Revision-tufts

[lisa0617 54]

Does any know the criteria for Tufts for a revision from sleeve to bypass? I suffer from terrible reflux and need some relief. The medication doesn't work anymore. I do not fit the BMI and I don't have diabetes, sleep apnea or cardiovascular issues.

Thank you

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[RickM 1,753]

Usually, such a revision doesn't require the usual bariatric qualifications if it is to address a complication from an earlier (preferably approved or covered) procedure. So, if the reflux problem has been adequately documented, along with whatever efforts were tried to correct it, then it should be approved with minimal hassle.

In such situations, one should try to get multiple opinions on the problem and proposed solution - these things tend to be more complicated than the original surgery, both in diagnosing the problem and solving it. Some surgeons who are particularly experienced with sleeve based procedures may be able to correct the problem with a re-shaping of the sleeve while others may not even try and just revise to a bypass without a second thought.

Good luck in getting it resolved....

[lisa0617 54]

When I went last year they said they would convert it to the bypass. I told my primary at my physical but my bariatric surgeon is the only other doctor I have told. My primary told me to keep taking the prilosec. Thank you for wishing me luck.

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