When Fields sees a photo of himself as the Cowardly Lion in a 2016 production of “The Wiz,” he remembers how painful it was to perform. His voice was hoarse from severe acid reflux, and knee pain made standing difficult.
Fields had gained back about 45 pounds since losing significant weight after his 2001 gastric bypass. In addition to the acid reflux and knee pain, Fields had a hernia, was pre-diabetic, and was taking medication to control asthma and blood pressure. His local doctor recommended he undergo revision weight loss surgery.
This time, however, Fields was at higher surgical risk. His first gastric bypass, performed with a large abdominal incision, had altered his anatomy and left behind considerable scar tissue. Fields needed a surgeon experienced at performing complex bariatric procedures. His doctor referred him to Dr. Daniel Guerron, MD, a weight loss surgeon at Duke.
“We perform complicated weight loss revision surgeries,” Dr. Guerron said. When patients who are at higher risk for surgery come to him, Guerron relies on a careful and thorough patient evaluation, combined with his years of experience performing these procedures, to minimize some of that risk. “We know what to do and how to do it well,” Guerron said. “If we don’t do these procedures, nobody else will.”