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Bariatric Surgery/Questions
| Subject | Date Asked | Expert |
| pain 3 days post op | 1/1/2010 | Karla K. |
| Q: I realize that I am only 3 days post op, but is it normal to still have excruciating pain in my left ... A: Yes, the pain in the shoulder from the gas can last up to a week. Some people find that a heating ... | ||
| Complications after gastric bypass | 12/29/2009 | John Pilcher, MD |
| Q: I've read recently that gallstones/ gall bladder attacks are common after gastric bypass. What is ... A: Rueben, Anytime there is a dramatic reduction in food intake it creates a stress on the gallbladder. ... | ||
| pouch exspansion | 12/24/2009 | Cathy Wilson, ACC-ICF, CLC |
| Q: I had gastric bypass five months ago . Im worried that i have stretched my pouch so far that it ... A: At five months post-operatively, you would have had to work very hard to stretch your pouch. At ... | ||
| gastric byapass six months after | 12/24/2009 | Steven West |
| Q: I had surgery in July of 2009. I am worried that I stretched my pouch so that it is back to normal. ... A: My answer depends upon your circumstances: If you underwent gastric bypass surgery (e.g. RNY) and ... | ||
| Lap Band | 12/23/2009 | Jacqueline Jacques, ND |
| Q: I recently saw a commercial on tv for the lap band surgery, I weigh 265 so i would like to at least ... A: Brittanie, Most likely if you weigh 265 and have at least 100 pounds to lose you would qualify for ... | ||
| pain | 12/18/2009 | John Pilcher, MD |
| Q: I had gastric by pass with Roux-en-Y IN 1999 in San Antonio by your group. I lost 175 lbs. I have ... A: Kay, I would love to help you with this issue, but the information you are able to provide in this ... | ||
| Post bypass rhabdomyolysis | 12/12/2009 | John Pilcher, MD |
| Q: I'm a new nurse on a med-surg floor (graduated last May). A few nights ago I had a female patient, ... A: Rebecca, You are just about right with regards to the reasons that bariatric surgery patients are at ... | ||
| Post bypass rhabdomyolysis | 12/11/2009 | John Pilcher, MD |
| Q: I'm a new nurse on a med-surg floor (graduated last May). A few nights ago I had a female patient, ... A: Rebecca, I'm really impressed with your level of concern and your follow-through on this patient. ... | ||
| revision | 12/10/2009 | John Pilcher, MD |
| Q: what are the requirements to be approved for revision surgery? I had a VBG in March, 1998, and have ... A: Stephanie, I can't give you an "ironclad" answer about whether you are a candidate for revision ... | ||
| weight loss | 12/8/2009 | Karla K. |
| Q: I'm a 22 year old female I way 265lbs I excersize 3 to 4 times a week that's (30 minutes of cardio ... A: It's great that you're getting into the exercise habit so young. If you keep this up, regardless of ... | ||
| weight loss surgery | 12/4/2009 | John Pilcher, MD |
| Q: Will the RNY procedure work as well as the DS for someone who has previously undergone lap-banding? ... A: Julie, Both the gastric bypass and the DS ought to be reasonable surgical options at the time of ... | ||
| from lapband to sleeve | 12/4/2009 | Karla K. |
| Q: I have had the lap band twice. The first time was March 05' and then July 07'. It was removed and ... A: Honestly, your surgeon will not be able to tell you if he can convert you to a Sleeve at the same ... | ||
| vitamin D supplements after gastric bypass | 12/3/2009 | Jacqueline Jacques, ND |
| Q: I am an RD with a weight loss surgery program. Most of my research on vitamin D indicates that D3 ... A: This is a great question - I am surprised that more people don't ask it. There are some rather old ... | ||
| PCOD n Thyroid n Bariatric surgery | 12/2/2009 | John Pilcher, MD |
| Q: i m 28 yrs old female and suffering from PCOD as well as Thyroid since 2004 which has resulted into ... A: Ma'am, It does sound as if a bariatric surgical procedure is reasonable for you. Since the ... | ||
| Light Headed over the past year (10 yrs post RNY) | 12/1/2009 | John Pilcher, MD |
| Q: I am a 45 year old male, about 10 years post RNY. I currently weigh 185 pounds. Starting this past ... A: Gary, You asked the right type of question when you mentioned the endocrinologist or the GI doc, ... | ||
| POST OP GASTRIC BYPASS | 11/30/2009 | Karla K. |
| Q: .My name is Susan and I am a week out from my Gastric Bypass...I am feeling okay..my abdomen doesn't ... A: Sorry it took me a day to get back to you, my 4 year old got me very sick... and I've been in bed ... | ||
| POST OP GASTRIC BYPASS | 11/29/2009 | Karla K. |
| Q: .My name is Susan and I am a week out from my Gastric Bypass...I am feeling okay..my abdomen doesn't ... A: If it helps, you're completely normal. :) Does your surgeon have a post-op group you can attend? ... | ||
| Sleeve gastrectomy | 11/28/2009 | Diminishing Dawn |
| Q: You have been very helpful in giving a realistic picture of what I how surgery would affect my life. ... A: It depends if you want OHIP to pay for it or if you want to pay for it out of your pocket. If you ... | ||
| PCOS and weight loss surgery | 11/26/2009 | John Pilcher, MD |
| Q: Dr. Pilcher, I am 21 years old female with polycystic ovarian syndrome. I have exercised, eaten ... A: Taylor, Your BMI of 34 puts you just a shade below the level of 35 at which it is widely agreed that ... | ||
| surgery while breastfeeding | 11/24/2009 | Jacqueline Jacques, ND |
| Q: I'm in the process for lap band surgery. The surgery will probably be when my baby is 4 months old. ... A: Laura, Some of these questions (such as the question about painkillers) you need to ask to your ... | ||
| lap band info | 11/17/2009 | Karla K. |
| Q: I was banded in 8-07, had some problems but thought they it was worth the sacrifice. Lost 136lbs. I ... A: It does sound like your problems could be Band related... perhaps a slip or prolapse. Please call ... | ||
| weight gain | 11/16/2009 | John Pilcher, MD |
| Q: I am 3 1/2 years out and I have gained 35 pounds. I am wondering if there is anything that my ... A: Amy, It sounds like you had a gastric bypass procedure. Later weight gain is unfortunately common, ... | ||
| Crohn's Disease | 11/15/2009 | Jacqueline Jacques, ND |
| Q: Can a person who has crohns disease get gastric bypass surgery? A: There is not a straight forward answer to this question. Since Crohn's disease can be mild or ... | ||
| Pregnancy after bariatric surgery | 11/15/2009 | Steven West |
| Q: My 21 year old daughter is planning on having the Roux-enn-Y gastric Bypass Surgery in December. I ... A: Martha, Glad that the desire for grandchildren is not yours alone; sorry I brought it up but I see ... | ||
| Pregnancy after bariatric surgery | 11/15/2009 | Steven West |
| Q: My 21 year old daughter is planning on having the Roux-enn-Y gastric Bypass Surgery in December. I ... A: It is wonderful that your daughter has such a loving, caring mother. I am not a doctor and I'm ... | ||
| Single Kidney bariatric surgery | 11/8/2009 | John Pilcher, MD |
| Q: Approximately 2 years ago I had renal cancer. At this time my (L) kidney was totally removed. All ... A: Terry, Once your doctors can be reasonably certain that you are free of kidney cancer and that you ... | ||
| Gastric Sleeve after Lap Band | 11/6/2009 | John Pilcher, MD |
| Q: I have had my Lap Band for 2 years now and went in to my surgeon to get a fill because I have ... A: Jennifer, You are right that this is a distressing situation. Most people who have a Band are very ... | ||
| sleeve procedure and gerd | 11/3/2009 | Karla K. |
| Q: I will try to make my question short. I am 21 years old and weight 280 /5.9 tall. I have gerd ... A: Well, your BMI definitely qualifies you for bariatric surgery. As for your GERD, there's no way to ... | ||
| lap band consideration | 11/2/2009 | John Pilcher, MD |
| Q: I'm considering the lap band surgery. I'm 5'4, 233 lbs. My family has a history of diabetes, ... A: Kimberly, It sounds to me like you are a great candidate for a bariatric surgical procedure. What I ... | ||
| Gastric Bypass Surgery | 10/29/2009 | Cathy Wilson, ACC-ICF, CLC |
| Q: I had gastric bypass surgery in 2004 and i have gained about 20lbs. back. I wanted to know what can ... A: I apologize for the delay in my response to you but I have been sick. Thanks for your ... | ||
| gastric sleeve post op care | 10/26/2009 | John Pilcher, MD |
| Q: I have researched this procedure but cannot find out in great detail but I am having difficulty ... A: Diana, The best person to answer your diet and restriction questions is your surgeon, so I really ... | ||
| Lap Band option for the >30 BMI patients | 10/19/2009 | John Pilcher, MD |
| Q: I am 5'7" and 170 lbs. I've tried all the diets out there but still can't keep the weight off. I ... A: Diane, The information you've provided puts you at a BMI of 27. I can see where it would be great ... | ||
| I'm considering Gastric Bypass... | 10/16/2009 | Karla K. |
| Q: I'm 22 years old, 5'5", 230lbs with a BMI of 38. I have done a lot of research on this surgery, my ... A: I wasn't sure if you were saying you actually have diabetes and high blood pressure, or just a ... | ||
| bariatric surgery after ileostomy | 10/15/2009 | John Pilcher, MD |
| Q: My dad has an ileostomy bag and also needs to lost a large amount of weight. He had a stroke after ... A: Katie, I think it is marginally acceptable to place a Band in a patient with an ostomy, but I think ... | ||
| Recovery from RNY reversal | 10/14/2009 | John Pilcher, MD |
| Q: I am 6 years post RNY and for the past year have been in and out of the hospital and on TPN due to ... A: Tina, Reversal of the gastric bypass is not all that common, so it is hard to talk about a routine ... | ||
| Post RNY | 10/13/2009 | John Pilcher, MD |
| Q: I had gastroplasty in 1980 and lost 125 lbs. I was never able to eat food that wasn't pureed without ... A: Sonja, It is impossible for me to make a sensible projection about the lump in your stomach without ... | ||
| Lap band removed still in pain!!!!! | 10/12/2009 | John Pilcher, MD |
| Q: I had lap band surgery in May 2009, in July 2009 they did a revision and hiatal hernia repair as I ... A: Tracey, I am super sorry but I have not run into this type of problem before. It sounds as if you ... | ||
| constipation after gbs roux en y | 10/5/2009 | Karla K. |
| Q: i am just about six months post op and i have lost 107lbs and ia ma having a problem with ... A: Constipation is a common side-effect of bariatric surgery. While "lean and greens" is great for ... | ||
| gastric bypass ohip approval | 10/3/2009 | Diminishing Dawn |
| Q: i live in Ontario and i have researched gastric bypass roux en y procedure.i am planning to have the ... A: Whether you have diabetes under control or not, you still have diabetes. That is still a significant ... | ||
| Fibre flattens belly? | 10/1/2009 | Steven West |
| Q: Steven I am not a candidate for surgery but am hoping you may be familiar with gastro intestinal ... A: My expertise is not in exercise or focused weight loss, it is in weight loss surgery. Your initial ... | ||
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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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