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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.
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
Smooches
Thank you again for your response. In a registered nurse with very little lifting at work I'm hoping to be off one week but I guess we will see. As it is in in a liquid/shake diet p look us one meal a day such as salad and a mixed either chicken or tuna salad with it...then ofcourse the other junk food my anxiety allows haha. I have lots of coworkers not wanting me to have the surgery but they've never been obese and had to deal with it for a life long time. I'm 48 years old and I know menopause will slow things down even more. Thank you for your support
