QuestionI am considering bariatric surgery. I have been told I am not a candidate for lap band due to a history of Chron's (even though I am asymptomatic). I am considering VSG as an option. I live in the Phoenix, AZ area and would prefer having it done locally but would consider travel for the procedure if needed.
I understand that VSG can be done as a stand alone procedure or as an initial procedure. I know that there are no long term (5+ year) study results due to the newness of the procedure.
I would appreciate any info about VSG as a stand alone procedure. I am about 5 ft and weigh about 260.
AnswerBarb,
I can see that you've done your homework, so you understand that the impact of Crohn's disease on surgical decision making for bariatric surgery is a fairly controversial topic.
Of the three most commonly performed surgical procedures (Gastric Bypass, Gastric Band, and Gastric Sleeve) I personally would be most comfortable with the Sleeve in a patient with a history of Crohn's. In the big picture, I believe that patient's who suffer from both obesity and Crohn's disease are better off with one of the surgical procedures (including the risk of Crohn's complications) than with the weight.
Before you commit to travel a long distance, I recommend you check the practice of Robin Blackstone in Scottsdale.
If it seems necessary for you to travel, you are welcome to check my practice website at www.ndwls.com. I would be happy to see you if that is what you find works best.
Best of luck,
Dr JP
