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: 6/10/2008 Subject: gastric ulcer post roux-en-y
Question I had a RNYGB 4.5 years ago and have been doing fine until last Nov(07) Now I have intense pain after eating from L side spleen area all the way to the rectum. There is also some dyspepsia but not as severe. Prior to the RNYGB I has two treatment for H. pylori. Now my stool culture is positive for H. pylori and I couldn't tolerate the tetracycline./flagell routine for treatment. Now my stools have turned slate grey, no change in diet, and I'm concerned about bleeding. The odor is also "old Blood" like and as a ex-medical technologist it's an odor I'm
familiar with.
My physician and I are at a loss except to try another treatment, next up Prevpac.
Any other ideas? two or more weeks of hell is not a good way to spend the summer. Thanks NJw
Answer Norma,
The only thing I can think of is to check for some partial bowel obstruction - a CT or UGI/SBFT might be helpful. The slate gray stools sound like the bile is not mixing with food appropriately.
The distribution of pain you describe (unfortunately) does not ring any bells for me.
Wish I could be more enlightening. Best of luck,
Dr JP
