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
Question I am considering bariatric surgery. I have been told I am not a candidate for lap band due to a history of Chron's (even though I am asymptomatic). I am considering VSG as an option. I live in the Phoenix, AZ area and would prefer having it done locally but would consider travel for the procedure if needed.
I understand that VSG can be done as a stand alone procedure or as an initial procedure. I know that there are no long term (5+ year) study results due to the newness of the procedure.
I would appreciate any info about VSG as a stand alone procedure. I am about 5 ft and weigh about 260.
Answer Barb,
I can see that you've done your homework, so you understand that the impact of Crohn's disease on surgical decision making for bariatric surgery is a fairly controversial topic.
Of the three most commonly performed surgical procedures (Gastric Bypass, Gastric Band, and Gastric Sleeve) I personally would be most comfortable with the Sleeve in a patient with a history of Crohn's. In the big picture, I believe that patient's who suffer from both obesity and Crohn's disease are better off with one of the surgical procedures (including the risk of Crohn's complications) than with the weight.
Before you commit to travel a long distance, I recommend you check the practice of Robin Blackstone in Scottsdale.
If it seems necessary for you to travel, you are welcome to check my practice website at www.ndwls.com. I would be happy to see you if that is what you find works best.
