Bariatric Surgery/RNY revision

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Expert: - 2/18/2011


Question
I had a RNY 15 years ago and lost 140 pounds. I have gained 70 back. What revisional operation might be suggested for weight loss again and DO REVISIONAL SURGERIES RESULT IN A GREATER OR LESSER WEIGHT LOSS THAN THE ORIGINAL RNY?

Answer
Anita,
Given that your gastric bypass was done 15 years ago, there is a decent chance that there will be the opportunity to do a surgical revision will help you lose additional weight.  It would be premature of me to discuss what options are available to you - the best move would be to visit with an experienced bariatric surgeon in your area.  Bariatric surgeons who have achieved Center of Excellence status can be found on the web at
http://www.surgicalreview.org/locate.aspx

The second part of your question is certainly pertinent.  For most patients who undergo revision, there is weight loss but it is more modest than the weight loss achieved at the time of the original operation.  A more informative estimate can be made once your experienced local surgeon has had a chance to review your surgical anatomy.

Best wishes,
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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