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Bariatric Surgery/VSG and Fundonissen
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Question
I am told I cannot have the lap band due to the fundonissen and I cannot have gastric bypass due to my trouble with ulcers. So, that leaves me with the gastric sleeve, which I really am interested in. Can I have the VSG is I've already had a fundonissen? Please have good news for me. :)
Tracey,
Having the previous Nissen fundoplication makes any subsequent surgery more complicated. I know of some surgeons who would do a Band in that situation but I would agree it is not a good idea.
A sleeve will probably be technically challenging, and in the area of the previous Nissen surgery it will probably not be possible for the surgeon to do the Sleeve just like we want, but it still looks like the best option available. You do need to make sure you fully inform your surgeon about the previous surgery so that he/she is not surprised at the time of surgery.
Best of luck!
Dr JP
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| Rating(1-10) | Knowledgeability = 10 | Clarity of Response = 10 | Politeness = 10 |
| Comment | Thank you for your time and consideration. I do have an appt. with the surgeon, but the 4 week wait is killing me! :) Thanks again. Tracey S. | ||
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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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