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Bariatric Surgery/pregency and lapband

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Question
I am going for a pregnancy test today and i am almost 3 yrs. out from being banded.  My question is if i am pregnant do i have to get my band unfill all the way or can they leave some in, I have a 4cc band and i have 3.2cc in my band. Will I need to let my band Dr. know right away or can i wait untill i feel like i am to tight. How soon after pregnancy can you start getting fills?  Thanks Catrece

Answer
Catrece,
I hope the pregnancy test was positive, and that congratulations are in order!

Band surgeons have different opinions about pregnancy and opening the Band.  Some believe it should be opened completely, but I think this is the minority view.  Some would open it slightly, and others would follow along and see how you are doing.

For me, the key thing is for you to see your Band surgeon and his/her team, and discuss the pregnancy with them to make a plan.  Any management (change) that you and your Band may need is way easier to take care of on a planned basis than some emergency if you feel blocked all of a sudden.

So definitely, make an appointment to see your Band team and work it out with them.  Several different approaches are OK.

Best of luck!
Dr JP

Bariatric Surgery

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John Pilcher, MD

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

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