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Bariatric Surgery/Revision Surgery from "Stomach Stapling"

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Expert: - 1/2/2010


Question
Dr. Pilcher:

I underwent stomach stapling (gastroplasty?) 25 years ago and lost 160 lbs to reach goal of 160.  I am now 32 BMI and constantly struggle with not going back to 40+ BMI.  I am Type 2 diabetes (insulin dependent), and on medications for cholesterol and GERT.  I have significant peripheral neuropathy.  

Should I consider a revision?

Thanks,

WBP


Answer
William,
Techniques in bariatric surgery have improved substantially over the last 10-15 years, so it is reasonably likely that you would benefit from revision of your previous gastroplasty.  In order to have this more fully evaluated, you should meet with an experienced bariatric surgeon in your area.  You can find Center of Excellence surgeon in your area on the web at:
https://www.surgicalreview.org/locate.aspx

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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