I am not sure what they can revise you to, considering you have GERD.

Do you have hiatal hernia? Do they know why do you have such a horrible GERD?

Acid production and GERD can be due to mechanical issues - like hernia, failed valve, or too much abdominal fat pushing the acid and contents from the pouch up to your esophagus.

Or it can be due to allergies to foods, drinks or medication.

I had RNY and a few years ago I started dealing wit a severe GERD. EGD testing showed I already have a small amount of Barrett Esophagus (precancerous cells in my esophagus). In my case - I don't have mechanical issues - no hernia, valve is working fine, no abdominal fat. In my case - it is due to food allergies, plus allergies to some fillers used in medication.

I was tested and diagnosed with foods allergies and sensitivities: dairy, soy, etc. On top of that I have intolerances to gluten, and grains in general. Plus alcohol.

Because I also have IBS due to SIBO - most likely any high FODMAP foods can cause inflammation and excesive acid production - irritation to my small intestine, pouch and Esophagus. Last few years I have been on Rx Dexilant. That is the only PPI that helps with the GERD. This whole year I have been working to limit how much Dexilant I take. I am down to 30 mg on most days. Some days, weeks, I still need 60 mg.

I also take occasional zantac, and Tums.

Finding out what is causing GERD should be a primery goal for you and your doctors. If it is a mechanical failure - fix it if possible.

Unfortunately people get RNY to fix their GERD. I don't know what anything else can be done. S

Some people discovered that their GERD was in reality not acid reflux, but liver bile backing up all the way to pouch and Esophagus. People like that could benefit in making the bypassed part of intestine longer, crating almost like distal RNY.

I have to agree with Laura . The most important thing is to maintain your health .

And you don't need to be a skinny-Minnie to look beautiful or to find lasting love and have a great sex life ... most of the posters on here are happily coupled up you'll notice :)

You didn't mention your starting or current BMI or age or any health issues you have .

If you're basically just frustrated with your body's reluctance to lose - and are pretty healthy you could consider revising to a distal RNY . It's like a DS lite if you will ... but much easier to revise and stay healthy with in the long term due to not as much vitamin malabsorption .

I am doing great with the RNY and the GERD is completely gone! I've lost almost 30lb since surgery day, which seems like really good progress.

My sleeve was very stretched before the revision and I didn't have to be as careful about chewing my food, so I've had a hard time adjusting to eating very slowly. I've had a lot of times already when I got food stuck and had to make myself gag it up, which is pretty miserable. Hopefully I'll learn eventually.

Overall I think I'm doing pretty well and I'm very glad I had the revision!

Thank you for the response! I've decided to go with traditional Medicare. My surgeon is at the Mayo Clinic. The Clinic gave me the procedure and DX codes. I called Medicare and they told me the same thing no PA is required and if the doctor submits with documentation of medical necessity there shouldn't be any problem. They even told me what my out of pocket would be.

My surgeon's letter to my current insurance states that due to the spontaneous reflux, I am not getting the nutrients to sustain life. So, I think I'm covered there.

I think I'm just very nervous about having the procedure and I'm a worrier about money too. Bad habits I know. I'm waiting on the surgeon to schedule my date. I'm hoping to have it early December. My surgeon is out of the office until late fall.

Thank you!

My surgeon has told that due to spontaneous gerd I need to be revised to an RNY. My BMI is normal and really do not want to lose any more. Has anyone had problems like this and Medicare pay for the revision?