AboutJohn 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
Expert: John Pilcher, MD Date: 4/27/2008 Subject: Removal of lapband
Question I had lap band surgery in July 2006 but, have not lost anyway even with the fills. After a while I felt I was wasting my money so, I stopped getting the fills. I have gained about 20lbs since I have had the lap band even when I had the fills. I don't eat much, eat slowly, and don't eat sugary food. I usually eat chicken, fish and vegetables. I don't eat bread much at all because it is very difficult to swallow. I am not a soda drinker, even before the band. I am ready to remove the band because I don't feel like it has benefited me at all. Should I try gastric bypass or just forget the whole bariatric surgery options and,try to lose weight naturally again. I am scared to have the gastric bypass because it is not reversible and, there are many side effects. That is why I originally got the lap band instead. Please advise.
Answer Dawn,
I'm really sorry you have not had success with your Band. I am going to assume that you've gone as far as you can (gotten as much benefit as you can) from your original surgeon. I should emphasize that before you give up completely you should be sure your original surgeon has a chance to help you as much as he/she can.
I want to reassure you that some people don't do well with a Band, but do find success with a gastric bypass or a gastric sleeve. I understand you are a bit put off by the magnitude of the gastric bypass, but I recommend at this point for you to seek out a surgeon in your area who does gastric bypass surgery and Band surgery so you can get a fresh start. A good way to find a great surgeon is on the website for our national organization: www.asmbs.org
