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Bariatric Surgery/Questions
| Subject | Date Asked | Expert |
| GBS AND ACID REFLUX | 12/16/2011 | John Pilcher, MD |
| Q: I had Gbs w/r-y, I have had acid reflux severely and when I went back to the doctor who did my ... A: Brenda, You are describing a really challenging situation. You did not specifically write it in your ... | ||
| Weight Loss | 12/7/2011 | Karla K. |
| Q: I am 31 years Male from India. My Height is 185 Cms (6 Feet & 1 Inch) & my Weight is 108 Kgs. I am ... A: Your BMI is only 31.6, which is just barely in the obese category. I wish there was an effective ... | ||
| Weight gain | 11/30/2011 | Steven West |
| Q: I am 3 1/2 years after surgery, I have had problems, blocked bile ducts by stones left behind back ... A: As your bariatric physician likely told you, the surgery only serves as a tool to help remind you ... | ||
| revision | 11/19/2011 | Karla K. |
| Q: i had gastric bypass in 2005 i weighed 220 at the time lost to 149 now i weigh 270 and have sleep ... A: I'm sorry that you're facing a revision. I'm not 100% sure if Medicare/Medicaid covers the Lap-Band ... | ||
| lap band removal | 11/16/2011 | John Pilcher, MD |
| Q: I recently had my lap band removed due to nausea constant vomiting and pain. I am still not able to ... A: Kaylee, Most of the time, when a Band is removed because of problems the patient experiences relief ... | ||
| lap band surgery | 11/14/2011 | Steven West |
| Q: can i have lap band surgery if i have already had gastric bypass i had the surgery in the year 2000 A: I'm not sure that the structure of your stomach will allow for a lap band; only your physician can ... | ||
| RA and Surgery | 11/7/2011 | John Pilcher, MD |
| Q: If I have reactive arthritis already, and am taking Humira every other week-- could i still be a ... A: Peggy, From my perspective, neither a history of arthritis nor a need for Humira is a 'show-stopper' ... | ||
| Food amounts | 10/27/2011 | Karla K. |
| Q: firstly, I've found your advice to others most helpful to my own weight loss journey. I would ... A: I'm so sorry it took me a few days to get back to you. I honestly thought I had already ... | ||
| Pain from Magnesium | 10/23/2011 | Steven West |
| Q: I had gastric bypass surgery 11 years ago. Now I have a on going pain that’s goes on in my sided, ... A: If there was a leak, it is my understanding that the consequences would be dire. If you have any ... | ||
| Celiac & Sleeve Surgery | 10/18/2011 | Karla K. |
| Q: I have Celiac diease and would like to get the Sleeve surgery. I've noticed other Celiacs have ... A: I honestly haven't heard of any issues with celiacs having VSG surgery. I'd check in with my ... | ||
| My diet | 10/17/2011 | Karla K. |
| Q: I had lap band surgery six months ago, I've lost 31 lbs. since then, but I feel I need to change my ... A: Congrats on your weight loss. Sometimes cravings can be a hint that there's something else going ... | ||
| EXTREME FATIGUE | 10/7/2011 | Karla K. |
| Q: I am given infusions approximately every 6 months. I experience debilitating fatigue before each ... A: It's tough for me to tell what's going on as I'm not sure which surgery you had (RNY, DS, VSG, ... | ||
| Eating with gastric sleeve | 9/29/2011 | John Pilcher, MD |
| Q: I was sleeved on Sept 1st. I've had a difficult time getting fluids and protein in. When I drink ... A: Nellie, Online support is not a good channel for medical advice, so my first piece of advice is that ... | ||
| debilitating nausea after gastric sleeve surgery | 9/25/2011 | John Pilcher, MD |
| Q: CT scan with contrast, scope, all say all is well but since discharge from hospital and IV and IV ... A: Lee, I'm sorry to hear about your troubles after Sleeve surgery. I do have one or two ideas, though ... | ||
| Best decision of my life-really more of a comment | 9/21/2011 | John Pilcher, MD |
| Q: Dr. Pilcher, You performed my RNY 11 years ago. I was at about 400 lbs. I now weigh 145 and wear a ... A: Sounds like a great plan. On the Iron, you may want to see a hematologist to consider IV Iron. ... | ||
| Best decision of my life-really more of a comment | 9/20/2011 | John Pilcher, MD |
| Q: Dr. Pilcher, You performed my RNY 11 years ago. I was at about 400 lbs. I now weigh 145 and wear a ... A: Melissa, You are so very welcome, and thank you for writing! I hope you are seeing a bariatric ... | ||
| Calcium D-glucarate | 9/6/2011 | Jacqueline Jacques, ND |
| Q: I have read that calcium D-glucarate can help remove excess estrogen and can be helpful in estrogen ... A: It has good research and I think it probably does help reduce some cancer risk. There are really ... | ||
| Autoimmune disease and bariatric surgery | 9/2/2011 | John Pilcher, MD |
| Q: Is autoimmune disease a contraindication for any of the procedures? I have FM, and possibly SLE ... A: Lisa, First, I confess that I don't know what diagnosis "FM" stands for, but since I understand SLE, ... | ||
| Possible ulcer | 8/31/2011 | John Pilcher, MD |
| Q: I had gastric bypass Roux en y 9 years ago. I recently have developed stomach discomfort. It feels ... A: Ellen, I can't advise you about whether this may be a serious condition, since that would fall in ... | ||
| post RNY weight regain | 8/26/2011 | John Pilcher, MD |
| Q: I am 7 yrs post-op. Lost from 287 lbs to 137 lbs, now slowly climbing up to 172 lbs. I wish to stay ... A: Loreen, Your question about weight regain is a very important one, and you are definitely not alone ... | ||
| pain after removal of band | 8/19/2011 | John Pilcher, MD |
| Q: I have my band removed 8/4 due to slipping. The first week I did just fine resting in bed. The ... A: Jennifer, It is a bit difficult in a situation where I am not looking at you or talking to you ... | ||
| question please | 8/18/2011 | Diminishing Dawn |
| Q: i am 22 years old, 5 foot 8 and i weigh 340 pounds, do i qualify for surgery? i have been trying so ... A: We meet at the Hospice near Jefferson and Tecumseh the first Tuesday of every month from 7 to 9 pm. ... | ||
| question please | 8/18/2011 | Diminishing Dawn |
| Q: i am 22 years old, 5 foot 8 and i weigh 340 pounds, do i qualify for surgery? i have been trying so ... A: You more than qualify for surgery. To qualify you need a bmi of 40 so there should be no issues ... | ||
| Rue n y | 8/17/2011 | Karla K. |
| Q: Its been five months since my surgery some times I fill like I'm eating to much but I try to stay at ... A: I think it's great that you're tuning into your new pouch--and realizing that you might be eating ... | ||
| hair loss post bypass | 8/17/2011 | Jacqueline Jacques, ND |
| Q: In april of this year I had a gastric bypass now my hair is falling out. I can't tolerate the ... A: A couple of things... 1) Hair loss after gastric bypass usually starts at about 100 days post op, ... | ||
| bariatric surgery | 8/17/2011 | John Pilcher, MD |
| Q: Dr.Pilcher I started looking into bariatric surgery some years ago and was quickly dterred from ... A: Pollie, I'm certainly sympathetic with your situation, especially since you thought about your ... | ||
| Issues with Lapband | 7/27/2011 | John Pilcher, MD |
| Q: Pilcher, I have a bit of a lengthy story, so here goes: I have a 10cm (4cc) lapband that was ... A: Amanda, I totally get your set of problems. I have had patients in my practice with similar ... | ||
| bariatric | 7/22/2011 | Karla K. |
| Q: / ANSWER: Hi Carla: I'm not sure which type of bariatric surgery you had--but I'm going to assume ... A: I don't know what your weight is, but if you have gained, one thing you could look into is ... | ||
| Gastric Bypass and Hernia Repair | 7/19/2011 | John Pilcher, MD |
| Q: Four weeks ago I had roux-n-y along with the repair of a hiatal hernia. My recovery is going well ... A: Sheila, The sound and/or sensation of gurgling in the lower chest or upper abdomen are fairly common ... | ||
| bariatric | 7/19/2011 | Karla K. |
| Q: / A: I'm not sure which type of bariatric surgery you had--but I'm going to assume it was a Lap-Band or ... | ||
| What is better -- Lap Band Revision to Bypass or Sleeve? | 7/18/2011 | John Pilcher, MD |
| Q: .. I am a 46 y/o woman. I am 5'2" and had lapband surgery in March 2009. My pre-op weight was 233 ... A: Lisa, I am going to give you some general thoughts and I will end up expressing a mild preference ... | ||
| Eating after VSG | 7/16/2011 | Karla K. |
| Q: I had a successful sleeve gastrectomy on the 6th of july (11 days ago). I sent you a question two ... A: As to how much you can eat, it really depends on the patient. Most doctors size the sleeve with a 32 ... | ||
| VSG pain when swallowing | 7/15/2011 | Karla K. |
| Q: I had the VSG on the 6th of july (9 days ago) and all went well according to the surgeon. I had the ... A: Congratulations on your successful surgery. First, the good news--things will get better (usually ... | ||
| Gastric Sleeve | 7/13/2011 | Jacqueline Jacques, ND |
| Q: 1.Can proteins, B12 and calcium be digested after gastric sleeve because of absence of HCl secretion ... A: The gastric sleeve is still a very new procedure with very little research on nutrition. The early ... | ||
| Post-op gastric bypass "1999" | 7/11/2011 | Steven West |
| Q: I had a Roux-en-Y in 1999. I have been having stomach issues for the past 5 years. I recently had a ... A: None of what you're describing makes much sense to me. If food is not staying in the stomach, you ... | ||
| Pain medication isn't lasting 4 hour | 6/30/2011 | John Pilcher, MD |
| Q: I had a gastric bypass done in 2008, and have noticed that with my pain medications for chronic back ... A: Dee, Pain meds are absorbed in an essentially normal way after gastric bypass. The problem from ... | ||
| Pain medication isn't lasting 4 hours | 6/30/2011 | Jacqueline Jacques, ND |
| Q: I had a gastric bypass done in 2008, and have noticed that with my pain medications for chronic back ... A: While not much is published in literature on the subject, there are definitely medications that are ... | ||
| us bariatric surgery | 6/28/2011 | Julia K |
| Q: How can I qualify to get my bariatric surgery in the states? I have recently called and they say I ... A: I would like to give you more information but need some clarification in your question. Did you ... | ||
| gastric bypass vs sleeve | 6/28/2011 | John Pilcher, MD |
| Q: I'm 240lbs getting ready to have the weight loss surgery.I really need help on which surgery is best ... A: chell, I like the results of both the gastric bypass and the sleeve for my patients. With your ... | ||
| RNY Bypass | 6/27/2011 | Jacqueline Jacques, ND |
| Q: I'm 2 yrs out and I was wondering how drinking pop and alcohol affects your pouch? A: Contrary to popular belief, what you eat is not going to really do much to change or damage your ... | ||
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Bariatric Surgery
Answers by Expert:
John Pilcher, MD
Top Expert on this page
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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