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Showing results for 'revision bypass'.
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I would love to know if insurance covers revisions and what circumstances, if any, this is the case...I have searched my heart out and can’t find any answers in forums-feel I may need an evaluation to consider revision or *something* to address my October 13th ‘19 sleeve with current weight loss(3/24) of only 15lbs post surgery...I am devastated
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Hi there! I was wondering if any of you had a successful appeal with BCBS for a revision? Specifically, approved for a sleeve to bypass revision? If so, how was the process and what what were your requirements? thank you!!
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Question For Those Who Revised To Different Procedure...
CherBee replied to MrsBerggren's topic in LAP-BAND Surgery Forums
I had the band in 2005 and it sucked and now I am trying for the revision to the highly successful Gastric Sleeve. 2 weeks out from the procedure I just got a call from the WLC that my insurance denied the whole thing, removal of band and GS, until I get another psych eval and nutrition regiment for SIX MONTHS!!! I am pissed. I even had a sleep apnea test done as that is a new requirement if BMI is under 40, which mine barely is. And yes I have it zzzzzz... I am waiting to hear back from WLC about the possibility of having the band removed now, and the sleeve done in 6 months. AND insurance covering it. GRRRR... I look at that 6 months as time wasted when pounds could be dropping. I am 63 and getting older by the second!! -
Hunger, what does it feel like?
Inizio replied to ready to get this show on's topic in Gastric Bypass Surgery Forums
It's really weird. I don't feel hunger either. I don't even know where my food is when I swallow it, it just disappears. With the band, I could feel it sitting on the band getting held back and then could feel it when it slid through. That's when I knew to take the next bite. With the bypass, I don't have that same awareness of how the food is traveling yet. I'm sure I'll get used to it -
First appointment
pintsizedmallrat replied to stevechavez505's topic in PRE-Operation Weight Loss Surgery Q&A
They wouldn't offer both if they weren't a good solution for different people. Gastric sleeve, in general, results in about 10% less weight loss than bypass, but also has fewer long-term limitations...but I am a sleeve patient who lost every bit of their excess weight and more. In *general*, you hear of less sleeve patients who cannot tolerate certain foods a couple years after the procedure, and bypass patients sometimes end up being unable to tolerate certain things ever again. That being said, I am a sleeve patient, I am 21 months PO and I still don't tolerate apples, potatoes, rice, pasta, certain types of bread, or carbonation very well so I am still actively avoiding them (which, in a way, has helped me stay on track, so I suppose it's a bit of a mixed bag). I would listen to your doctor's recommendation and make sure you understand their reasoning for making said recommendation. There is a reason both surgeries are as common as they are. -
GERD after Gastric Sleeve Surgery
Lina123 replied to DDN's topic in Weight Loss Surgery Success Stories
Gerd, laparoscopic sleeve to laproscopic bypass. Hi all. I originally had my surgery in TJ, Mexico February 23,2013 starting weight was 255lbs. I lost weight till about September 23,2013 my weight was around 184-181lbs stable. I remained and Maintained that weight till September 2014. I lost about another 10lbs. The lowest I was around 170 or 169lbs. I know I had no restrictions eating what so ever. I had a sweet tooth and still do. I did have minor acid reflux prior to surgery but nothing enough for me to take medication for it. As soon as I had my sleeve done I was on omprezole 40 mg once a day. Till my gastronologist recommended I have a endoscopy done. Worst choice ever. Since I did my endoscopy February 2015 till today almost a year ago I take omprezole twice a day... Sometimes even three times. My symptoms have become worse. Long story short I have done upper GI about two weeks ago and it is confirmed I have severe gerd. My doctor which is here in LA.. Adviced to have a revision surgery to gastric bypass. That would cure my gerd 100%. Mind you after the sleeve I was vitamin b deficient and vitamin d. My vitamin D levels were very low now I'm at normal but still do take my dose of 50,000 units of vitamin d once a week. My vitamin b is well. Other then gerd that is still irritiaring me, my vitamin levels which are under control there are no other major issues. I'm extremely scared for a revision to a bypass. Even though the doctor told me the most I'll lose is another 20lbs, not to expect more weight loss. What if I don't loose or what if I loose to much. I'm scared what if I become malnourished. I already have hair loss for the past year tons of them. No idea.. What to do. I signed the surgery consents but no date yet. I should expect a date in end of February. I want to know if anyone has had a revision? I was 23 when I did my sleeve now I'm 26. On the positive side I am wondering if I will ever be satisfied with my weight. Hoping I'll be 130????????????. I have gained weight with the holidays etc no excuse but I am 178 lbs ????. Main issue is gerd. I have one person near and close mentioning my weight it's my boyfriend. He isn't good support he has no idea about my past journey and how far I've came. I don't know but sounds like I have some issues. -
I've had both. I was sleeved in 2016 and did very well but then had some personal issues and put back most of the weight. I had the revision to a bypass last November and feel great and am doing well again. I was considering resleeving however I have had GERD for 11 years - it wasn't cured with the sleeve and it didn't get worse, but it didn't go away - and my doctor strongly recommended the bypass to avoid potential severe issues in the future from the GERD. I take the vitamins they recommend to avoid malnutrition and it seems to be working so far. The surgery for the sleeve is quicker than the surgery for the bypass since there's less moving stuff around, so the recovery can theoretically take a little longer, but I was in the hospital for only one night after both surgeries. The bypass was the "gold standard" for many many years and the statistics show that people with the bypass tend to lose SLIGHTLY more weight than those with the sleeve, all else being equal, but only a few percentage points. And you can certainly lose all the weight you need to lose with the sleeve, those are just overall statistics.
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Lap Band Failure - 12 Year Study - What do you guys think?
Jim1967 replied to brianb's topic in PRE-Operation Weight Loss Surgery Q&A
Personally, I do not put a lot of stock in studies. By the way that article was published in 2006 and not only have surgical techniques have improved but so did patient education. There also have been newer and better revisions of the bands themselves put out by the manufacturer. Don't take this personal but this type of post is the kind that will bring out the Anti-bandsters causing defensive backlash by pro bandsters. I am sure that is not your intent at all but I have seen these type of threads go south time and time again. -
RnY 10 years ago... back to where I started...
Manyloves replied to Tina Leonard's topic in Revision Weight Loss Surgery Forums (NEW!)
Hope all works out! I had two EGD-a month apart . Biggest side effect was I slept so good after getting home. Was happy the next day was Saturday. Sore throat was worse on the second one. I am a revision patient. Sleeve to DS -
Yes it is Federal Insurance (Blue Cross Blue Shield Federal Employee Plan). I have it but since I just had Bypass surgery in October I have not looked into it. From what I was told, they won't even consider that type of surgery until you are at least 2 years Post Op.
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Stalled and depressed
bellabloom replied to breehuskins's topic in POST-Operation Weight Loss Surgery Q&A
Have you talked to your doctor? Just to make sure everything is still working as it should in your surgery? I'm sorry your going through a stall. Especially since you cant work out. Maybe you could ride a stationary bike? Or walking? That doesn't involve your shoulder. Hang in there. You've lost a lot of weight and it will keep going. Statistically it's really hard not to,lose weight after bypass!! It may just go slower but you'll get there. This surgery is a commitment to a change and if you are slipping back into old habits it's time to rethink why you did this of course. Your shoulder is bad enough, you don't need obesity as an issue in your life too! The food isn't worth it, it really isn't. If you are using food to cope with feelings and frustration, perhaps a therapist is a good idea? Try someone who specializes in eating disorders. They understand what your going through, weight loss struggles and so much about why we gain weight in the first place. They will be able to help you and motivate you, and give you other outlets for your feelings right now. And don't beat your self up. I'm sure your a beautiful person and this is not about perfect ions and it's not a race. You've done great and I know things will get better -
I'm 153cm which is 5foot! My journey is different to yours though as I had a band first , had that removed and revised to RNY a month ago
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RnY 10 years ago... back to where I started...
deannaculp replied to Tina Leonard's topic in Revision Weight Loss Surgery Forums (NEW!)
I had rny gastric bypass and am wondering if I can have a revision surgery done. -
Good luck to you. I truly believe in karma, and there was surely a reason for you not to have the revision yesterday. And way to go with the weight loss.
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I've read that many insurance companies don't want to give coverage to post-op gastric bypass patients. Has anyone here experienced any trouble like that since being banded?
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I have had my band since 9/23/05, I have lost 20 pounds with my band already. If you follow the bandster rules you will lose weight. There several studies out on the web where the band and the bypass or compared. Eventually a banded person will lose the same amount of weight it will just take longer. You can defeat the band, you can defeat the bypass. There are some bypass patients that are now banded over their bypass because they had started gaining their weight back. It is all in how you want to approach the band, embrace it and do the best you can to follow the rules or struggle with it...same with bypass.
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Today I joined lapbandtalk.com. I needed to do something. I have been on this journey for a very long time now. I researched gastric bypass, went to a consultation and decided that this was not the surgery for me. The risks are too great. I have a small child and I think it might be best for me to be around. Of course this is the same reason that I investigated gastric bypass to begin with. At that time (5 years ago) my insurance would not cover lapband. Imagine how happy I was last year to find out that that had changed. I went to two different doctor's seminars last year. I decided on the one that would not charge me an outrageous sum of money on top of what the insurance company was paying. I guess if I lived close to the facility I would consider paying the extra $2500 to use the gym for a year, go to support groups,a nd visit with a trainer nutritionist four times, but I don't think its reasonable to drive an hour to the gym three times a week. There are plenty of gyms near where I live that don't charge nearly that much for a year's membership. Besides, the doctor that I chose actually trained the doctor that charges too much. I have to wait until Nov. 1, 2007 for my psch eval. I had one done last year, but its outdated. I would have done this last year, but I had some unexpected changes in my life and I just could not add that to my already boiling pot. I went back to start over and found that the insurance companies decided that in order to qualify for the surgery I had to be on a supervised diet for six months prior to attempting to be approved. What a crock. Anyway, I did that, now I'm waiting for my psch appointment. I hope this guy says I'm sane otherwise I think I may go insane - well as insane as I can and still properly take care of my daughter. So here I am - waiting. I will start doing arm exercises this weekend. My arms are awful. Really fat and flabby. I realize that this will onl get worse after surgery if I don't exercise and maybe even if I do. I'm also worried about my stomach. It used to be so beautiful. I had a c-section and now it hangs. I hope it doesn't look too horrible post surgery, but noone is looking at it now anyway - so what does it really matter? Here I go.:clap2: Off and running (happily)
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I go monday for my seminar for the lap band and was wondering if any one had been approved thru health reach ppo, I wa denied for the gastric bypass due to lack of evidince saying my weight was life threating however my family doctor has gave me a knew letter that sounds very convincing but know i am sure i dont want to get the bypass (thank God )i want the lap band more safer .but i was wondering what my chances are since i was denied for the bypass.and well i have to repeat all the testing i did for the bypass?probly so since it has been a year?thank you to those who have allready responeded to the questions about no insurance .I have decided to do it either way but we really just cant afford it ,so i m going to try the insurance first again.thank you Brandy
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Just had to share.... God is so good, I just heard from my surgeon that my insurance will be covering my second surgery for my revision! PRAISE THE LORD! I know I have pestered everyone to death asking for you to pray for me about this and I appreicate all your prayers and concerns. Please keep me in your prayer as I go through the surgery this Friday, 2/11/05 at 1 p.m. Just had to share.... God is so good! [/url] Brenda Fain
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Help me make the right decision
Jodi_620 replied to changingmyways's topic in LAP-BAND Surgery Forums
Actually Carney Wilson and Al Roker had gastric bypass, not the Lap Band. There are actually people who have had gastric bypass and end up getting the Lap Band because they started gaining again. The great thing about the Lap Band is that it is adjustable, any time you ever start to gain weight you can go and get an adjustment. If you think that you can keep it off on your own then by all means, that is the best way. I have always been able to lose weight, done it about six times but I always gain it back and then some. The final decision is yours, nobody can tell you for sure that this is right for you. But make sure that you are 100% ready before you go forward. -
At 5 wks - do you raise calories for exercise?
WASaBubbleButt replied to sleever's topic in POST-Operation Weight Loss Surgery Q&A
It was low and my doc did not necessarily approve. I sooooo did not want to be fat anymore and I was ready. I also knew I would lose my band eventually and I did not want bypass. So I was hoping that being at goal was incentive enough to stay there. Today I know I would not have maintained without my sleeve but I didn't know what else to do. -
Before the surgery
James Marusek replied to ojosbrillantez's topic in General Weight Loss Surgery Discussions
I had severe acid reflux prior to surgery, so I had gastric bypass because sleeve will only make the condition worse. Many on this site had sleeve only to have it revised to gastric bypass because of problems with GERD after they were sleeved. -
Yes it’s the same insurance company. They have a revision clause for failure but I have to prove that failure wasn’t due to not following diet and exercise as prescribed by my doctor.
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Less than 2 weeks from last appointment until scheduling surgery Good luck! HW 242, SW 236- (Bypass 12/20/17) GW#1- 199 [emoji736] (2/11/18) GW#2- 180 CW 182 5’6”
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Before the surgery
Sosewsue61 replied to ojosbrillantez's topic in General Weight Loss Surgery Discussions
Chose sleeve, because I did not want malabsorbtion. You may want to think about how you would have adequate nutrition if you want children, as the bypass would make that a lot more difficult. Also the nurse practicioner at my PCP had bypass and she developed ulcers in the unused stomach that is left in after bypass, she also has B12 deficiency. The pouch created in bypass still has the fundus part of the stomach and it can stretch, whereas this is not an issuebw the sleeve. I was sleeved 5 days ago and doing very well.
