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I have Cigna and they do require 4 dietician Visit one each month and 1 psych evaluation. I just completed them both my Coordinator at the Dr. Office says she sending my folder over to Cigna.
I am so sorry to hear that insurance is so difficult... have you considered going to Mexico for surgery? It's about half the cost as far as I understand it. I am considering doing it myself IF it will heal the digestive disorders that I have been suffering for the past 4 years, because nothing else seems to work and I am desperate to heal.
I know self-pay sucks. I feel like why do I have insurance if they won't cover the medical care that I need... especially after peer review, OMG. But another option in case you have not thought of it is to take out a loan through CareCredit. Some surgeons even offer interest-free financing. So you can self-pay for the surgery in the USA over time.
All of the agonizing, and weight gain, and possibly the cost of therapy and other medical care potentially can be avoided if you just bite the bullet and self-pay is something to consider.
I wish you well with your decision and your approval.
Living larger than ever,
My Bariatric Life
Yes it is a revision.
If I were you I would seek out a surgeon who is very experienced with revisions (has done hundreds at a minimum) so that should be your first question to this surgeon. "how many band revisions have you done?" followed by "what complications did you encounter and how did you handle them?".
I travelled to go to mine. A doctor who has done a lot of band revisions will have experience with dealing with adhesions. Normally a surgeon will remove the band. If the scar tissue is too heavy, they will clean it up and send you home to heal and attempt a revision after about 3 months.
If your doctor cleaned out all your adhesions you are good to go for an RNY. if he didn't, be prepared for your new surgeon to have to do it and then send you home to heal before proceeding with an RNY.
No surgeon will do a revision if you have thick scar tissue, it is because the staples won't hold and that could kill you.
Be very very grateful you didn't get another band again in 2015. You'd have even bigger problems today.
Good recommendations! Can you share the doctor's name that did your revision?
To the OP, I have never met Dr. Roslin at Lennox Hill Hospital in NYC but he did my BF's revision from the band to DS. And he saved her life twice... twice! So I often suggest people look at him when considering revision surgery. I think he only does the DS and even if that surgery is not on your radar I will bet he can offer you good advice. As far as I know, he has an excellent reputation among his peers as a key opinion leader.
Living larger than ever,
My Bariatric Life
I am seeking information from actual people who've had revision to their primary gastric bypass. It is really hard to find information on the Internet regarding this.
One surgeon said 20-40 percent.
One study showed 68%.
And that is ALL that I have been able to find.
Also, did you have any complications? I know the risk goes up with revision surgery versus the primary surgery. Thank you.
Living larger than ever,
My Bariatric Life
I had to have emergency lap band removal in February because of major slippage that was cutting off my small intestines. The dr told me the conversion approval shouldn't be a problem because the band failure was not my fault and I was very successful with it. I just got my denial today and I am so pissed! I have gained 20 pounds in the past 2 months after being stable for 11 years! Now we have to go to peer to peer challenge. Wish me luck.
Good luck. I would love to be updated on your story.
Living larger than ever,
My Bariatric Life
Dr. Roslin in NYC at Lennox Hill Hospital has a newer version of the DS that he does. He has been a huge advocate of the DS over the RNY for many years. You may want to get his opinion even if you don't use him for your surgery.
Living larger than ever,
My Bariatric Life
Are surgeons still doing this revision? I read a post from a surgeon on RealSelf that the StomaPhyx and ROSE procedure were no longer done.
Living larger than ever,
My Bariatric Life
Hi everyone I have a question who in Missouri does stoma revisions. I'm not from the U.S and I don't have health insurance. My stoma is enlarged and has exceeded the 5cm mark. I can't go to my original surgeon as he is oversea's in Australia. Any suggestions would be gratefully appreciated.
Yes it is a revision.
If I were you I would seek out a surgeon who is very experienced with revisions (has done hundreds at a minimum) so that should be your first question to this surgeon. "how many band revisions have you done?" followed by "what complications did you encounter and how did you handle them?".
I travelled to go to mine. A doctor who has done a lot of band revisions will have experience with dealing with adhesions. Normally a surgeon will remove the band. If the scar tissue is too heavy, they will clean it up and send you home to heal and attempt a revision after about 3 months.
If your doctor cleaned out all your adhesions you are good to go for an RNY. if he didn't, be prepared for your new surgeon to have to do it and then send you home to heal before proceeding with an RNY.
No surgeon will do a revision if you have thick scar tissue, it is because the staples won't hold and that could kill you.
Be very very grateful you didn't get another band again in 2015. You'd have even bigger problems today.
Band-RNY revision age 50 5'4" HW 260 SW: 244 (bf healthy range 23-35%) bf 23.7% (at 137lbs) cw range 135-138.lbl with butt lift and mastoplexy March 23, 2018...2.5lbs removed.
Pre-op-16lbs (size 18/20...244) M1-16lbs (size 18...228) M2-15.6lbs (size 16/18...212.4) M3-10lbs (size 16..202.4) M4-11.4lbs (size 14...191) M5-10.8lbs (size 12...180.2) M6-8.4 (size 8/10...171.8) M7-6.4 (size 8...165.4 lbs) M8-11.6 (size 6...153.8) M9-5.6 (size 4/6...148.2) M10-5.8 (size 4....142.4) M11-4 (size 2/4...138.4) Surgiversary -1 (size 2/4...137.4) M13-2.6 (size 2/4...134.8) M14 (size 2/4...134.8) M15 (size 2...135) M16 (size 2...131.4) M17 (size 2...135) M18 (size 2...135) M19 (size 2...138) M20 (size 2...135) M21 (size 2...138)
I have the official paperwork.my revision from sleeve to RNY.here are the ICD.Codes 43281 and 43632.hope it helps anyone.
