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About John Pilcher, MD
(Top Expert on this page)

Expertise
I can answer medically oriented questions about bariatric surgery including: patient selection, preparation for surgery, differences between types of bariatric surgery, aftercare following bariatric surgery. I can answer detailed questions about gastric bypass, Lap-Band, gastric sleeve, and revision bariatric surgery. I am only somewhat familiar with Biliopancreatic diversion. I am not prepared to answer insurance or other financial questions related to bariatric surgery.

Experience
I have been a practicing bariatric surgeon since 1995. About 85% of my current practice consists of bariatric surgery, including all of the above procedures except biliopancreatic diversion. I am the senior surgeon of a 5-surgeon group. I am recognized among surgeons and other medical professionals as the most experienced bariatric surgeon in my region.

Organizations
Fellow of American College of Surgeons Member, American Society for Bariatric Surgery

Education/Credentials
BA in Biochemistry - University of Virginia Medical Degree - University of Virginia Surgical Residency - University of Virginia

Awards and Honors
Alpha Omega Alpha

   

You are here:  Experts > Health/Fitness > Obesity > Bariatric Surgery

SubjectDate AskedExpert

lap band info11/17/2009Karla K.
  Q: I was banded in 8-07, had some problems but thought they it was worth the sacrifice. Lost 136lbs. I ...
  A: It does sound like your problems could be Band related... perhaps a slip or prolapse. Please call ...
weight gain11/16/2009John Pilcher, MD
  Q: I am 3 1/2 years out and I have gained 35 pounds. I am wondering if there is anything that my ...
  A: Amy, It sounds like you had a gastric bypass procedure. Later weight gain is unfortunately common, ...
Crohn's Disease11/15/2009Jacqueline Jacques, ND
  Q: Can a person who has crohns disease get gastric bypass surgery?
  A: There is not a straight forward answer to this question. Since Crohn's disease can be mild or ...
Pregnancy after bariatric surgery11/15/2009Steven West
  Q: My 21 year old daughter is planning on having the Roux-enn-Y gastric Bypass Surgery in December. I ...
  A: Martha, Glad that the desire for grandchildren is not yours alone; sorry I brought it up but I see ...
Pregnancy after bariatric surgery11/15/2009Steven West
  Q: My 21 year old daughter is planning on having the Roux-enn-Y gastric Bypass Surgery in December. I ...
  A: It is wonderful that your daughter has such a loving, caring mother. I am not a doctor and I'm ...
Single Kidney bariatric surgery11/8/2009John Pilcher, MD
  Q: Approximately 2 years ago I had renal cancer. At this time my (L) kidney was totally removed. All ...
  A: Terry, Once your doctors can be reasonably certain that you are free of kidney cancer and that you ...
Gastric Sleeve after Lap Band11/6/2009John Pilcher, MD
  Q: I have had my Lap Band for 2 years now and went in to my surgeon to get a fill because I have ...
  A: Jennifer, You are right that this is a distressing situation. Most people who have a Band are very ...
sleeve procedure and gerd11/3/2009Karla K.
  Q: I will try to make my question short. I am 21 years old and weight 280 /5.9 tall. I have gerd ...
  A: Well, your BMI definitely qualifies you for bariatric surgery. As for your GERD, there's no way to ...
lap band consideration11/2/2009John Pilcher, MD
  Q: I'm considering the lap band surgery. I'm 5'4, 233 lbs. My family has a history of diabetes, ...
  A: Kimberly, It sounds to me like you are a great candidate for a bariatric surgical procedure. What I ...
Gastric Bypass Surgery10/29/2009Cathy Wilson, CLC
  Q: I had gastric bypass surgery in 2004 and i have gained about 20lbs. back. I wanted to know what can ...
  A: I apologize for the delay in my response to you but I have been sick. Thanks for your ...
gastric sleeve post op care10/26/2009John Pilcher, MD
  Q: I have researched this procedure but cannot find out in great detail but I am having difficulty ...
  A: Diana, The best person to answer your diet and restriction questions is your surgeon, so I really ...
Lap Band option for the >30 BMI patients10/19/2009John Pilcher, MD
  Q: I am 5'7" and 170 lbs. I've tried all the diets out there but still can't keep the weight off. I ...
  A: Diane, The information you've provided puts you at a BMI of 27. I can see where it would be great ...
I'm considering Gastric Bypass...10/16/2009Karla K.
  Q: I'm 22 years old, 5'5", 230lbs with a BMI of 38. I have done a lot of research on this surgery, my ...
  A: I wasn't sure if you were saying you actually have diabetes and high blood pressure, or just a ...
bariatric surgery after ileostomy10/15/2009John Pilcher, MD
  Q: My dad has an ileostomy bag and also needs to lost a large amount of weight. He had a stroke after ...
  A: Katie, I think it is marginally acceptable to place a Band in a patient with an ostomy, but I think ...
Recovery from RNY reversal10/14/2009John Pilcher, MD
  Q: I am 6 years post RNY and for the past year have been in and out of the hospital and on TPN due to ...
  A: Tina, Reversal of the gastric bypass is not all that common, so it is hard to talk about a routine ...
Post RNY10/13/2009John Pilcher, MD
  Q: I had gastroplasty in 1980 and lost 125 lbs. I was never able to eat food that wasn't pureed without ...
  A: Sonja, It is impossible for me to make a sensible projection about the lump in your stomach without ...
Lap band removed still in pain!!!!!10/12/2009John Pilcher, MD
  Q: I had lap band surgery in May 2009, in July 2009 they did a revision and hiatal hernia repair as I ...
  A: Tracey, I am super sorry but I have not run into this type of problem before. It sounds as if you ...
constipation after gbs roux en y10/5/2009Karla K.
  Q: i am just about six months post op and i have lost 107lbs and ia ma having a problem with ...
  A: Constipation is a common side-effect of bariatric surgery. While "lean and greens" is great for ...
gastric bypass ohip approval10/3/2009Diminishing Dawn
  Q: i live in Ontario and i have researched gastric bypass roux en y procedure.i am planning to have the ...
  A: Whether you have diabetes under control or not, you still have diabetes. That is still a significant ...
Fibre flattens belly?10/1/2009Steven West
  Q: Steven I am not a candidate for surgery but am hoping you may be familiar with gastro intestinal ...
  A: My expertise is not in exercise or focused weight loss, it is in weight loss surgery. Your initial ...
Ulcer9/24/2009John Pilcher, MD
  Q: I had Lap.Gastric Bypass surgery in 2001. I lost most of the weight I needed too. Recently though,I ...
  A: Lorena, I don't mean any disrespect for your primary doctor, but you DEFINITELY should be evaluated ...
acid reflux9/21/2009Karla K.
  Q: Can people who have had a gastric bypass develope acid stomach 8 years after surgery? I talk ...
  A: In general, anybody can develop GERD/acid reflux. While a Roux-en-Y often helps people who have ...
Sleeve and Crohn's Disease9/13/2009John Pilcher, MD
  Q: I am a 52 year old woman and weigh approximately 246 lbs. I have yoyo dieted all my adult life and ...
  A: Snow, I am not able to form an opinion about the distribution of your inflammatory bowel disease and ...
surgeon will not do revision from lapband to gastric bypass9/10/2009John Pilcher, MD
  Q: in Sept. of 2007 I had a lapband put in, at first I lost about 15 pounds due to throwing up all the ...
  A: Linda, I am really sorry to hear about your difficulties. The information you have provided does ...
port fills9/9/2009John Pilcher, MD
  Q: why after a fill is there 2 days of liquids
  A: Tracy, Our experience is that the process of putting fluid into your Band causes the stomach tissue ...
Endurance athletics post WLS nutrition9/9/2009Jacqueline Jacques, ND
  Q: I want to be straight forward and honest with you. I found this sight through a google search on ...
  A: I am not really the right person to answer this question, however, it happens that I just heard an ...
7 years post op weight gain not comming off9/7/2009Cathy Wilson, CLC
  Q: I thankyou for your time. I am 7 years post op and have gained back 70 lbs. I was 365 lbs got down ...
  A: You didn't indicate in your question but from how long you're post op and the fact that you didn't ...
Gastric Sleeve Surgery9/7/2009Diminishing Dawn
  Q: I am 5 weeks post-op from my Gastric Sleeve surgery. To this day I am having a hard time keeping ...
  A: I am not a surgeon. That's who you should be talking to directly. I cannot give you medical advice. ...
OHIP Coverage9/6/2009Diminishing Dawn
  Q: I have reviewed comments where by people have stated that OHIP covered their surgery. I am looking ...
  A: Would you want to get surgery in Canada or in the States? If you want to have it in Canada, it is a ...
Lap Banb Post Surgery Recovery Stomach Spasms9/5/2009John Pilcher, MD
  Q: I am now in my 3rd day of post lap band surgery. I started to experience stomach rolling/spasm the ...
  A: Yvonne, The best answer is that you should speak to your surgeon or whoever is covering for him/her. ...
11 days post op8/30/2009Jacqueline Jacques, ND
  Q: i'm so hungry when will i be able to eat a salad when can i eat lettuce?,
  A: I do not know what surgery you have had (gastric bypass, sleeve gastrectomy, gastric band...), but I ...
IS FISTULA CAUSE OF PAIN8/27/2009John Pilcher, MD
  Q: I AM A 33 YEAR OLD FEMALE. I HAD AN OPEN RNY PROCUDURE PERFORMED IN JUNE OF 2005. I LOST ABOUT 90 ...
  A: Jennifer, If I understand correctly, you are asking about a fistula between your stomach pouch and ...
Kidney donation after lapband8/26/2009Jacqueline Jacques, ND
  Q: I was wondering if you can donate a kidney after you have lap-band surgery?
  A: Denise, If you are healthy and the kidney is healthy, the answer is most likely yes. Because the ...
weight not going down anymore8/19/2009Steven West
  Q: I am almost 6 years out from open RNY. I started 308lb. Got down to 174lb but currently weigh 211. I ...
  A: At six years after your RNY and cessation of smoking (congratulations on that, by the way!) you may ...
Not Losing8/11/2009Steven West
  Q: I hope you can give me some advice. I had WLS in Nov. of 2006. I started out at 355 lbs. I now weigh ...
  A: I'm anxious to hear what your doctor says during your visit with him in November. Until then, be ...
Not Losing8/11/2009Steven West
  Q: I hope you can give me some advice. I had WLS in Nov. of 2006. I started out at 355 lbs. I now weigh ...
  A: I am confused by your comments. Do you eat more or less than you should? And, who are you ...
Lap Band Removal8/9/2009John Pilcher, MD
  Q: Doctor Pilcher, I had Lap Band surgery three years ago. Within a year my band slipped, my ...
  A: Sue, Given what you have described, I agree it is time to give up on the Band in your case. For ...
Not Losing8/8/2009Steven West
  Q: I hope you can give me some advice. I had WLS in Nov. of 2006. I started out at 355 lbs. I now weigh ...
  A: I am sorry to hear that you are not satisfied with the weight that you have lost. It is important ...
GOING FOR THE GASTRIC SLEEVE8/7/2009Karla K.
  Q: WOULD IT TAKE ME TO GO BACK TO WORK. ALSO HOW PAINFUL WILL IT BE AFTER THE SURGERY JUST CURIOUS ...
  A: It will all depend on your surgeon as to whether or not you need to go on a liquid diet before ...
RHUEMATOID ARTHRITIS AND BY-PASS SURGERY8/6/2009John Pilcher, MD
  Q: I had the rouen-y procedure May of 2004. I have been in very good health since until 11/08 when I ...
  A: Sheryl, I can see how this is a really tough situation, and unfortunately I agree with your doctor ...

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Questions by
Active Experts:
John Pilcher, MDCathy Wilson, CLCJacqueline Jacques, ND
Steven WestDiminishing DawnKarla K.
   

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