Nillawaferz

Actually the bypass portion of the DS is very different than the bypass of an RNY. I stand corrected, the bypass portion of the DS is a distal bypass which can be done with an RNY. I guess what I meant to say is that what I find out of the question is how the stomach is dealt with in an RNY procedure.

Feedyoureye, Yes, it can be done as a two part surgery but my insurance excludes the DS as a two part surgery. The only way they cover it is if it is done as one complete surgery. I am not terribly high on the BMI scale but I do have a comorbidity that qualifies me for WLS. I would love to just get the VSG since I think it will be a very successful tool for my weight loss. If I am unable to win my appeals for the VSG then all that I have left is the DS since the band and rny are out of the question.

I am sorry but I won't be of much help but I am in the exact opposite situation. Insurance will most likely deny my pre-auth for VSG but will cover DS. I plan on fighting for an appeal if I am denied but I hope I can be considered a candidate for DS if I am unable to get the VSG. I think the insurance bean counters have screwed the pooch on this one

Hi Everyone, I was wondering under what conditions would the VSG be necessary over a gastric band or bypass? I understand that a lot of you on this forum are previous banders who have had issues with your bands that made it necessary for a VSG. -nilla