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Sleeve revision to bypass for GERD and Hiatal Hernia
AZhiker replied to jskittles7694's topic in Gastric Bypass Surgery Forums
Before my surgery, I studied the insurance coverage for bariatric procedures, and downloaded all the forms so I could study them so more. I have BCBS TN and revision is absolutely covered, Just be sure to look at everything real carefully so both you and your surgeon know what the requirements are. -
Sleeve revision to bypass for GERD and Hiatal Hernia
jskittles7694 posted a topic in Gastric Bypass Surgery Forums
I had the sleeve March 2014 & was good for a couple years, but in 2016 was hospitalized with severe inflammation in my stomach, a large hiatal hernia and GERD. I previously had no history of this prior to surgery. I was prescribed 80mg of omerzapole, carafate and zofran. Been suffering with horrible reflux ever since. In February my pcp added 300mg of zantac. Still no relief and the Bariatric surgeon is now recommending revision to the bypass. Has anyone experienced this? Did the insurance approve the revision for medical reasons? I have BCBS Massachusetts. Thanks in advance -
Medicare coverage for revision
ProudGrammy replied to WOLVESFAN1's topic in Revision Weight Loss Surgery Forums (NEW!)
@WOLVESFAN1 The providers words might be correct - but I am a firm believer in getting "official/important" things in general in writing. Being successful with the sleeve is great, now at a great weight.☺️ i know many ins. companies cover revisions - you might have to work harder with medicare? and since you are no longer overweight - don't know about the coverage Lots of OP revise from sleeve to another WLS due to reflux - hopefully your situation will work out too good luck bud kathy -
February 2019 weight loss buds
froufrou replied to TheMarine79's topic in Gastric Bypass Surgery Forums
Welcome! I know I'm not on your list, but let me know if you need any advice. Sleeve to RNY revision here. -
☀️ Have you had VSG to Loop DS/ Sadi-s Revision? Share your experience🌙
SlimDreams posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hi All! I’m scheduled for a VSG to Loop DS revision next Thursday 9/26/19 with Dr. Walter Medlin In UT. I had VSG in SD with Dr. Takata In 2013, insurance covered it. It was successful and without complications. Pre VSG I was 297+... at my lowest I was at 180, With time and two pregnancies I lost restriction and gained. I was able to lose weight after both pregnancies but was not able to maintain it, or return to the post VSG pre pregnancy low. Despite maintaining a medium level of activity (depending on the week spin class/ triathlons/ 5ks/ 18-30 mi relaxed bike rides on the weekends/ lots of walking), I hovered around 235, now with low activity I’m at 250. I’m in my 2 week preop diet for the revision which is just as tough as I remember it the first time, maybe more. Little nervous for this surgery-more than I remember being for the VSG. This time I’m going in self pay. Confident in my decision but nervous about the immediate aftermath, toilette issues/ rate of loss/ nutrient deficiencies- the usual. Dr doesn’t plan to touch the sleeve, unless any problems are seen in the EDG. I’m loading up on vitamins and supplements now To get ahead of any deficiencies caused by malabsorption in the long run. Dr will determine Common Channel length at time of surgery at the moment it looks like it will be ~300 cm. Has anyone else had Dr. Medlin for their revision? Any tips for immediately after surgery? I’ll be flying back to SD the following Saturday-Anyone have to fly 2 days after surgery? Tips on flying post op, any general post op tips for this specific Bariatric surgery would be appreciated. I plan on updating this thread as I go along, and hope others might find it helpful in their research too. Thanks! -
September 2019 🍂🍁
Deedee12 replied to Repeatingthoughts's topic in PRE-Operation Weight Loss Surgery Q&A
Good luck!!!! You will do amazing!! I had the band to sleeve revision as well and it has been the best thing I've ever done other than having my kids and marrying my husband [emoji38][emoji38] Wishing you a safe surgery and speedy recovery!![emoji253][emoji253] Sent from my SM-N960U using BariatricPal mobile app -
September 2019 🍂🍁
JemmyCat replied to Repeatingthoughts's topic in PRE-Operation Weight Loss Surgery Q&A
Hi! I’m new here. My surgery is tomorrow, a revision from a 10 year old band to the sleeve. I have to be there at 5:45am. Yikes! I haven’t been nervous but am starting to get really nervous now. I appreciate all of you sharing your stories! It’s helping to calm me down. -
Sleeve to RNY revision for regain
Qwerty098 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I had VSG in feb 2016 lost weight rapidly in the first 12 months my starting weight was 134kg (295lbs) and my lowest was 71kg (156lbs). By December 2016 i started getting excruciating pain in my upper abdomen and ended up having an emergency gall bladder removal. Up until December 2018 I continued to experience these gall attacks and would end up in the ER in agony almost once a month and managed the smaller attacks weekly and sometimes daily. I ended up having an ERCP procedure for sphincter of Oddi and since then have gained weight like crazy due to being able to eat without fear of an attack. My current weight is 92kg (202lbs) and I am now considering a revision to RNY I am seeing so many mixed stories of weight loss after revision even some who went on to gain weight. Has anyone had revision for weightloss successfully? Would love to hear your story. -
I'm not a revision patient, but at over four years out I can eat anything. Even at two years out, I could eat anything. Most of the restrictions and food intolerances are in the first few months post-surgery. as far as volume, you can eat more and more as time goes on (although just because you CAN doesn't always mean you SHOULD). Right now I would characterize myself as a "light eater". I highly doubt anyone would guess I've had WLS (whereas early out, it was obvious that something was going on). I eat normally, but fairly lightly. Not any different than my regular weight-conscious, normal weight friends eat, really. If I go out, I typically get an appetizer - or a salad - or I'll order an entree and bring half of it home. Most of my naturally thin or weight conscious friends do that, too.
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Wondering what is the normal or average experience. I most likely will need a gastric bypass revision surgery, because of stricture issues after sleeve. I’m wondering what I should expect as normal after What is a normal bite full for you? (I currently can only eat a portion similar to a is your limit for food, 1 cup? Currently I can maybe do 1/4 Anything off limits? I currently can’t eat meat unless it’s a crumb size, pills stick, more than tiny sips hurt. Hoping there is a light at the end of this and I can be someone normal. I’m ok with eating less, and also no junk....I just want a normal meal...veggies.,,,meat...... a salad would be heaven
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Tell me your best vitamin tips with gastric bypass
Stella84 replied to Panda333's topic in Gastric Bypass Surgery Forums
I had never taken vitamins before with the lapband so it was hard to get used to, but I'm four months out from revision to RNY and just had all my labs come back perfect! Here are the two things that helped me be successful: 1. I got one of these pill organizers with multiple compartments for each day and fill it up every Sunday. Plus I have it sitting right where I see it every morning so I don't forget to take it to work. 2. I got a free app called Round. You set up the reminders and it's a bit of a nag if you don't tell it you took your pills! I'm sure there are others but I found this was easy to set up. hope this helps. Oh and also for calciums I prefer the bariatic advantage chews- chocolate. But I think everyone is different. Get a sampler pack before you buy a whole bag. You don't want to get a flavor you dread taking three times a day! I made that mistake with peanut butter and coconut. Finally I just gave them away at support group! Everyone else thought they were yummy! -
July 2019 Surgery Siblings Post-Op
12345shs16 replied to Mom_of_Chaos's topic in POST-Operation Weight Loss Surgery Q&A
Kind of. Mine is technically labeled as a revision, but it’s because I had a nissen fundoplication (I surgery to prevent heartburn). -
October 2019 surgery peeps?
Panda333 replied to Cherylmilla's topic in PRE-Operation Weight Loss Surgery Q&A
Hi @veisor, Sure........I've went back and forth and for the most part was Pro-sleeve..Back in April of 2019 my surgeon recommended bypass but said sleeve would be okay and my PCP said sleeve....The sleeve seemed easier, less complications. sure there was the increased acid relux risk with sleeve but I've never had that so not a risk for me. But for me, someone who is overweight not from overeating but from pcos and other things, somone who diets and can't lose a pound, i needed the true metabolic change that the bypass brings. Also....in the pre op stuff they did discover i had acid reflux, although it never presented itself to me. additionally, my bmi is 50...so I want the proven long term results that the bypass brings. If you know of anyone or follow these boards, for some reason many people gettting the sleeve gain the weight back or have to have a revision. Not everyone, mind you..but a lot. My pre-op psychologist said it best. Whatever surgery you decide on, you have to believe it's the one for you or it won't work. She said don't get the sleeve with any doubts in your mind. Don't get the bypass with any doubts in your mind. -
I'm still pre-surgery...hopefully will have a date in october......I've went back and forth too and for the most part was Pro-sleeve. seemed easier, less complications. sure there was the increased acid relux but I've never had that so not a risk for me. But for me, someone who is overweight not from overeating but from pcos and other things, somone who diets and can't lose a pound, i needed the true metabolic change that the bypass brings. Also....in the pre op stuff they did discover i had acid reflux, although it never presented itself to me. additionally, my bmi is 50...so I want the proven long term results that the bypass brings. If you know of anyone or follow these boards, for some reason many people gettting the sleeve gain the weight back or have to have a revision. Not everyone, mind you..but a lot. My pre-op psychologist said it best. Whatever surgery you decide on, you have to believe it's the one for you or it won't work. Dont' get the sleeve with any doubts in your mind. Don't get the bypass with any doubts in your mind. 🙂 Good luck!!!
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Ok, so I went through all the months of nutrition classes, blood work, stress test, EKG, and x-rays. I am revising from the sleeve to the bypass because of really bad acid reflux and a hiatal hernia. After Aetna kept giving me trouble I was losing all hope of getting approved. Yes, after all the work I did they said my appeal was DENIED! However, I received a letter in the mail on Friday that ordered Aetna to approve my surgery within 72 hours. Medicare had stepped in and said basically that Aetna is my fiduciary in the medical insurance and they are responsible for keeping me healthy. Due to the fact that bypass is proven to stop reflux Medicare overturned their decision and I am now on my way to getting a surgery date. I am praying that above all other things the bypass is good for that it just relieves my acid reflux and helps me loose another few pounds. I had my sleeve June of 2016 and I'm still doing good. I've gained about 25 lbs. back so I hope it helps me lose and I'm positive it will, but haha to Aetna and don't let these insurance companies dictate what happens with you're health. Stay vigilant and keep pressing forward to your weight loss goals. Thanks for listening. [emoji171] Sent from my SM-J337P using BariatricPal mobile app
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Revision after failed sleeve surgery
froufrou replied to Time4Kindness's topic in Revision Weight Loss Surgery Forums (NEW!)
I have had the sleeve and the RNY. My sleeve failed - for one I had a leak, so was in hospital for 3 months... they tried to place several stents and think they probably stretched things out. Upper GI confirmed my stomach was stretched. So, I have the RNY now. It is a slow process - apparently weight loss is slower with a revision, but I am happy. I woke up from the sleeve hungry and that hunger did not go away. I woke from RNY and I was not hungry and I still find I have minimal hunger. I still have demons that drive me to want to eat that I am working on, but the restriction I have from RNY helps me a LOT. I hope this helps. -
Stomach emptying
FluffyChix replied to Losing for Jack's topic in PRE-Operation Weight Loss Surgery Q&A
Personally, if you KNOW your tum empties quicker than normal, then I would want to start with the sleeve procedure where you keep your pyloric valve. When you do RNY, you cut out the valve and only have a stoma, so it's an open system. I think you will have issues with satiety in both surgeries. But you might have a better chance with satiety in the sleeve where more of the vagus nerve is cut, more of the grehlin producing portion of the tum is cut away and the pyloric valve is intact. Also, if you have to revise, you would be able to revise to DS with more malabsorption for better weight long term sustained losses. Also with DS, you can eat quite a lot of food due to the malabsorption. So if you were struggling with satiety, would have better tools to deal/manage it. An RNY surgery is pretty much the "golden shot surgery" and no really helpful revisions can be made from it. -
Revision after failed sleeve surgery
FluffyChix replied to Time4Kindness's topic in Revision Weight Loss Surgery Forums (NEW!)
I would agree. I'd revise to a DS. You probably need that surgery. I don't think you will be happy with the RNY and think you will likely not get to your goal weight with it. I can say this because I have RNY (virgin surgery) and have a larger capacity. So I do not feel a whole lot of restriction. And food goes through my stoma very easily. So I have to be extremely careful of what goes in my mouth, calorie, volume count and limit food in the face of hunger. And I got to my goal. But it took iron balls to do it. And not everyone can put that kind of limit on themselves. If you haven't already, you need to have your sleeve evaluated to see if they left too much of the fundus in tact, or if it can be revised to make the sleeve smaller in a re-surgery. If it's surgeon error, they should have to fix it. If it's your error through overeating or eating around restriction, then a new surgery won't necessary fix your head and you will need to consider counseling along with a new anatomy if you want to avoid having this same discussion in the future. -
Revision after failed sleeve surgery
BoredCW replied to Time4Kindness's topic in Revision Weight Loss Surgery Forums (NEW!)
I had the RNY in 2001. Loss 200 lbs but was still over weight. Kept the weight off for nearly a decade then gained it back. Recently I had a revision to DS. I was told by many the DS is the best for the very large to lose the weight and keep it off. So far I’ve lost 50 lbs in two and a half months. I hope this helps. I know I don’t have much info as to the revision outcome still but so far it’s been worth it. -
Revision after failed sleeve surgery
Time4Kindness posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I had sleeve surgery in 2015, 6 months later I stopped losing weight, and felt no restriction. I am still obese and need to lose alot of weight according to several of my Drs. and A1c and other bloodwork. If you've had revision are you happy with RNY. Is it worth another surgery? I have an appt next week to discuss with WL surgeon. -
Gastric bypass revision
shanshan replied to frosty 84's topic in Revision Weight Loss Surgery Forums (NEW!)
Good luck n all the best but why are you having a revision if you don't mind me asking Sent from my SM-G925T using BariatricPal mobile app -
Gastric bypass revision
RickM replied to frosty 84's topic in Revision Weight Loss Surgery Forums (NEW!)
Good luck - what problem(S) are you hoping to address with a revision? -
July 2019 Surgery Siblings Post-Op
frosty 84 replied to Mom_of_Chaos's topic in POST-Operation Weight Loss Surgery Q&A
Anyone had gastric bypass revision? -
I have an appointment n 2 weeks to see my options
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My date was September 6th. So far so good. Go for follow up on the 13th. No issues so far, soup, soup, protein shakes, water and did I say soup? 😊 Previous 2x lap band (revision done 3 yrs after original surgery). Originally lost about 80 lbs only for about 45 lbs to come back over last 2 years due to band and esophagus issues. Excited to have this opportunity and looking forward to my progress.
