Are you saying that you checked out the U of Chicago surgeons and found that they do not meet your criteria? I'm just wondering, because it seems that most of the boards and fb groups are filled with people from the east & west coasts, but I don't read much about this area (around Chicago). Our surgeons aren't even on some of the lists, but this hospital in particular has done thousands of bariatric procedures and their program has been in existence for something like 20 years.
Actually there are a fair amount of midwesterners/fly over states folks on this site.
Here is the deal. You can ask others on this board and there is a list of surgeons on the board somewhere......but there are really only a few people who do revisions and have a good reputation.
I am having issues with malnutrition because my surgeon who is Director of Trauma at OSF St Francis (great cutter but not a full time WLS guy) does a cookie cutter DS with a 100 CM Common Channel and 150 CM Alimentary Limb. This works for many but the one sized fits all approach doesn't work for others. Dr K does what is called the Hess Method where you measure the total small bowel length and then make the CC 10% of that length and the AL approximately 40%. Small bowel length varies greatly so let's assume that I have a 900 CM small bowel. My CC should have been around 90 CM, but Dr K says they round up or down to the next 50CM mark so my 100 CM CC is probably okay, but my 150 CM AL would have been 360 CM (350CM). My AL is less than 50% of what it should have been according to the Hess Method and Dr K.
So I saw Dr Marshall yesterday and I asked him what he would do revision wise and his comment was, "we take the channel length of 100 CM times X, but we aren't engineers so we really don't know what X should be". He said that he would consult with Dr Prachant at University of Chicago but he doesn't subscribe to the Hess Method either.
For comparison sake regarding number of DS procedures and Revisions completed by each surgeon:
Dr Marshall I believe is in the 150-200 DS completed range, and he doesn't do many revisions.
Dr K has done 2,000 and possibly more virgin DS surgeries, or RnY to DS revisions with 500 of those being revisions.
Again, Dr Marshall is an excellent cutter, but Dr K has far more experience with the DS and revisions so I am going to trust his judgement on my case.
Does anybody in Chicago do revisions? Go to the ASMBS.org site and search it. You will find many who say they do. You will have to ask the people who have researched revision surgeons much more than I have to find out the reputation of any of these surgeons.
The RnY to DS or band to DS revision is a highly complicated surgery and you want the absolute best doing your procedure.
That is my two cents so take it for what you will.
I wish you the best of luck in your search and ultimately your revision.
