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Clinch Valley Surgical Center
General and Bariatric Surgery
As a laparoscopic surgeon, Dr. Joseph C. Moran specializes in this minimally invasive surgical technique that uses cameras and small instruments inserted through very small incisions. This approach allows for less scarring and faster healing for his patients. Typical laparoscopic surgeries include: hernia repair, gallbladder, and appendix or colon removal. Understanding that many patients approach surgery with some degree of apprehension, Dr. Moran provides clear information in a calm and caring way giving his patients the necessary time to ask questions and make informed decisions about their care.
Dr. Moran’s goal is to make surgery a positive experience and to help each patient achieve the best possible results.
In addition to the laparoscopic surgeries listed above, Dr. Moran performs the following surgical procedures:
- Bariatric surgery (weight loss surgery) -- Gastric bypass and other weight-loss surgeries make changes to your digestive system to help you lose weight by limiting how much you can eat or by reducing the absorption of nutrients, or both. Gastric bypass and other weight-loss surgeries are done when diet and exercise haven't worked or when you have serious health problems because of your weight.
Endoscopic surgery – or minimally invasive surgery as it is sometimes called, uses special instruments, that allow for smaller incisions, quicker recovery, and fewer side effects.
Colorectal surgery – surgical treatment for a wide variety of minor colon and rectal diseases ranging from inflammatory bowel diseases (such as ulcerative colitis or Crohn’s disease) to diverticulitis, gastrointestinal bleeding and hemorrhoids.
Dermatological surgery – Dr. Moran performs a wide variety of skin-related surgeries ranging from removing suspicious moles to treating burns. He also removes tumors that often grow just below the skin such as fatty tumors or tumors that arise in muscles or other soft tissues. He can also treat more complex skin or subcutaneous infections and can employ skin grafts to cover defects in the skin resulting from burns, trauma or infections.
Trauma and emergency surgery
As a general surgeon, Dr. Moran is trained to deal with almost any surgical emergency. Bleeding, infections, bowel obstructions and organ perforations are only some of the problems he treats.
Cholecystectomy, the surgical removal of the gallbladder, is often done electively, but the gallbladder can become acutely inflamed and require an emergency operation. Ruptures of the appendix and small bowel obstructions are other common emergencies.
The Clinch Valley Surgical Center is located in Richlands, VA.
Want to make an appointment? Call (276) 596-6764.
We are located on the third floor of the Clinch Valley Medical Plaza, Suite 3600, located on the campus of Clinch Valley Medical Center in Richlands, VA.
Surgical Weight Loss Program
Has obesity created problems for you or a loved one?
The Surgical Weight Loss Program at Clinch Valley Medical Center helps people transform their lives and become healthy. Many people have tried diets, exercise and weight loss programs and still findthemselves unable to get control over their weight. The search for a solution that will help you lose weight and regain your health can be long and frustrating, but it is
an important journey because it reinforces your commitment to change your life for the better.
At Clinch Valley Medical Center we are here to offer support and, if you and your doctor determine surgery is the right path for you, a range of surgical procedures that mean health and success are within your reach.
Every interaction you have with us will be focused on helping you become as healthy as you can be. Our entire team is committed to supporting you on your journey to permanent weight loss and a happier, healthier lifestyle.
Are You a Candidate for Weight Loss Surgery?
Weight loss surgery, or bariatric surgery, is a serious surgical procedure and requires an extreme change in lifestyle, eating and nutritional habits. Because of the lifelong commitment, the Surgical Weight Loss Program at Clinch Valley Medical Center requires an in-depth evaluation and screening prior to considering a candidate for weight loss surgery. This evaluation includes a thorough medical history and examination, as well as an evaluation of lifestyle and motivation.
Once you and your doctor have agreed that bariatric surgery is a good choice for you, there are several steps that will occur before surgery is scheduled. Some of these steps include: patient education classes, comprehensive blood testing, cardiology, pulmonary and gastroenterology evaluations (if needed) and appointments with dietitians who will assist you in achieving the mandatory preoperative weight loss.
Most patients have surgery three to six months after their initial inquiry (depending on your specific health problems and your ability to meet preoperative goals). You must meet all criteria prior to receiving a surgery date.
Generally, patients who are good candidates for the Surgical Weight Loss Program are those who:
- Have a body mass index (BMI) of 40 or greater, or a BMI of 35 or greater with co-morbidities such as diabetes, hypertension, cardiovascular disease, sleep apnea, etc.
- Have made unsuccessful attempts to lose weight and keep it off
- Have a strong personal desire to lose weight and improve health
- Fully understand and are prepared for the important changes that will result from surgery
- Are 400 pounds or less
- Are ambulatory (capable of walking/moving without assistance)
The benefits of weight loss surgery may include:
- Significant weight loss
- Improvement of Type II Diabetes
- Lower blood pressure
- Lower cholesterol
- Relief of sleep apnea
- Relief of acid reflux
- Decreased joint pain
- Improved mobility
- Improved mood and self-esteem
For more information, please call 276-596-6764.
There are three procedures we offer patients at the Surgical Weight Loss Program at Clinch Valley Medical Center:
Laparoscopic Sleeve Gastrectomy (VSG)
The sleeve gastrectomy is a restrictive procedure in which two-thirds of the stomach is removed, which provides a decreased appetite and quickly feeling full. The remaining stomach looks like a long tube, hence the name sleeve, which restricts food intake by allowing only a small amount of food to be consumed at one time. Weight loss is achieved by both a reduction in stomach capacity and the production of the hormone
ghrelin, which is associated with hunger and appetite. This procedure is also performed laparoscopically, which means less scarring, less pain and a faster healing time.This procedure works by restricting food intake without involving bypass of the intestinal track of a foreign object being placed around the stomach.
Laparoscopic Roux-en-Y Gastric Bypass (RYGBP)
A small stomach pouch is created which restricts food intake resulting in a sense of fullness following even small meals. Therefore, as gastric bypass implies, food
is re-routed past most of the stomach and the first part of the small intestine. RYGBP achieves weight loss through both gastric restriction and malabsorption.
Laparoscopic Adjustable Gastric Banding (LAGB)
The LAP-BAND® System is an adjustable silicone band that is inserted laparoscopically and placed (like a belt) around the upper part of the stomach. An access port allows the surgeon to adjust the inner surface by adding or removing saline. This creates a new, smaller upper stomach pouch and leaves the larger part of the stomach below. This new upper pouch can only hold a small amount of food
Joseph C. Moran, M.D., F.A.C.S., F.A.S.M.B.S.
Medical Director, Bariatric Surgery Program, Clinch Valley Medical Center, Richlands, Virginia
Dr. Joseph Moran, our Medical Director of The Surgical Weight Loss Program at Clinch Valley Medical Center, completed his two year Minimally Invasive Surgical Fellowship at St. Peter’s University Hospital in New Brunswick, New Jersey. He completed his five year General Surgery Residency at St. Agnes Healthcare in Baltimore, Maryland.
Prior to moving to Virginia, Dr. Moran was in private surgical practice for 9 years in Raleigh, North Carolina, where he served as the first Medical Director of The Bariatric Surgery Program at Rex Healthcare.
Dr. Moran offers The Roux-en-y Gastric Bypass, Sleeve Gastrectomy, Lap-Band and Revisional Bariatric procedures for failed weight loss as well as treatment of weight loss procedure complications. He has performed over 2,000 bariatric procedures.
He is a Fellow of The American College of Surgeons, a Fellow of The American Society for Metabolic and Bariatric Surgery, and is Board Certified by The American Board of Surgery.
The Clinch Valley Surgical Center is open Monday through Friday, 8:30 am - 5:00 pm.
Insurance and Referral Information
If you are a member of an HMO, it is necessary to have a referral from your primary care physician. Please check with your doctor's office to make sure your referral is received prior to your appointment. Also, please ask that your necessary medical records be sent to us prior to the day of your scheduled appointment.
Insurance and billing
We participate in most insurance plans, HMOs and PPOs. We accept Medicare assignment. We will gladly file your insurance for you; however, we do request your portion (co-payment, deductible, or co-insurance) be paid at the time services are rendered. These payments may be made by cash, check or credit card.