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Comorbidities

Obesity contributes to numerous and varied comorbid conditions. Complications can occur in many organ systems, ranging from cardiovascular to respiratory to orthopedic and even ophthalmologic. Overweight and obesity are known risk factors for heart disease, diabetes, hypertension, gallbladder disease, osteoarthritis, sleep apnea and other breathing problems, and some cancers (uterine, breast, colorectal, kidney, and gallbladder). In addition, obesity is associated with pregnancy complications, high blood cholesterol, menstrual irregularities, hirsutism (excessive hair growth), stress incontinence, psychological disorders, and increased surgical risk.
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Meet Our Family

Our patients deserve the best! Meet some of Our Family who have benefited from our dedicated team of award winning surgeons. Our commitment is to provide the best possible healthcare while they undergo their bariatric surgery procedure and beyond. Our multi-disciplinary approach allows for a unique, comprehensive, and holistic approach to bariatric surgery care.

Click on an individual to see their story.

Unique Care Support

Support is imperative to the success of bariatric patients. The Weight Loss Surgery of Southern California has developed a unique, one-of-a-kind support program tailored to our patient’s needs. The support begins well before surgery with a private nutrition counseling session with our Registered Dietitian and a private psychological counseling session with our PhD Psychologist to ensure that patients are ready for life after weight loss surgery. We encourage our patients (before and after surgery) to attend our group nutrition, group support and men’s only support group to learn from other weight loss surgery patients and build healthy relationships.

We have several special events throughout the year to get patients active and out of the office:

  • Walk with the Docs- monthly Saturday morning walks with the doctors and staff
  • Softball with Docs- annual Softball game with the doctors and staff
  • Spinning with Docs – a special event for patients to enjoy spinning with the doctors
  • 5K Walk with the Khalili Foundation- annual LA BIG 5K made up of patients,
    underserved kids in the community and their families, and the Weight Loss Surgery of Southern California staff
  • Super market outings with Misti- healthy shopping tips for the bariatric patient
  • Restaurant outings with Misti- menu ordering for the bariatric patient
  • Holiday Celebration- A special December event celebrating our bariatric patients
  • And many, many more…

Weight Loss Surgery is commonly referred to as a “tool” and that is exactly what it is; a tool to help jumpstart weight loss. The patient, doctor and staff work to ensure that patients are adjusting properly to their new lifestyle and their new eating habits, as well as making sure that they are medically well. Our goal is to help our patients improve their quality of life and empower them and help them to regain control of their life!

The Weight Loss Surgery of Southern California was built from the ground up with our patients in mind. Large, open, bright spaces equipped with comfortable seating provide adequate space for our patients. Whether they are in the lobby waiting for their appointment or joining us for our regular group events, patients are comfortable and relaxed.

Types of Surgeries

Gastric Bypass

Overview

The small intestine is divided about 18 inches below the stomach, and is re-arranged so as to provide an outlet to the small stomach and maintain the flow of digestive juices.

The lower part of the stomach is “bypassed”, and food enters the second part of the small bowel within about 10 minutes of the start of your meal. Food intake is restricted and the amount of calories and nutrients the body absorbs is reduced.

The result is a very early sense of fullness, followed by a profound sense of satisfaction. Even though the food portion size may be small, you won’t feel hungry or feel like you’ve been deprived. You’ll continue to enjoy food, you’ll just consume a lot less.

How To Prepare

After you complete your initial consultation with one of the surgeons at the Center, and you remain a potential candidate for surgery, you’ll be asked to undergo a series of diagnostic tests and consultations to make sure that you will do well with the surgery. The nurse will go over with you in detail the tests and consultations you’ll need to undergo prior to surgery, and you can arrange with your primary care provider to have the tests done.

Results

Gastric bypass surgery facilitates weight loss in two ways: It dramatically restricts the amount of food the patient can or desires to eat, and it decreases the number of calories absorbed. As a result of undergoing the procedure, you can expect to lose a significant amount of weight. In addition, weight-related health problems like high blood pressure and diabetes may be partially or totally relieved. You’ll feel a new sense of pride in your appearance and a motivation to stay on an exercise regimen and general wellness program.

How It Works Video

What to Expect

Generally, you’ll go home one to two days after surgery, follow a liquid diet for the first week or two, then soft foods after that. You’ll be given medications to take as directed for pain and acid reflux. You should be back to work and non-strenuous physical activity about a week after the procedure. Although most patients have a very smooth recovery, yours may not be the same as other patients. For example, you may experience regurgitation, nausea, acid reflux, constipation, or diarrhea. While these are generally normal, be sure to inform your doctor if any of these occur.

Risks

Laparoscopic gastric bypass can be performed on almost all obese patients. However, patients who have had previous open operations in the upper abdomen, especially on the stomach, may not be the best candidates for this type of procedure.

As with any surgical procedure, there are potential risks and complications that can occur. Although these problems rarely occur, we want you to be aware of them. The Weight Loss Surgery of Southern California team is committed to providing you with the information you need to make a well-informed decision about whether this option—or another procedure—is right for you.
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Sleeve Gastrectomy

Overview

The surgeon essentially creates a smaller stomach, shaped like a narrow sleeve by separating it from the larger portion of the stomach. The larger part of the stomach contains a hormone responsible for appetite, so after the sleeve procedure, hunger is greatly reduced. All the functions of the stomach remain intact, only its volume is reduced. The “sleeved” portion of the stomach remains connected to the intestines.

This is a safe and effective way to achieve and maintain a healthier weight. This operation is also a viable alternative for those patients who have specific conditions that prohibit gastric bypass surgery.

How To Prepare

After you complete your initial consultation with one of the surgeons at the Center, and you remain a potential candidate for surgery, you’ll be asked to undergo a series of diagnostic tests and consultations to make sure that you will do well with the surgery. The nurse will go over with you in detail the tests and consultations you’ll need to undergo prior to surgery, and you can arrange with your primary care provider to have the tests done.

Results

After your surgery, you won’t able to eat as much food as you can now and you may lose a significant amount of weight—improving your overall health and quality of life and increasing your life expectancy. Other conditions related to obesity may be alleviated, as well, such as diabetes, hypertension and sleep apnea. You’ll feel a new sense of pride in your appearance and a motivation to stay on an exercise regimen and general wellness program.

How It Works Video

What to Expect

Generally, you’ll go home one to two days after surgery, follow a liquid diet for the first week or two, then soft foods after that. You’ll be given medications to take as directed for pain and acid reflux. You should be back to work and non-strenuous physical activity about a week after the procedure. Although most patients have a very smooth recovery, yours may not be the same as other patients. For example, you may experience regurgitation, nausea, acid reflux, constipation, or diarrhea. While these are generally normal, be sure to inform your doctor if any of these occur.

Risks

As with any surgical procedure, there are potential risks and complications that can occur in a sleeve gastrectomy. Although these problems rarely occur, we want you to be aware of them upfront. The Weight Loss Surgery of Southern California team is committed to providing you with the information you need to make a well-informed decision about whether this option—or another procedure—is right for you.
Have Questions?

LAP-BAND®

Overview

During the LAP-BAND® procedure, the LAP-BAND® is placed around the uppermost part of the stomach, dividing it into two parts: a small upper pouch and a lower stomach. The upper pouch can hold only about 4 ounces (1/2 cup) of food. As a result, you eat less food at one time, feel full sooner, and feel satisfied longer. The goal is to lose weight gradually, at a healthy rate of 1 to 2 pounds per week. No part of your stomach is stapled or removed during surgery, and your intestines are not rerouted, so you can continue to absorb nutrients from food. The LAP-BAND® is made of biocompatible materials, so it can be placed inside your body without causing harm. The side of the band that fits against your stomach is lined with a soft balloon. After the LAP-BAND® surgery, saline (a safe liquid) is delivered into the balloon to control the band tightness.

The degree of band tightness affects how much food you can eat during a meal and the length of time it takes for food to empty from the upper pouch. When the band is adjusted to the proper tightness, you’ll feel full sooner and stay fuller longer. As the band helps you eat less food, your body will stop storing excess calories and start using its fat supply for energy.

How To Prepare

After you complete your initial surgical consultation with one of the physicians at the Center, and you remain a potential candidate for surgery, you’ll be asked to undergo a series of diagnostic tests and consultations to make sure that you will do well with the surgery. The nurse will go over with you in detail the tests and consultations you will need to undergo prior to surgery and you can arrange with your primary care provider to have the tests done.

Results

After your banding procedure, you won’t able to eat as much food as you can now and you may lose a significant amount of weight—improving your overall health and quality of life and increasing your life expectancy. Other conditions related to obesity may be alleviated, as well, such as diabetes, hypertension and sleep apnea. You’ll feel a new sense of pride in your appearance and a motivation to stay on an exercise regimen and general wellness program.

How It Works Video

What to Expect

The LAP-BAND® is implanted using laparoscopic (minimally invasive) surgery while you’re under anesthesia. Laparoscopic surgery is performed using small incisions—and usually means a shorter hospital stay, faster recovery, smaller scars, and less pain than open surgical procedures.

After the surgery, your body will need to adjust to the newly implanted LAP-BAND®. Although most patients have a very smooth recovery, yours may not be the same as other patients. For example, you may experience regurgitation, nausea, acid reflux, constipation, or diarrhea. While these are generally normal, be sure to inform your doctor if any of these occur.

Risks

As with any surgical procedure, there are potential risks and complications that can occur with LAP-BAND®. Although these problems rarely occur, we want you to be aware of them. The Weight Loss Surgery of Southern California team is committed to providing you with the information you need to make a well-informed decision about whether this option—or another procedure—is right for you.
Have Questions?

Revisional Procedures

Overview

While generally successful, the two most widely-performed surgical procedures, gastric bypass and adjustable LAP-BAND®, require occasional revision. This is due to either device-related problems or unsatisfactory weight loss. In addition, several surgeries that are no longer commonly performed (jejunoileal bypass or the stapled gastroplasty), are associated with many anatomic and nutritional complications. Patients who underwent these procedures frequently require revisional surgery. The outcome of most revisional operations is favorable when performed by an experienced bariatric surgeon—and when patients are appropriately selected for such procedures. The founder of the Weight Loss Surgery of Southern California, Dr. Theodore M. Khalili, is one of the leading authorities on revisional bariatric surgery in the U.S., and has performed more of these procedures than any other doctor in Southern California.

How To Prepare

After you complete your initial consultation with one of the surgeons at the Center, and you remain a potential candidate for surgery, you’ll be asked to undergo a series of diagnostic tests and consultations to make sure that you will do well with the surgery. The nurse will go over with you in detail the tests and consultations you’ll need to undergo prior to surgery, and you can arrange with your primary care provider to have the tests done.

Results

The goals and outcomes of each revisional surgery can vary, depending on the previous operation(s) that were performed. Generally, you won’t able to eat as much food as you can now and you may lose a significant amount of weight—improving your overall health and quality of life and increasing your life expectancy. Other conditions related to obesity, such as diabetes, hypertension and sleep apnea, may be alleviated, as well. You’ll also feel a new sense of pride in your appearance and a motivation to stay on an exercise regimen and general wellness program.

What to Expect

Generally, you’ll go home two to three days after surgery, follow a liquid diet for the first week or two, then soft foods after that. You’ll be given medications to take as directed for pain and acid reflux. You should be back to work and non-strenuous physical activity about a week after the procedure. Although most patients have a very smooth recovery, yours may not be the same as other patients. For example, you may experience regurgitation, nausea, acid reflux, constipation, or diarrhea. While these are generally normal, be sure to inform your doctor if any of these occur.

Risks

As with any surgical procedure, there are potential risks and complications that can occur in a revisional surgery. With every re-operation we perform, we take extra precautions throughout the process. Although problems rarely occur, we want you to be aware of them upfront. The Weight Loss Surgery of Southern California team is committed to providing you with the information you need to make a well-informed decision about whether this option is right for you.
Have Questions?

Gastric Balloon

Overview

⊲ Comprehensive two-part program designed to provide
effective, motivating results that you can see. With ORBERA™
patients on average lose 3.1 times the weight they would with
diet and exercise alone.

⊲ Starts with a soft balloon placed in your stomach for six months
to reinforce proper portion control.

⊲ The ORBERA balloon take up space in your stomach helps you
eat smaller meals.

⊲ Balloon is temporary and placed in your stomach for six months
without surgery or any incisions

⊲ Patients will receive coaching from a team of experts, which
may include a dietician, psychologist, and support groups.

⊲ Coaching continues after balloon is removed at six months for a
total of 12 months

How To Prepare

⊲ The weight loss is rapid with the majority of weight loss typically
occurring in the first three months of treatment

⊲ On average patients lost 3.1 times the weight loss of diet and
exercise alone

⊲ The adjustments to your eating habits and your continued
efforts to stay active will greatly influence your results

Results

⊲ After six months with the ORBERA™ two-part program, people
lost an average 3.1x the weight patients lost with diet & exercise
alone.

⊲ Proven to keep the weight off even after the
balloon is removed.

⊲ A more than 20 year history of helping thousands
of people lose weight.

⊲ More than 220,000 ORBERA™ balloons have been distributed
worldwide in over 80 countries.

⊲ With the FDA approval of ORBERA™, patients now have a safe
and effective treatment option.

How It Works Video

 

What to Expect

⊲ Non-surgical procedure done under a mild sedative, the thin
and deflated ORBERA™ balloon is placed into the stomach. It is
then filled with saline until it’s about the size of a grapefruit. The
procedure typically takes about 20-30 minutes so you can go
home the very same day

⊲ At six months, the balloon is removed in the same way it was
placed. Through a non-surgical procedure done under a mild
sedative, it is deflated first then removed

Risks

As with any medical procedure, there are potential risks and complications that can occur with the Gastric Balloon. Although these problems rarely occur, we want you to be aware of them upfront. The Weight Loss Surgery of Southern California team is committed to providing you with the information you need, including risks, to make a well-informed decision about whether this option—or another procedure—is right for you.
Have Questions?