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Bariatric Surgery/lapband to gastric sleeve
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Question
Hi John,
i am a male 6ft 1ins tall and weigh 380 lbs, with well controlled diabetic and hypertension.
I had a lapband procedure done in 1999. 6 months later my esophagus dilated and they had to diflate the band.
i still have a dilated esophagus and I need advice if a gastric sleeve surgery will help me under my condition. I am in desperate situation I seek advice.
Kindly revert and thanking you in advance
Mr. Manji,
I am sorry to hear about your trouble with the Lap-Band. Sometimes the Band may cause esophageal failure, especially if it it tightened too much.
I don't think the sleeve is a good choice for someone who suffers from a failed esophagus. The sleeve still allows bile and pancreatic digestive juices to travel back up the esophagus and cause heartburn/swallowing symptoms.
The gastric bypass is the preferred solution in the setting of esophageal failure and obesity. It prevents acid and other digestive juices from going backward into the esophagus and also gives substantial aid in the control of obesity.
I wish you the best of luck!
Dr JP
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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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