sleep apnea. There have been studies that reported improvement of Type 1 diabetes after bariatric surgery. Other benefits of weight loss surgery include:

  • Decreased risk of heart disease
  • Less joint pain
  • Increased fertility during childbearing years
  • Relief from depression due to improved body image

At Riverside Community Hospital, our dedicated bariatric coordinator will navigate you through the beginning of your journey through the surgery. By helping you navigate the process, the coordinator will provide a seamless and personalized experience to guide you through your weight loss journey. For additional information about weight loss surgery education and information, please call Latanya Davidson-Wilson, Bariatric Coordinator at (951) 788-3432.

Right away! You will begin walking in the hospital. The key is to start SLOW. If you lift weights or play sports, it is recommended to 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 do 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 work with your physician to have your labs drawn each year.

To be referred to a bariatric surgeon in Riverside today, please call our Consult-A-Nurse line at (951) 788-3463.