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I was sleeved in 2014 and now I’m looking into getting a revision due to GERD and a Hiatal Hernia. Has anyone had Medicaid approve revision surgery??
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I'm going in for a sleeve revision October 4th. It worked well for me, and I am not back to my starting weight. However, a revision is strongly encouraged at this time (there are additional medical issues). I have decided to forgo the insurance process, even though I know I would eventually be approved. "Eventually" is the key issue here. I have a small window to create this to where it will not impact my work or home life as much, and waiting for the insurance approval would take over a year.
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I am very happy with my bypass. My GERD is gone, which has relieved my asthma as well. I started exercising right away, gradually adding elements of cardio, weights, stretching. I have more muscle mass now than before surgery. I have also entered a triathon in Oct and a bicycle event in November. I have so much energy now and feel 20 years younger! My only issue with malabsorption is with fat. If I eat too much it will come out in my stools. All of my 6 month vitamin levels were great, but I do take my vitamins faithfully, which I think is a small price to pay in exchange for the life I have now. My only other issue is getting enough calories in now, to keep up with my training schedule. My pouch limits intake, so I am having to eat more frequently and starting to add more healthy carbs back into the menu. All in all, I couldn't ask for a better outcome. I respect anyone's decision about which surgery to have, but it seems quite a few folks with the sleeve end up getting revised to bypass. I was also fixed on the sleeve until I understood the advantages of bypass with helping GERD and since that was an issue for me, it became a no brainer. I also like the fact that dumping can occur with sugar intake, when bypass is chosen. That is a great detriment for me to avoid sugar. Sugar is poison. I want no part of it, and my tummy agrees! No brainer there. I am also commited to taking care of my pouch and all the connections as well as possible. I work in the GI department of our hospital and I have seen firsthand the damage that can be done to WLS sites - ulcers and erosions beyond horror. So no alcohol, coffee, or NSAIDs for me. Those are my personal choices - again, a small price to pay for the life I have now. Best wishes in your journey!
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Weightloss drugs after revision
lessismore1001 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hello, I had a revision from Lap-band to Mini-bypass exactly 1 year ago. It wasn't the greatest success. I lost about 47 pounds but still have 33 to go. My doc and dietitian are both happy as they said this is average for revision, age etc. I am not happy at all. I have seen several people have success with the injection Saxenda. I was wondering if anyone had any drug help to lose the last of the weight. I still have a hefty amount to go and its not moving. Yes I have some hurdles incl Thyroid and some other issues but really, really want to progress further. I was never happy with the revision. I wish I had done RNY. I NEVER had the full button. I can eat any amount without issue which I was so disappointed in. Obviously, I really don't try and take advantage of this but have a very good appetite. Did anyone go this route with success? -
Just got the call!
RaeSlayVSG replied to Lynda486's topic in Revision Weight Loss Surgery Forums (NEW!)
Why are you being revised??? Sent from my LM-Q710(FGN) using BariatricPal mobile app -
Thinking of getting a revision. HELP!!
FluffyChix replied to skinnybitchgoals's topic in Revision Weight Loss Surgery Forums (NEW!)
How tall are you. More info please about the first surgery. Why do you think that eating cereal and milk is a recipe for anything other than regain (and then some) and hellah GERD? I had RNY and before and after surgery, if I ate a meal like that I have hellah GERD. Just asking cuz there are no magic surgeries. And typically revision surgery doesn't imbue the type of weight loss you see in virgin surgeries--especially if there are emotional food eating behaviors that have contributed to the regain. Regardless of which surgery you choose, the main question should really be--where can I find the best RD and best bariatric counselor to work with on my eating program? Welcome! And I wish you all the best.- 1 reply
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Thinking of getting a revision. HELP!!
skinnybitchgoals posted a topic in Revision Weight Loss Surgery Forums (NEW!)
So I had my sleeve done in 2014. Day of surgery I was 210 pounds. Lowest I dropped to was 174. I maintained my weight between 180-190 for a couple of years. With in the past year gained back all the weight I lost and then some. I’m currently at 212 pounds. I think I have some sort of hernia, and HELLA MEGA BAD reflux. I take Zantac everyday, like even cereal with milk gives me bad heartburn. So now here I am, thinking I should get some revision surgery. I already made an appt for a consult. But I’d also like y’alls opinions or suggestions. -What’s better post sleeve, Roux en Y or bypass? Also, what are some things y’all wish you would have known with revision??? -
❤My Revision Story❤
Losingit2018 replied to GreenTealael's topic in Revision Weight Loss Surgery Forums (NEW!)
Hoping that all goes well for you now. My revision is scheduled for tomorrow at 11am. The info that you have shared is invaluable to me. Thanks so much! -
Medicare coverage for revision
WOLVESFAN1 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I will be having my gastric sleeve converted to the RNY hopefully, in December. I was told by my provider that they never had to get the authorization up front with Medicare. She said they submitted the letter of medical necessity with the claim when they filed and they never had any problems. I believe that Medicare has guidelines you must follow in order for them to cover my procedure. The problem is I'm not overweight, but I'm being revised due to spontaneous reflux. Everything I eat the majority of it comes back up. I definitely have the medical necessity. In my doctor's notes he states that I am malnourished and not receiving the nutrients I need to sustain life. So, basically if I don't have the procedure I'm not going to live a lot longer. My BC/BS of AL will not cover it because I had the original procedure out of the country and didn't follow insurance guidelines that are typical for WLS. I had other insurance at the time I had the surgery. The surgery was done probably 10 years before I became effective with BC/BS of AL. I've contacted Medicare to see if they would cover and was told yes if medically necessary. Since the self pay is a lot, I want to feel warm and cozy on the idea of the surgery being covered by Medicare. Has anyone had the revision due to complications only and Medicare cover? Thanks! -
I assume you meant my original sleeve surgery, I managed to lose 45 lbs pre-op so I was at 375 on surgery date. As for my revision, I lost 30 lbs pre-op so was at 300 on 6/15/19.
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I cannot answer your question as I haven't bought anything but socks and underwear from WM in many years, I have to buy FR (Fire Retardant) clothes for my work so I just wear those jeans for everyday clothes as well, shorts, sweats, shirts, etc...I buy online. BUT, I just wanted to give you a huge congrats!!!! I know the feeling as we have almost the exact same stats. I was up to 420 in 2015, am 5' 10''. I was up to a 54 waist also. I am currently in a loose 40 and saving pennies for some 38s. I had a bunch of stuff, down to 36 because I had lost down to 190 but when I gained a bunch back (up to 330) I got pissed/depressed/whatever, and gave all my smaller clothes away....again. I had my revision from sleeve to bypass in June and now having to keep buying all these clothes all over again. Anyway, congrats on the amazing weight loss, keep it up.
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My revision story month 1 of 6 [emoji4]
FluffyChix replied to SeattleLady's topic in Revision Weight Loss Surgery Forums (NEW!)
WTG! Sounds like a great plan! Be sure to contact them if your symptoms get worse!!! Make em document EVERY little thing. I've never ever ever heard of anyone being made to wait 6 months for a medically necessary revision. Especially one involving active GERD that could cause Barrett's or erosion or ulceration, etc...at any time. I'd be that darn squeaky wheel they want to move along in the process!!!! ((hugs)) -
My revision story month 1 of 6 [emoji4]
SeattleLady posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Okay, I want my sleeve revised or maybe not? I have to go through a 6 month process. I am beeing seen by one of the top bariatric surgeons. So here are some positives: (1) I have not gain all my weight back. (2) Having another procedure does not guarantee my GERD will be completely eliminated. (3) I will work with a specialist for WLS patients with GERD. (4) Following this lifestyle, I can get healthier and lose more weight. (5) I am willing to do this for at least 6 months. (6) My hernia will continue to be monitored. (7) I will increase my exercise. Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app -
Not leaving the remnant stomach is an option (that is what is done when the surgery is for something like gastric cancer - you don't want it lying around in there, lol) but there are trade offs as usual. The main one that I can think of is that the stomach is no longer there producing acid to neutralize the bile being secreted just downstream of it, so there may be greater chances of bile reflux. AFAIK, there are ways to minimize that when the surgery is done, but these are things to discuss with the surgeon as to how best handle your individual problems. If I had revised my VSG ro an RNY a few years ago, that is how it would have been done - no remnant stomach.
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RNY to SIPS/SADI
RickM replied to mcfluffington's topic in Revision Weight Loss Surgery Forums (NEW!)
Revising the RNY to anything is difficult, which is why we don't see many revisions done; typically the most that is done is applying a band over bypass, or tightening the stoma to try to restore some restriction, but neither has a particularly good track record. I have seen a few revisions to the "traditional" BPD/DS performed which is very complex, and there are only a half dozen or so surgeons around capable doing that one. As the SIPS/SADI/SA-DS is being promoted as a simpler, more "accessible" procedure on a par with the RNY on a complexity basis, I wouldn't expect to see many surgeons with the skills yet to do a revision between the two. One doc to check into, who is in your neck of the woods, is Dr. Mitchell Roslin in NYC, who has done some of the RNY to DS revisons, and is a big promoter of the SIPS/SADI - if anyone could do it, he would be it, or he could tell you why it isn't such a good idea, if that is the case. Another possible in your neighborhood (just over the border in NJ is Dr. David Greenbaum who also does a lot of these complex revisions. -
Was anyone hungry right after surgery?
NYCGAL000 replied to woolhatgrl's topic in POST-Operation Weight Loss Surgery Q&A
AFTER my sleeve i was starving then i had a revision to the mini bypass which is 1000 times better for me, I am not hungry and food tastes gross anyway so im losing super fast -
RNY to SIPS/SADI
mcfluffington replied to mcfluffington's topic in Revision Weight Loss Surgery Forums (NEW!)
Hopefully some of those folks will see this thread. I am really desperate to hear stories about this revision. -
HI I had a weight regain and I have seen doctors with all kinds of suggestions for revision surgery. Has anyone heard of RNY to Single anastomosis duodenal switch. Or had this? I know revision after gastric bypass is unusual. Just looking for information.
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I am scared to get GERD, please give me advice
KadieEuropeBound replied to AchieveGoals's topic in Gastric Sleeve Surgery Forums
Prior to my VSG 2 years ago, my acid reflux was minimal, not everyday. I had experienced reflux when I gained weight. I was a yo-yo dieter for years getting low as 130lb to high of 310. At my pre op testing for surgery, my surgeon says I have mild gerd. He had recommended gastric bypass. I didn't want bypass and told him if I lose the weight the reflux should go away like it has done in previous years. I was reflux free for 1 1/2 years post VSG. By then, i was 100 pounds lighter. By Dec of last year, I started having reflux here and there but not everyday. The ppi medicine was working but fast forward to this year. I was still experiencing mild acid in my esophagus after eating even with taking a ppi using with nutrition dense foods. My surgeon again recommended gastric bypass to get rid of the acid reflux or stay on ppi forever. I was leaning towards staying on ppi medication and losing more weight. However, I am still reading those with gerd/VSG and have reached a healthy BMI under 25 still experienced gerd. I will be moving forward with revision surgery from VSG to Gastric Bypass on the 19th of Sept. -
Insurance approvals for revision to bypass.
TX2NC replied to nomorefattypatty's topic in Gastric Bypass Surgery Forums
A couple of things. 1st check your policy. If what you are waiting on is an approval for the revision, most insurance companies stipulate a time frame. Generally about 14 days. One thing to remember is that they work on a business day schedule not a calendar day. So it’s about a 3 week time span. 2nd If you’ve already been submitted, it was denied and an appeal has been submitted, there should still be documentation in the policy regarding the maximum amount of time they have to let you know of their decision. 3rd. It may take a phone call to get all of the information from your insurance company. My revision was listed as a covered procedure, but it wasn’t plainly listed in my policy. I had to call and get them to email it to me. Best of luck! -
Sleeve revision to RNY or Bypass reason
New&Improved replied to AchieveGoals's topic in Revision Weight Loss Surgery Forums (NEW!)
Pretty sure the only revisions from sleeve are either RNY or DS @Dr-Patient -
Gastric sleeve revision
AchieveGoals replied to colcol's topic in Revision Weight Loss Surgery Forums (NEW!)
Did you suffer from GERD as well? Was that part of your revision decision? Hope to hear you are doing well... -
Sleeve revision to RNY or Bypass reason
AchieveGoals replied to AchieveGoals's topic in Revision Weight Loss Surgery Forums (NEW!)
Why do u need a revision? -
Sleeve revision to RNY or Bypass reason
SeattleLady replied to AchieveGoals's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm at the start over part of this revision process. My first appointment with a new doctor will be on Monday. I was told that it will last 2 hours. The clinic also told me to be "open." I know what is needed for my health. I have one of the top doctors (that is what I am told). I feel happy and scared. Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app -
Insurance approvals for revision to bypass.
nomorefattypatty posted a topic in Gastric Bypass Surgery Forums
I've done all my requirements for the bypass revision, due to hiatal hernia and problems with reflux my dr. says I need to get revised from the sleeve to bypass. Anyone else having trouble with insurance company getting this approved.? I'm really suffering over here and they just tell me my appeal is pending. Anyone know how I can push this forward? Help! Sent from my SM-J337P using BariatricPal mobile app
