hello there, i had gastric bybass 8 years ago. Now i am struggling on feeling full. I am hungry all the time. I have gained 40 lbs and i have terrible heartburn. I want a revision. Has anyone gotten approved for a REVISION bybass?? that can help .....what is it that i have to do to get a REVISION. I don't want to regain all my weight back

I have Kaiser as my insurance

So, I am thinking of revision too. I think for insurance (overall) you can get it if you get heart burn/ulcer, or had significant weight gain, which I think 40 pounds would cover it. Or if you never got to your goal weight. I wouldn't suggest gaining weight. the most common revision which is just tightening the pouch and stoma, typically people lose like 20 pounds with that. Are you thinking of like a more malabsorption gastric bypass or duodenal switch?

I'm not sure if there's a WLS solution for heartburn in your case since you've already had bypass - that's usually the revision they recommend for sleeve for those sleevers who have severe heartburn (i.e. sleeve to bypass). Although maybe there's some other type of surgery (non-WLS- related) they can do for that?? Not sure.

the only "revision" they can do for bypass is tightening the stoma, but I've read mixed reviews of that. And I've heard the same as the above poster - people usually lose about 20 lbs with that.

as for insurance coverage, some policies will cover revisions if they're done for medical reasons (GERD is one - but then, you've already had bypass, but again, maybe there's some GERD specific medical treatment out there? Not sure). I don't think many policies, if any, would cover it for weight gain.

I'd talk to your PCP or a bariatric surgeon. I don't know what your options are since you've already had bypass. Sorry you're going through this - GERD is awful!!

thank you, i have a phone appointment today, to get authorization to schedule appointment with biatric surgeon. I hope my surgeon approves me for revision.