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Bariatric Surgery/Gastric redo
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Question
I had my stomach stapled 13 years ago and recently did a barium swallow which indicated the proceedure was no longer valid. Can I now have a Sleeve Gastrectomy? And will I have to have major surgery again to take out the old staples and superfluous scarring or can it be done laporoscopically?
Cathy,
I'm guessing that your previous surgery was a Vertical Banded Gastroplasty. If that's correct, then (in my opinion) it is not an option to revise to a gastric sleeve. Most surgeons find that revision to the Roux-en-Y gastric bypass is the only weight loss surgery that is technically achievable from that point.
Many surgeons are now doing revision surgery laparoscopically, but I think your first challenge will be to find a surgeon in your area who will take on your case. Many surgeons who routinely perform bariatric surgery find the additional challenge and complications of revision surgery to be too much to take on.
Your best bet is to find a Center of Excellence surgeon near you - you can search on the website
http://www.surgicalreview.org/locate.aspx
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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