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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
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You are here: Experts > Health/Fitness > Obesity > Bariatric Surgery > lap band consideration
Expert: John Pilcher, MD - 11/2/2009
Question
I'm considering the lap band surgery. I'm 5'4, 233 lbs. My family has a history of diabetes, hypertension, arthritis, back pain (I suffer from a back injury w/ multiple disk herniation), and both parents have had knee surgery. I'm currently 33 years old, a personal trainer (its true!), and not suffering from any weight related illness...yet. My back injury is due to a cheer leading accident in high school and two car accidents. I'm researching my options as dieting hasn't brought me too much luck and I don't want the effects from yo-yo dieting. I believe my BMI was 42 at one point. What are your thoughts? I'm trying to find the dietary restrictions (long term), and general recovery time for the most part. Can you help?
Answer
Kimberly,
It sounds to me like you are a great candidate for a bariatric surgical procedure. What I mean by that is that you are working hard to inform yourself, you are currently fit in spite of obesity, and you are not yet "damaged" enough from the weight that you would have excessive risk from surgery. It also seems that you are faced with a lifetime struggle against obesity, and you could use some help.
An excellent unbiased website for you to continue your education is at www.bariatricedge.com
The step after that should be for you to visit a committed bariatric practice in your area. You can find practices at:
https://www.surgicalreview.org/locate.aspx
Best of luck!
Dr JP
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