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Bariatric Surgery/revision
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Question
Hello, what are the requirements to be approved for revision surgery? I had a VBG in March, 1998, and have regained the 80 lbs I lost, putting me back at 280. I am 5'3",with a BMI of 49. I would like to know if there are specific locations (ie: centers of excellence) that are preferred for revisions. I would prefer Washington, if so, because I'm coming from western Canada.
Thanks you in advance,
Stephanie.
Stephanie,
I can't give you an "ironclad" answer about whether you are a candidate for revision surgery, but I can say that the VBG often fails over time and the information you've provided about your height and weight certainly suggests it is reasonable to consider revision. The most common revision procedure after VBG is conversion to a gastric bypass.
I believe you have the correct idea about seeking an experienced surgeon for this procedure, and the easiest way to find experienced bariatric surgeons is through the Center of Excellence program. You can use the surgeon locator from the website:
http://www.surgicalreview.org/locate.aspx
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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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