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Bariatric Surgery/preliminary questions
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Question
I am eagerly investigating bariatric surgery. I weigh 230 lbs and am 5'3". I am 47 and have a ICD due to a low EF and years of weight and high blood pressure. Am I a candidate with the heart issues. I am so praying that these issues won't be a hindrance but an urgent reason to proceed with the surgery. Please give your opinions or where I may further study.
Ms. French,
You are correct that your cardiac issues lead to some increase in risk, and will need to be handled correctly around surgery. It is also the case that your cardiac issues will make you less able to tolerate the excess weight over time, so that bariatric surgery does appear to be a reasonable option based on the information you provided.
To explore this further, I recommend you seek out a Center of Excellence surgical program in your local area, then check their website and/or visit with the team in person. You may find Center of Excellence programs at:
www.asmbs.org
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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