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Bariatric Surgery/Type of Gastric Bypass Surgery

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Expert: - 8/16/2007


Question
I am considering Gastric Bypass Surgery and have recently read about something
called a mini Gastric Bypass.  One of the things mentioned is that they cut the
vagus nerve in this surgery.  Does that happen with all Gastric Bypass surgeries?  
Also, which do you recommend?

Answer
Yvonne,
For the most part, surgeons who do a true Roux-en-Y Gastric Bypass procedure do not cut or clip the Vagus nerve.

I can't be sure about what you are reading and considering, but I to advise you to avoid the "Mini Gastric Bypass."  The problem is that the Mini Gastric Bypass is not a true gastric bypass, and it is susceptible to a number of long term complications that do not occur with standard bariatric surgical procedures.  Also, my experience is that surgeons who perform the Mini Gastric Bypass do not participate in patient follow up as befits the best interest of the patient.

I believe that the Roux-en-Y gastric bypass and the Lap-Band can both provide excellent outcomes.  My approach in most cases is to inform patients thoroughly and to let them decide.

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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