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Bariatric Surgery/Rou en y gastric bypass

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Expert: - 2/28/2009


Question
I had the bypass done in 2006 and over the past two years have gained back 60lbs. Is it possible to have the lap band surgery after having the gastric bypass? Mostly will it help me to continue to loose weight as I am once again 100 lbs over weight.

Answer
Becky,
Weight regain after any bariatric surgery is an unfortunately common problem.  Some surgeons do believe that a Band on a Gastric Bypass is a good idea, and it is surgically possible, but I have found the results to be disappointing.  In other words, it can be done but it usually does not help with much more weight loss.

My best advice is to follow up with your original surgeon and request him/her to check out your surgical anatomy.  If there is anything to be gained from additional surgery then they will likely discuss that with you.  If not, then your surgeon is the most likely person to help get you back on track with non-surgical management of your weight.

Best of luck!
Dr JP

Bariatric Surgery

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Volunteer

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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