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Hi Amy,
Yes I have had alot of stretch, actually double. I have heard of the flip and having to have emergency surgery, etc with the lapband. She can go back in and make the pouch and opening into my stomach smaller but with my history taking that one extra bite would cause re-stretch. The idea is to have the lap band so we can control the stretch issue. But I also don't want issues. I have completed all my clearances now I just need to decide what to do and what other options I have.
Thank you
Kathy
Hi!
I've got a couple of questions before I can answer yours. Do you have a mechanical failure going on in there? Has your stoma stretched? or have you developed a fistula? These two things can be verified or ruled out with some tests your doc can order or run. Or, are you hoping a revision will help with regain?
Also I'm going to put this out there right up front: you could not pay me to have a lap band done under any cir****tances. The bands are not generally effective and they hurt people (grow into surrounding tissue, flip, etc). But. I also know that some people do great with what's called the "Band over Bypass". Not the majority of people. But a small percentage. If that's what you're referring to honestly you're going to have some decisions to make.
Looking forward to seeing you elaborate. =)
Hi everyone,
I originally had gastric bypass in 2006 and am planning on a revision. I had decided on the lap band to help with stretch but I have heard some negative things about lapband. So is the sleeve an option? Any words of wisdom will be greatly appreciated.
Thank you,
Kathy
I am in Florida. My original surgery was 4yrs ago. I recently had an upper GI performed, which revealed that I have a dilated Roux limb, dilated blind limb and a dilated stoma. My Dr. has submitted my case to insurance and I am just waiting on an answer. I was hoping that the hypoglycemia might help my case.
I would double or triple check with your insurance company that they will approve additional bariatric surgeries as many will not approve more than 1, let alone 3, per lifetime.
If a surgeon is skilled enough, they should have no problem performing the full standard of care DS (2 anastomoses) in one surgery.
Note that a revision from RNY to DS is a very complex/difficult procedure and very few surgeons are capable of doing it. You need to be very selective on who you pick as your surgeon in order to minimize complications as revision surgeries are higher risk.
Where are you located? There are 2 great surgeons in California that are experienced with this revision operation; Dr. Ara Keshishian in Pasadena (LA suburb) and Dr. John Rabkin in San Francisco. I recommend you contact one or both of them for a phone/video consultation.
Edit: Grammar and paragraph spacing
Due to having developed hypoglycemia my surgeon wants to revise my bypass to a duodenal switch but in two separate surgeries. Will insurance approve this? Original surgery was in 2014.
there is no way for us to answer your question. I suggest you call your insurance co and ask them.
Due to having developed hypoglycemia my surgeon wants to revise my bypass to a duodenal switch but in two separate surgeries. Will insurance approve this? Original surgery was in 2014.
Your journey sounds similar to mine. I was sleeved in May of 2012. Now I have osteo of the hip and desparately need a hip replacement. I've been to several doctors and most recently I was referred from one WLS surgeon to another to have the loop DS, aka SIPS/aka SADI. I am terrified. I want the Gastric Bypass but who can you trust?
Good Luck
Please read the following article so you can learn more about the DS, including that a SIPS/SADI/Loop surgery is NOT a DS. You should find a very skilled bariatric surgeon that is capable of performing the standard of care DS (2 anastomoses) and that has done many of them; therefore, you may need to travel for this surgery. The true DS has the best stats for resolution of co-morbidities, EWL%, and long term maintenance of weight loss.
What You Need to Know About Revising to Duodenal Switch (DS)
What type of revision did you have?
not technically a revision, my VSG was converted to the DS.
