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Question
I had asked two questions about two weeks ago regarding reversing my RNY surgery. They definitely want to do that because of the nausea and vomitting I have had for the past five years do to vagal nerve injury causing gastroparesis and dysmotility of the intestinal tract. I was wondering who you would recomment do reverse the RNY and put on a lap band or possibly convert to DS? They were thinking lap bandcause the size of my stomach could be controlled easily with the fill. Thanks
Alannah,
I have the feeling that your GI tract has been through so much that anything done to it has a chance of causing more problems than help. Given that perception, I would definitely go for the smaller operation (Band) rather than the major re-routing that would be necessary with conversion to a DS - I'm frankly not sure how a DS would be accomplished after a previous gastric bypass.
Best of luck!
Dr JP
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Answers by Expert:
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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