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About 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

You are here: Experts > Health/Fitness > Obesity > Bariatric Surgery > Lap Band option for the >30 BMI patients

Bariatric Surgery - Lap Band option for the >30 BMI patients

Expert: John Pilcher, MD - 10/19/2009

Question
I am 5'7" and 170 lbs. I've tried all the diets out there but still can't keep the weight off. I have a family history of diabetes, hypertension and heart disease. I've seem to run out of options. Is there a Lap Band type of procedure available for folks who overweight but not obese?

Answer
Diane,
The information you've provided puts you at a BMI of 27. I can see where it would be great for you to lose weight but I don't think the medical risk you have at your current weight is great enough to merit the risk of surgery, even the minimally invasive gastric band.

I know this leaves you in an awkward spot because there is not really any good therapy for folks with a moderate weight problem. My best reassurance for you is that there is a LOT of research being done and it seems likely that some successful medications will become available soon.

Best of luck,
Dr JP

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