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Bariatric Surgery/RNY...again.
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Question
Hello Dr.,
I wrote to you back in February when I was considering a bariatric revision of a RNY surgery I had 15 years ago. After gaining half of my weight back, I felt like a failure. I saw an excellent bariatric surgeon at Duke who evaluated me clinically and then agreed to do the surgery. My surgery was last Wednesday and was the surgeon surprised at what he found: My "pouch" was the size of two mens fists. I also had developed a small fistula. The original stoma was quite large as well. My new pouch is now the size of a golf ball and I am now hoping to lose all that weight I regained.
Anita,
Thanks for the follow up, and I'm glad that things seem to have gone well! The fact that your surgeon was able to make such a dramatic change (finding your previous stomach so large) suggests that you have an excellent chance to lose a lot of weight.
Best wishes,
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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