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Gastric Sleeve Revision - Jan. 23, 2013
mini.mee replied to vonnegutk's topic in Revision Weight Loss Surgery Forums (NEW!)
Hi, I had the revision in November 2012. While I can say that I definitely don't have the pain I had associated with the band, it hasn't been smooth sailing. The area in our oesophagus where the band was thethered, is still not healed for me and quite often mine becomes very very sore and I have to revert back to liquids only for a day or so and dried/old blood will often come up in my spit in the mornings. I've lost about 31 lbs so far. I am really happy I had the operation, I see my weight problem as a terrible addiction/illness. I was so positive and happy up til about 2 weeks ago and now the doubts keep creeping back to me, I try to push them away and most of the time I succeed. I guess it's the same for all of us. I am a very impatient person and realise this is not realistic at all either. I absolutely hated my lap band and am so glad it's gone now, I have only good things to look forward to now as long as I follow the basic rules, must adhere. I know if I don't drink my Water and get my Protein and Vitamins, I feel very very ill and sad, it is a real chore to do but can be managed. I hope all goes well for you and anyone else embarking on this journey, stay positive and exercise as soon as you can walk, even if its only a little, so important. I had no pain post op other than the horrendous left shoulder spikes for four days after, I guess the PCA helped, was in Fentanyl heaven for days and couldn't complain. Like i said stay positive, don't let the little stuff get to you and all will be great. XXX -
I see various threads a times where people give the advice to "find a surgeon who is an expert with revisions". So, there is a surgeon in my area that I have found many speak very highly of, however, I can't get his office to give me any specifics on the number of each of the procedures he has done, including revisions and what type of revisions he has done. I sent another email Friday asking what the status was of getting me this information. In the meantime, I have contacted Medical Records for the hospital he works for (considered a COE), they said it was confidential information. I also called the COE affiliation and they said that the only thing they could tell me was that in terms of procedures that one of the minimum requirements was that they perform at least 50 WL surgeries per year and that they do on-site inspections every 3 years....but that was about it. Same basic story with the state medical board..... Soooo.... as I continue my Quest for a revision I am now at a point where I need to find a surgeon who is an expert with revisions. I feel its a red flag if I can't get a straight answer from this surgeon's office even if there are others who speak highly of him. It makes me concerned that they either A) they are simply too busy to be bothered with such questions Maybe also understaffed in the office or C) maybe they don't really want to release that information - for WHATEVER reason. Either way, I need to feel that my surgeon and his office are forthwith and responsive to questions. It's been a week this Monday since I asked this question from his office and NOTHING, not even a follow up. Ok, so back to my original question- how does one find an expert / competent surgeon, and in my case a revision WLS surgeon?!?!?!????? Thanks for any/ all suggestions.
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Finding Revision Experts
Becca replied to former_vbg's topic in Revision Weight Loss Surgery Forums (NEW!)
I found my doctor because he was the only one who would take me on and revise my band with all it's complications. I knew of the complications because of several scans run in the Emergency Room from the pain I had. Every other doctor I called said no. I asked him personally and he and his staff were upfront with his stats. I have not had any complications post op. If you are in the Houston area, I can give you his name. Good luck! -
Finding Revision Experts
former_vbg replied to former_vbg's topic in Revision Weight Loss Surgery Forums (NEW!)
I understand the COE isn't really that big of a deal, I had just hoped they would be able to release those numbers to me. There are 2 other Bariatric surgeons in the KC area, but one of them does NON-STOP commercials and that is a huge turnoff to me. The other one has not done very many sleeves and although the lady I talked to at that office was very forthcoming in sharing specifics on the surgeon's experience, she said she wasn't sure he had done very many revisions, much less a VBG to a Sleeve. So, he is out... Guess I will start a new thread asking for anyone who knows a Revision Experts in the KC or surrounding area and see what comes back. I need to stay in-network though too. Thanks for the feedback. -
Finding Revision Experts
Tiffykins replied to former_vbg's topic in Revision Weight Loss Surgery Forums (NEW!)
I didn't even bother asking the staff. I requested a consult with the surgeon then I asked all the tough questions. My surgeon had not performed a lot of band to vsg, but had quite a few band to RNY and flat out band removals so I was confident in his skills. I really went with personal testimony, and then called different offices in several different states and contacted a couple of surgeons in Mexico in the event of insurance had not come through for me. I contacted surgeons specifically in Dallas, TX because I have family in the area. There aren't any great revision surgeons in Florida, so I knew I would have to go where I felt I would be best taken care of. I would share those same concerns, and I hope they get back with you. I would say a 5-7 business day turn around on emails is more than realistic, and if you don't get answers then move onto another surgeon/office.. COE means diddly squat most cases. My band surgeon had COE yet violated every HIPPA law with my med records, got his partnership stripped and title of "director of bariatrics" with the hospital stripped from him shortly after I left his practice and filed complaints about his practices. -
Band Revision to sleeve in one surgery.
Florida_Chris replied to jenetts's topic in Revision Weight Loss Surgery Forums (NEW!)
I am getting mine done tomorrow morning. Had the band done in 07 and was very successful. I screwed up and got lazy and learned every eating trick to beat the band. I am getting the revision to sleeve in the morning. I am praying it's a 1 and done. I will let you know ! Sent from my SM-G925I using the BariatricPal App -
Question Regarding Size (Xpost)
pattimomof3nj posted a topic in PRE-Operation Weight Loss Surgery Q&A
Hi all, Well, I met with the new Dr today, and he agrees that I need the band out, it is prolapsed. He also agrees that I can have a sleeve, and do not need a bypass at this point. So, I have a few questions from you all that are experienced. If you had a band and then switched to a sleeve, did you do it all in one surgery? he is giving me the option to have 1 or 2. What size is your sleeve, he mentioned that his normal size is a 42 bougie? He can make it smaller if I want, but will not go to small as to avoid nausea. If you had a band, did your insurance cover it as a revision surgery? I have UHC, and they said they just need a pre-determination letter to make that decision, but it is a billable code so it is covered. Think that is all i have for now. thanks so much, Nervous Patti! -
seeking opinions/first appt nov 4th
feelinggood replied to britt2415's topic in POST-Operation Weight Loss Surgery Q&A
As with any of the weight loss surgeries, complications can and do happen. I agree with the others that you should take as much time as you need to research all of them and make an informed decision. Have questions prepared for your appointment and if you are not comfortable with the answers or the surgeon get a second opinion. The band is not an easy road by any means. Your head has to be in the right place and you must follow the band guidelines you will get from your surgeon. If you have any doubts, ask questions! I lost 100 lbs and made my goal in 8/9 months and am very happy with the results, however, I am one of the small percentage of people who had complications. Just 10 days ago, I had revision surgery to another band because my original slipped up onto my esophagus and had major scarring. I will tell you though that I was banded in Mexico with the old 4cc band, which is notorious for this very type of problem. The reason I am telling you this is not to scare you but to stress the importance of letting your doctor know if you sense anything at all doesn't seem right with your band. Good luck to you! -
Which surgery??
OutsideMatchInside replied to jennmonterrozo's topic in General Weight Loss Surgery Discussions
This is incorrect. The shape of the sleeve it totally different from RNY. The Sleeve is the first step for DS not RNY. RNY has a pouch at the top of the stomach and the Sleeve and the DS both share the banana shape. One reason I chose the Sleeve over RY was because I know if I didn't have success with the sleeve I could revise to the DS. If you fail with RNY you have no where to go unless you are going to go out the country and have more of your intestines bypassed which is risky. Also important differences beyond shape is the sleeve leaves the pyloric sphincter in place and the stomach still functions normally, just smaller. In addition a properly formed sleeves removes almost all of the stretchy part of the stomach, RNY does not, it uses part of the stretchy part to make the pouch, thus people with RNY can get a lot of stretch in their pouch. The only way a sleeve is grossly stretched out is medical malpractice. Back to OP. If GERD was anywhere on the table, I think RNY is the only option. GERD with the sleeve is pretty terrible, if you are already prone, then don't risk it. I never had GERD in my life before having the sleeve which is why I felt it was a safe choice for me. -
Submitted to Aetna Ins for Revision Surgery
PSUCookie replied to PSUCookie's topic in Revision Weight Loss Surgery Forums (NEW!)
Got an email from Aetna that they got the additional documentation today and its in review (7-10 days). I wont count on hearing anything until after Thanksgiving. Hopefully the have what the need and will consider my request for a revision. Thanks! -
Hey, hopefully your stall has broken and you're on you way back down. I have a question for you though. You mentioned that you gained most of the weight back after your pregnancy. I'm just curious how much did you gain and how did you gain it? Were you eating not so great foods (carbs,sweets,etc)? I am really concerned about this because although I'm only 3.5 months post op, I want to have 2 more children once I'm in maintainence. Lol you have made me realize my worst fear. No offence to you but I'm so terrified of gaining the weight after pregnancy. Please if you can elaborate on what happened and how did your weight come back and lead you to a revision I would greatly appreciate it. And good luck getting back on track! Sent from my SM-N910C using BariatricPal mobile app
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Sleeve after Band insurance
barryswife replied to bettiann's topic in PRE-Operation Weight Loss Surgery Q&A
I am having revision surgery next Tuesday - 11/10 - and it's covered by my insurance - Cigna. My band has a leak and hasn't worked in 2 years. During that time I beat myself up thinking that I was losing my mind because I was so hungry and could eat more than I knew I should. My doctor had to write a letter to my insurance company and must have made one hell of an argument on my behalf. I was fully approved and scheduled within 2 weeks. Hopefully your doctor can make a good case to your insurance company and get it covered for you. Good luck and keep me posted. -
Band to Sleeve Revision-United Healthcare
azgirl2 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I am curious if anyone had the revision from the band to sleeve and have United Healthcare. If so, what requirements did you have with them and did they cover the cost? Thanks for any input. In AZ and needing help with questions! -
I had a similar problem. This was about 7-8 yrs. after a revision. Ended up having surgery for a hiatal hernia. Showed most of my anatomy (gastric pouch) was above the diaphrahm. Anyway, it solved the problem.
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Thought it would be lovely to see a positive , happy post about how good bands CAN work. I am happy and healthy and wouldn't trade it for anything. Hope other banders will chime in on a great tool. Just for this forum, could we request no horror stories or revisions? I would so appreciate that... Hoping others will also. Thank you in advance ????
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Are you on the small side? That may be why the doc chose the small. Most docs choose the regular size because most of us have a thick fat pad over the belly/ribs and they want to make sure they can access the port center. I have lost most of my wt and will have a port revision to the smaller port so it doesn't stick out the way the bigger one does. Best wishes. Mimi
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Anxiety and feeling so alone....
Stephy5 replied to Stephy5's topic in Gastric Sleeve Surgery Forums
I'm glad they can do yours at the same time. My date is July 20th and I can't wait. Hope it's a good experience. Good luck to you on the revision. Sent from my iPad using the BariatricPal App -
Doc said the surgery was long, when I woke up I was in soon much pain. I was a revision from lapband to RNY. They were giving my pain meds in the IV but still the pain was horrible. Doc said it went great, my test results were great but he said u really look bad and I felt horrible. I think my first walk was day 2 and that was getting up and going to the restroom and i felt like i ran a race. Day 3 i walked the hall but could not do the lap. He made me stay so they could watch me.
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Anyone ever have to use this? I have revision surgery scheduled for Thursday AM, supposed to start taking Osmoprep Wednesday morning... hoping I am not in the bathroom all day. Haven't ate food in over a week so I am hoping that I will be ok to at least finish the day out at work. *sigh*
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New to vertical sleeve talk- need a revision
Ms.AntiBand replied to Kami63's topic in Revision Weight Loss Surgery Forums (NEW!)
Welcome to VST and many here are/have gone though the looooooong insurance process. I didn't, but I know how the band difficulties can be. Glad your going or the revision. Good luck! -
Revision costs and re-band questions
KMCD posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hi all! About to have my final appointment with the doctor before setting the surgery date. I talked to the pt advocate this morning about what it would cost to have a revision (in case something happened) or to clear up an infection (like a port infection). She said it would be about $6000 for the surgeon! I also asked if I would have to pay up front (I am self pay) before anything was done. She said that I would most likely have to pay up front. So, here are my questions: 1) If I get an infection, isn't it wrong that I have to pay up front before they will fix it?, 2) What does it typically cost someone to have a revision?, 3) If you have a gastric sleeve instead, will your insurance cover any costs associated with problems after it?, 4) so if I end up needing to get re-banded - do I have to pay another huge chunk of money up front to do it?!?! Also, right as I was getting ready to hang up the phone, she went over what my out-of-pocket costs for the band were. She mentioned all the doctors fees, facility fees etc, but then said that it would cover post care for up to three months. Originally, I was told it was a year! Was I hallucinating?!?! Is 3 months normal? I was feeling so much better about my decision, now I'm back to wondering what the heck I am doing! HELP!:frown: -
Uhc Denial For Revision
SKINNYBY40 replied to SKINNYBY40's topic in Revision Weight Loss Surgery Forums (NEW!)
PCP is going to write a letter of medical necessity. Apparently, UHC did not even look at my heart issues on the last appeal so I might have a chance for approval. The problem is simply converting to a sleeve rather than revising the band. -
I am having a revision from sleeve to bypass due to severe acid reflux issue. When I had my sleeve, I was on a forum here and a girl introduced me to a closed/secret group on Facebook. All of the members on there had surgery the same month, so we all were going through the same things at the same time. As a result we have formed friendships in addition to support. Is there a group for Feb 2016 patients?
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Did you need a EGD for your revision?
RSREED53 replied to Wheetsin's topic in Revision Weight Loss Surgery Forums (NEW!)
EGD is a standard test needed. It allows the doc to get a good look at your band and the overall condition of your stomach pouch. This result will help determine the type of revision you need. Take this as a good thing to have, and be glad the dr is being thorough. Good luck! Ronda Just got a call from my surgeon's office. My insurance apparently requires an EGD. The lady called me on my cell, which gets horrible reception, so I didn't hear everything and didn't have much opportunity to ask. I'm going to call her back as soon as I have a chance. I don't know if the EGS is required for the band removal part, or the revision part. Or if it's required b/c my chief symptom from my slip was reflux. Or if it's standard to check for hiatal hernias when doing a sleeve-type procedure. Or... who knows. Just curious if it was "standard" for band -> sleeve revisions. Hope to have more info soon. -
I was wondering what people thought about having a section in LBT call "REVISIONS"? It appears that a lot of us who seem to have a real attachment to this forum are revising now or have revised a while ago and it might be time to have a major section in LBT. I know there is another WLS site that has one and I've found it helpful but still feel more attached to LBT. Would it just be redundent or is it a good idea, any thoughts? Thanks Nancy.:huh2:
