Bariatric Surgery/gastric bypass

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Expert: - 1/21/2009


Question
Hi
I had gastric bypass 2 weeks ago (BMI of 35). The day after getting out of the hospital, I was getting my 60 g of protein in. I exercised as directed and ate the clear liquid the full liquid diets as directed. I am now in the soft protein stage. I have no problem eating 2 meals /day and could do 3/day. I find that if I inadvertantly eat too large a portion(10 ounces), I don't get the overly full feeling nor dumping that I would expect with this type of surgery. Ii almost seems as if I didn't have the surgery as there is no physiological sensation that discourages me.  It's like I was before surgery ? What do you think ?

Answer
Dennis,
In my experience, this is not a typical situation.  Most patients find their pouch to be fairly stiff and resistant at this early stage, and would find it physically impossible to eat 10 ounces of soft or semi-solid food.

I expect you have a follow up appointment with your surgeon or surgeon's staff soon.  I would definitely ask them if this is they type of thing they are accustomed to.

Best of luck,
Dr JP

Bariatric Surgery

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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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