Is it possible to get a revision for an RNY?

Hi there, I was successfully keeping off about a 120-lb. weight loss for about 7 years after having RNY surgery. But in the last four years, I had a series of medical issues for which they treated me with prednisone. My series of illnesses kept me bedridden for months at a time, then my father who I dearly loved became ill and passed away in 2015. To make a long story short, I have regained 85 lbs. I have asked my HMO for a revision and they refuse. In fact, they told me it wasn't possible. Does anyone know if it is not actually possible or they just won't do it? I have tried everything under the sun to lose the weight but it won't budge. I feel so defeated. Thanks for any input you can provide.

Yes, it actually is possible. You can go from and RNY to a DS, but it is very complicated and risky. Most bariatric surgeons won't attempt to do it and most Insurance companies won't cover a 2nd weight loss surgery. If you do decide to go fwd, there are about only 7 surgeons I'd trust to do it. 2 I can think of off the cuff are Dr John Rabkin in San Francisco CA and Dr Ara Keshishan in Glendale CA. Dr Rabkin runs about $35,000 - $40,000 and Dr Keshishan is about $25, 000 - $30,000.

You might check with Dr. Patterson at Oregon Weight Loss Surgery. She is very experienced at difficult revisions. I know her website doesn't mention revisions or DS now, but I know she has done them.

My insurance would approve but only after my medical team deemed it needed. Your situation seems similar to mine. My father passed in 2013, then prednisone & all kinds of other meds & treatments. The revision approval will take longer - get ready for that, but it's bc it's a riskier procedure. I had an original RNY & am getting it again bc I have a fistula that is allowing my excluded stomach to work. I'd keep trying, but go through the surgeons office. Your insurance isn't going to want to pay for the surgery - and they don't take your feelings or needs into account! Let us know how it goes. Sending good vibes your way!

I forgot, you want a Center for Excellence to do a revision. I'm just lucky I have one a little under 2 hours away. They can tell you how many your surgeon has done. You do want an experienced surgeon - not someone who has done a handful. GL!

Besides the DS there is another extended limb RNY. Where they do bypass more intestine. Worth some research :)

Best wishes

Lap Band 4/2006

Re-banded 6/2010

Band to RNY 7/2011

HW 423, LW 223, CW 269