For more information, call: 573-331-3000

Weight Loss Solutions

Bariatric Surgery in Cape Girardeau

Weight Loss Solutions is Saint Francis’s newest addition in the treatment of ongoing, severe weight problems through a variety of effective bariatric surgery procedures.

The program offers three options in bariatric surgery—gastric banding, sleeve gastrectomy and Roux-En-Y gastric bypass—for people in the southeast Missouri and southern Illinois regions who struggle with ongoing weight problems and are seriously considering a lasting lifestyle change.

To view the seminar online, click here.

Gastric Banding


  • A reversible procedure, the adjustable gastric band reduces the stomach’s capacity and restricts the amount of food it can consume, without cutting or stapling
  • This option helps patients lose weight by making them feel fuller faster and longer
  • The U.S. Food and Drug Administration (FDA) has expanded use of the LAP-BAND® System, Allergan’s gastric band for a BMI of 30-40 (from previous of 35-40) with at least one obesity related comorbid condition for adults with obesity who have failed more conservative weight reduction alternatives, such as diet and exercise and pharmacotherapy. The gastric band may also be used for those with a BMI of 40 or greater without comorbid conditions in the same population whom have failed more conservative weight reduction alternatives, such as diet and exercise and pharmacotherapy.

Expected Outcomes/Benefits:

  • No stomach stapling or intestinal rerouting
  • Band allows for easy adjustments
  • Limits food intake
  • Reduces appetite and slows digestions

Sleeve Gastrectomy


  • In this procedure, a thin, vertical sleeve of stomach is created and the rest of the stomach is removed
  • The amount of food patients can eat is limited, helping them feel full sooner

Expected Outcomes/Benefits:

  • Part of the stomach is removed but there is no intestinal rerouting
  • Diminished appetite
  • Fast weight loss
  • Few food intolerances

Roux-En-Y Gastric Bypass


  • In this procedure, a small portion of the stomach is sewn or stapled together to make a small pouch (roughly the size of an egg) to limit food intake
  • It also bypasses part of the intestines to reduce calorie absorption

Expected Outcomes/Benefits:

  • Intestines are rerouted
  • Fewer calories and nutrients absorbed
  • Rapid weight loss
  • Diabetes, hypertension, sleep apnea and coronary artery disease symptom improvement

Are You a Candidate?

Weight-reduction surgery candidates must meet the following requirements:

  • Be severely obese (BMI of 35 and above) for more than five years
  • Have made serious, unsuccessful nonsurgical weight-loss attempts
  • Be willing to make significant lifestyle changes

Next Steps

Once a patient determines that he or she meets the requirements for weight-loss surgery, the next step is attending one of our “Introduction to Metabolic and Bariatric Surgery” seminars.

At this free seminar, attendees learn about exciting weight-loss options as Dr. LeGrand provides an overview of the weight-loss surgery program and discusses the following:

  • A summary of the three bariatric surgery offerings at Weight Loss Solutions
  • Suitable bariatric surgery candidates
  • Insurance coverage for bariatric surgery
  • Step-by-step patient care during the bariatric program

Visit our calendar of events for more information on the next seminar. To register for the next seminar, please call 573-331-3996. To view the seminar online, click here.


I am considering weight-loss surgery. How do I know if I qualify?

This option is for people who have a BMI of 35 or higher and have tried many diets and exercise programs. If you are interested in surgery, the next step is to attend an informational seminar held by the surgeon to learn more about the options and if you are an appropriate candidate.

What are the routine tests before surgery?

Common, routine testing such as pulmonary function, echocardiogram, sleep studies, GI evaluation, or cardiology evaluation may be requested. There are also other standard laboratory tests done prior to surgery. The best way to avoid complications is to take control of any potential health risks prior to surgery. It is important to know if your thyroid function is adequate, or if you need to take special steps to control blood sugar. Because surgery increases cardiac stress, your heart will be thoroughly evaluated.

What can I do before the appointment to speed up the process of getting ready for surgery?

  • Select a primary care physician if you do not already have one, and establish a relationship with him or her. Work with your physician to ensure that your routine health maintenance testing is current. For example, women may have a pap smear, and if over 40 years of age, a breast exam. And for men, this may include a prostate specific antigen test (PSA).
  • Make a list of all the diets you have tried (a diet history) and bring it to your doctor.
  • Bring any pertinent medical data to your appointment with the surgeon – this includes reports of special tests (echocardiogram, sleep study, etc.) or a hospital discharge summary if you have been in the hospital.
  • Bring a list of your medications with dose and schedule.
  • Stop smoking. Surgical patients who use tobacco products are at a higher surgical risk.

What is the right amount of exercise after weight-loss surgery?

Many patients are hesitant about exercising after surgery, but exercise is an essential component of success after surgery. Exercise begins on the afternoon of surgery – the patient must be out of bed and walking. The goal is to walk farther on the next day, and progressively farther every day after that, including the first few weeks at home. Patients are often released from medical restrictions and encouraged to begin exercising about two weeks after surgery, limited only by the level of wound discomfort. The type of exercise is dictated by the patient’s overall condition. Some patients who have severe knee problems cannot walk well, but may be able to swim or bicycle. Many patients begin with low-stress forms of exercise and are encouraged to progress to more vigorous activity when they are able.

Will I get a copy of suggested eating patterns and food choices after surgery?

We will provide patients with materials that clearly outline expectations regarding diet and guidelines for the best outcome based on your surgical procedure. After surgery, health and weight loss are highly dependent on patient compliance with these guidelines. You must do your part by restricting high-calorie foods, avoiding sugar, snacks and fats, and strictly following the guidelines set by your surgeon.

What type of support does Weight Loss Solutions provide after surgery?

Weight Loss Solutions offers a monthly support group meeting for those who have undergone bariatric surgery. Visit our calendar of events for information on upcoming support group meetings.