Meeting requirements for REVISION? Please share!

I wasn't specific enough in my questions yesterday. I would like to know what are the requirements for a REVISION? What can get you an APPROVAL and get the Doctor to say "Yes, you need it" I would really like to know all of you guys answers. There has to be a loop hole to get around (HYPERTENSION & DIABETES) I have neither. However I know my pouched has stretched I'm taking in way to much food and constantly don't feel full. My Surgeon who did my Gastric Bypass, said, I do qualify for a Revision, but he doesn't do them so I was referred to a surgeon in Philadelphia PA.

But what do I say to him? lol I guess I'll say, I feel as though my pouch has stretched and I would like to have a Endoscopy, and he knows my Surgeon well so I'm sure they can reach out to each other.

Last and serious question... If my pouch is (STRETCHED) what happens? do they tighten back up, or is this will the REVISION question is revisited?

Thankyou all (New to this REVISION FORUM) 

You may want to watch this video. Dr Weiner explains pouch stretching...

https://youtu.be/3_aahPETzH0 

The requirements for revision will vary for every person, surgeon and insurance that they carry. There is no cookie cutter answer to this. You say you know your pouch has stretched...were tests done to confirm this? That is what the insurance will be looking for- an anatomical reason to approve a revision. The surgeon may have his own standard to even consider you as a a revision patient. 

Over time RNY'ers can eat almost as much as anyone else- which is why weighing/measuring our food is critical to long term success. Quit chasing the full feeling- unless it s a very dense protein, you may never feel full.  Weigh and measure your portion and be done. 

Only revisions I know of are proximal RNY to distal RNY (bypasses more intestine), stitching the anastomosis, RNY to VSG, or RNY to DS. The latter two are far more complicated/risky; the earlier 2 have marginal results. You should do some research so you are not going int totally unaware. 

Thank-you so much, I've been doing so much research and I have (thee) perfect Doctor! I just had the Upper GI to determine whether my stomach did stretch, the Doctor will read the results along with my blood work March 28. I really appreciate your response because there's so much involved going down this road, and having someone to talk to really does help.

I am 5 days post op from my revision here in Denver. Dr. Michael Snyder with Rose Medical did the procedure. He is one of the best in the country. I did have to have an upper GI and a EGD. He found out that the base of my stomach stretched so he went in and made it smaller as well as my pouch. I know I am very lucky because it was a very easy process to get it approved by insurance and his team walked me through it all. My original RYN was done 1/06. This time around everything seemed to be easier, especially getting the approval from ins.

Congratulations to you, I wish you all the best! It sounds like you had a great process, Im hoping and wishing my process is exactly like yours. How do you feel? and what are you eating? Is it the same steps as Gastric Bypass when you started?

Yes, I'm doing exactly the same post op plan. I'm only doing water and protein the first week.

I I would highly recommend Dr Snyder.

Hey is Dr. Snyder in Philadelphia?

Dr Snyder in Denver

So did they redo your rny, Distal? Did they bypass more intestine than before?