Question:
How much experience should a surgeon have in gastric by pass procedures?

   — lisa H. (posted on May 4, 2003)


May 4, 2003
I had my surgery at a military hospital, and I was number 51 for my surgeon. He performed OTHER surgeries, but not that many gastric bypass surgeries. He also had some problems with one, that he was totally up front about. I still trusted him completely. He is an AWESOME surgeon, and I had a GREAT experience with him. I haven't had any complications, and everything is exactly like it should be. So... in answer to your question, I didn't have a problem with a relatively "new" bariatric surgeon. It all depends on if you trust him/her, and if they are an excellent surgeon in general. I hope that helped a little!!
   — Diana L.

May 4, 2003
The learning curve on any major surgery is supposedly 50 operations. I wouldn't object to using a surgeon with a low number IF he/she were being assisted by a surgeon skilled in the surgery I were having done. Mine had performed over 500 RNY's.
   — [Deactivated Member]

May 4, 2003
I think I am technically #15 for my surgeon, but he is an experienced trauma gut surgeon and trained with the best for the RNY. He had done the procedure before on cancer patients. He started doing this procedure because he had seen so many complications from other surgeon's work that he wanted to make a difference. Just research the surgeon's history (lawsuits, death rate, etc) carefully, and go with your instincts.
   — [Deactivated Member]

May 4, 2003
Hi Lisa, well I was number 2 for my surgeon. The hospital that I had mine done was just opening up a Bariatric Wing and this Dr was working with them. He was training at Alvarado Hospital in San Diego for eight months before my operation. He was also assisted by a Dr from that hospital when mine was done and as I know still is. Everything went great the hospital stay was fine and his office staff was right on the ball as for after care. I had no problem being number #2 and sometimes wish I was #1 so I could have a title (lol) anyway like the other poster says if you feel comfortable with your surgeon and have checked him out "GO FOR IT" you will be glad you did. Mine was on 02/19/2003 down 50+
   — tonyskid

May 4, 2003
My Dr. has performed/assisted in 15 sugerys BUT he did surgery on me before and he did a fantastic job and he is now specializing in Lap-RNY. I think there are good points in being a first patient in that as with anything else, you are so careful when you first start doing something new and later as you become comfortable with it that fear of what can go wrong lessens. JMHO
   — kjonhjk

May 4, 2003
Hi Lisa... I was number 10 for my wonderful doc! He did have tons of lap experience in other surgeries. I had gone to a surgeon who had performed 100's and I was not satisfied at all with his program. In fact, he was so unconcerned that I feared for my safety if he had done the surgery. My experience told me that the surgeon with tons of experience was actually WORSE then the surgeon with less. So, my opinion is not to be afraid of the doc with few suregries under his belt - GO FOR IT. But just check his training closely! Good luck and best,
   — Louise C.

May 5, 2003
I was more concerned about having a skilled surgeon that was a lap expert (since I knew I wanted lap), and that the surgeon had impecable credentials. I was # 20 something for my surgeon, who had been performing lap surgeries for 4 years and had graduated one of the best medical schools in the country. He also impressed me with his knowledge during the consultation, and even more so with his post-op care. I would definitely check out any surgeon you choose with the AMA-is he/she board certified? Also, if there are other patients that they have performed the gastric bypass on, can you talk to them. I had free access to the ones that came before me, and their pleasure with the surgeon's skills and care convinced me.
   — Cindy R.

May 5, 2003
I changed surgeons from a group that had done Gastric Bypass for years to a doc who has only been in the bypass business for 2 years. Why? The first group had lost its abilty to CARE. We were herded through like cattle. No pun. The office staff was rude and I felt strongly that the surgerons had heard it all before so now they did not LISTEN. Example: I told him I was not married and had no childern. He just sat there shaking his head yes, going on and on about how afterwards I was going to be able to play with my kids. Geez. When I got my consult with the new surgeon, I asked tons of questions and felt very at ease with him. I thank the Lord above everyday that I switched. Talk to your surgeon, ask questions. If it doesnt "feel" right it most likely isnt. Good luck to you. Sidney Open RNY 10-23-02 down 90+
   — Siddy I.

May 5, 2003
This really all depends on you and what you feel comfortable with. Ask your surgeon questions- I did and he was honest. When I first met with him, he had done maybe 200 surgeries, and he honestly told me he was over the learning curve of Lap RNY. I trusted him and felt comfortable. By the time I had my surgery, he'd done over 300 and was even more experienced. Now- he's probably hit the 1,000 mark. All surgeons have to start somewhere right? It's just whether you choose to be near that starting point! Goodluck to you!
   — Lezlie Y.

May 6, 2003
My answer would be that it depends. As someone else pointed out, all doctors have to start somewhere. I also think it depends on your surgeon's other credentials. For instance, my surgeon has been doing gastric bypass surgery for less than a year. However, he has been performing stomach and intestinal surgeries for over twenty years. My mother had two surgeries to have intestinal blockages removed, so I know how detailed and delicate those surgeries are, which was more than enough to convince me that if my surgeon could perform that type of surgery, he will most likely be more than competent in performing gastric bypass. Basically, the way I see it, for him, gastric bypass is probably not much different than what he has been doing for years. It's basically just like adding another procedure to his bag of tricks. The fact that the gastric bypass surgeries he has performed so far have been successes seems to be a testament to that. One other positive trade off to choosing a surgeon who is relatively new to weight loss surgery, they usually haven't built up the waiting list that some of the more established surgeons have. In a span of two months, I will have had two surgical consults, a psych consult, a dietary consult, and surgery. Before finding my surgeon, I had gone through the requirements for scheduling a consult with one of the more established weight loss surgeons in town, and my first consult with that surgeon wasn't scheduled until July 10th! By then, I will be almost two months out of surgery and, if all goes well, well into my losing journey.
   — Amanda S.

May 10, 2003
IMHO, one helluvalot of experience in doing WLS. Trust me, don't go with a newbie on this!! Diane N RN
   — DianeN




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