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Bariatric Surgery/Rou n Y Reversal

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Expert: - 7/14/2008


Question
Hi There,
I was wondering if you can tell me if there has ever been a reversal to a roux n y procedure?

Answer
Robin,
There have been many cases of a Roux-en-Y gastric bypass being "reversed" by connecting the small upper stomach pouch back to the larger lower stomach.  This is not usually recommended because the patient essentially always regains most or all of their weight.

Most surgeons would not call this a true reversal, because there is no way to return the stomach anatomy to its natural state.  Once a gastric bypass has been done there will always be scar and other alterations of normal gastric anatomy.

I hope this is helpful,
Dr JP

Bariatric Surgery

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Volunteer

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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