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Bariatric Surgery/Dumping Syndrome

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Expert: - 12/9/2007


Question
Hi Dr.,

On Nov 7th I had revision surgery and my surgeon bypassed 150 cm of my intestines (only 50 cm were originally bypassed.)  Over the holidays I gave in to temptation and had a spoon of ice cream.  I noticed I did not dump.  Then I wanted to experiment and see if I would dump if I had a piece of cake.  I didnt dump then either.  

Is there a certain amount of fat/sugar I'd need to consume in order for dumping to occur.  While I've vowed to stay away from any more sweets/fattening foods I was looking forward to the negative reinforcement.  I'm concerned that the procedure isnt working as it should.  If I dont dump, does that mean I'm absorbing all of what I consume?

Your insight is most appreciated.

Thanks!

Answer
Linda,
I'm sorry but I'd have to know the details of your surgical anatomy to give you a reliable answer.  I strongly suggest you follow up with your surgeon and talk to him/her about whether you should expect an increase in dumping following this revision.

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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