Jump to content
×
Are you looking for the BariatricPal Store? Go now!

ESG Self-Pay - Questions



Recommended Posts

Hello everyone!

I've been trying to figure out everything about the ESG surgery. I went to a seminar last week for gastric bypass/sleeve, only to find out that my insurance doesn't cover it. In checking out my options, I found out about ESG and it sounds like a better fit for me. I'm waiting for a callback from the surgical office for my consultation appointment. I'll be self-pay (Care Credit & HSA), but I had some questions:

1. What kind of testing did you all have to go through prior to the surgery? I know insurance generally requires a lot of hoops for patients to go through, but I'm curious how that applies to self-pay patients.

2. I've read two different responses for the anesthesia - one that you're sedated (but not knocked out) and another says general anesthesia. What was your experience?

3. Did you have to do the 2 week liquid diet that most other bariatric surgeries require?

4. Have you had any complications?

Thanks in advance!

- Michelle

Share this post


Link to post
Share on other sites

In Australia (self pay too) it may be different than where you are but,

1. Standard blood tests to establish base points and any comorbities (not that I probably needed comorbities my weight was high enough), also need a test for H-pylori (negative for me), if positive would have needed a course of antibiotics.

2. General anesthesia

3. Yes, but this really depends on the doctor. Some doctors do it to ensure a pattern of compliance, if someone can't do two weeks pre -op liquid/shake diet how will someone be able to manage the post-op liquid diet? ?

4. None for me.

Some people for various reasons have lost restriction. Tests have revealed that the sutures have become lose or undone. Reason may include non-compliance with post op guidelines, doctor inexperienced with ESG and suture placement, some people who have had a gastric balloon prior to ESG have a higher failure rate, some people with severe vomiting (due to other illnesses) which has caused sutures to loosen...and then there are the people for some inexplicable reasons the ESG has failed even though they have followed all the insructions and they have experienced doctors etc.

Some points to bear in mind for ESG: weight loss will likely be slower and lower than the surgical options (average weight loss is 20% of excess weight, some people have lost a lot more, some people have lost less), adherance to post op guidelines is vital - it will help the suture anchor points heal which will help the restriction hold tight. Like the surgical options there is a weight loss sweet spot, for the ESG it is probably the first six months to 12 months. It's tool, we need to make it work to ensure the best weight loss, this means a compliance with post op guidelines for diet and exercise, will need to change all those not so healthy eating habits particularly emotional eating.

Generally the ESG is not reversible, and it has been said that for those who choose to have a revision (where the ESG has failed) that a VSG is not a safe option (though I have seen research where such revision has been successful) - i think it may be a chase of the suture anchor points may get in the way of a VSG. Bypass seems to be the surgeons' choice for ESG revision to surgical option. Another ESG is also a viable revision.

Edited by Hop_Scotch

Share this post


Link to post
Share on other sites

1 hour ago, sandi56 said:

This just answered a lot of questions I had. I go tomorrow for my consultation and go from there. Wish me luck !

Sent from my SM-J727T1 using BariatricPal mobile app

Hope it all goes well for you.

Some questions to ask should they not already be on your list of questions: how ESG has the doctor done? Success rate? Failure rate? What caused the failure? Anyone experience complications and what were they? Average excess weight loss of their ESG patients? Post op support program - is there one and what does it entail? What post-op medication is prescribed to help deal with initial pain?

Share this post


Link to post
Share on other sites

I go May 10th for a scope then I go June 3rd and July 3rd. My insurance is making me go. So after the July meeting with the dietitian I will set my surgery date.Thank you Hop_Scotch for the questions I need to ask.

Sent from my SM-J727T1 using BariatricPal mobile app

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 3 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

      3. NickelChip

        I think it's important to remember that the weight charts and BMI ranges were developed a very long time ago and only intended to be applied to people who have never been overweight or obese. Those numbers aren't for us. When you are larger, especially for a long time, your body develops extra bone to support the weight. Your organs get a little bigger to handle the extra mass. Your entire infrastructure increases so you can support and function with the extra weight. That doesn't all go away just because you burn off the excess fat. If you still had a pair of jeans from your skinniest point in life and then lost weight to get to the exact number on the scale you were when those jeans fit you, chances are they would be a little baggy now because you would actually be thinner than you were, even though the scale and the BMI chart disagree. When in doubt, listen to the jeans, not the scale!

    • Aunty Mamo

      Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again. 
      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
      For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs.
      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×