Recent Posts

phatdivabbw
on 2/12/19 4:37 pm - NJ
Topic: RE: VSG to DS - Thoughts and experiences

What type of revision did you have?

Smooches

    

phatdivabbw
on 2/12/19 4:33 pm - NJ
Topic: RE: Revision to Bypass or Full DS ...Questions from Canada

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

    

evediaz815
on 2/12/19 7:28 am
Topic: RE: Have LapBand wanting to revise to Roux N y

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

ladygodiva1228
on 2/12/19 6:27 am - Putnam, CT
Revision on 02/04/15
Topic: RE: Aetna POS II Revision Before Two Years

I do not have Aetna I have Cigna. I was just going by what you wrote.

Conversion to a sleeve gastrectomy, RYGB or BPD/DS is considered medically necessary for members who have not had adequate success (defined as loss of more than 50 % of excess body weight) 2 years following the primary bariatric surgery procedure and the member has been compliant with a prescribed nutrition and exercise program following the procedure;

I don't understand what you mean by additional items. When it comes to a revision there are either complications or non-compliance.

I had a revision from band to bypass due to medical necessary. Even with an empty band it was tight and the acid reflux was horrible. I was eating tums like tic tac to get any relief. I tried to eat dense protein, but no matter how well I chewed or what type of meat it was I would vomit. When the revision was done it was found that the band was encased in scar tissue and that is what was causing my band to be tight. Had I not had the band out it would have eroded into my stomach.

So I will ask again what reason do you need a revision? What did the doctor find in your sleeve that you need to have a revision?

Dr. Sanchez Lapband 9/12/2003
hw305/revision w280/cw197/gw150

Revision from Lap Band to Bypass on 2/4/2015 by Dr. Pohl

    

myoptimallife
on 2/12/19 5:58 am
Topic: RE: Aetna POS II Revision Before Two Years

Doctor went through the additional items with me and believes it to be medically necessary.

Do you have Aetna? Would love to understand your background to further understand yooy interpretation of the bulletin. Thanks!

ladygodiva1228
on 2/12/19 4:33 am - Putnam, CT
Revision on 02/04/15
Topic: RE: Aetna POS II Revision Before Two Years

From what I am reading it appears you have to wait the 2 years and it would have to be medically necessary in order to qualify for a revision. You would also of had to of been compliant with the prescribed nutrition and exercise program following the original procedure.

What is wrong with your sleeve? Why do you want a revision?

Dr. Sanchez Lapband 9/12/2003
hw305/revision w280/cw197/gw150

Revision from Lap Band to Bypass on 2/4/2015 by Dr. Pohl

    

myoptimallife
on 2/11/19 11:48 pm
Topic: Aetna POS II Revision Before Two Years

Hi all,

I got the sleeve August 2017. I'm looking to get revision to either bypass or DS. Ideally, I'd like to knock it out quickly. Given I can get everything taken care of for pre-op diet, etc. I'm trying to understand if I could get it before the 2 year mark? The policy is a bit confusing:

Conversion to a sleeve gastrectomy, RYGB or BPD/DS is considered medically necessary for members who have not had adequate success (defined as loss of more than 50 % of excess body weight) 2 years following the primary bariatric surgery procedure and the member has been compliant with a prescribed nutrition and exercise program following the procedure;

Does this mean I need to wait till after the two year mark to submit to make sure I don't get debite for that reason? Has anyone submitted to Aetna POS II prior to the two year mark and been approved for coverage?

Any help would be much appreciated!

Valapp
on 2/11/19 9:40 am
Topic: RE: Have LapBand wanting to revise to Roux N y

I had my surgery Monday morning and came home on Wednesday. They sent me home with pain meds, but I didn't need any pain meds after I got home. Just be sure you walk in the hospital and after you get home. I made myself walk at least once an hour. The only complication I had was that one of my sutures got infected. I called my doctor and they put me on an anti biotic immediately and it cleared up with no problem. I volunteer at my church every Monday counting the offering. I was able to go do it the next Monday with my husband driving me. I am retired but if I had been still working I probably could have gone back after the second week if I had too. You will be tired from the surgery and it is work getting your routine down with the protein shakes and getting in all your fluids. Take as much time from work as they will allow. Your body has to heal and it does take time, but you will feel so much better. I wish I had done the gastric bypass instead of the lap band initially. I paid cash for my lap band and I certainly don't feel I got my money's worth with all the problems it created with my health and I lost very little weight. With the gastric bypass, the weight loss is slow and steady. It didn't start falling off right away and I thought, "Oh no", another failed weight loss program. But just stick with the eating plan and it will work. My highest weight was 280 and I have weighed 165 since Sept. 2016. Hope this helps, but if you have any additional questions, let me know.

HW 280

CW 168

Goal 165

Amy R.
on 2/11/19 7:14 am, edited 2/10/19 11:17 pm
Topic: RE: Revision to Bypass or Full DS ...Questions from Canada

I'm in the US so I can't even begin to answer the questions you have specific to your insurance. Down here though, GERD is usually enough to qualify for someone for revision to bypass.

OH has a forum for those in Canada that would probably be more helpful to you at the moment. This revision board doesn't get as much traffic but you might try the Canadian specific forum.

Good luck. It sounds miserable.

edited to add link to Canada Forum.

njrobyn
on 2/11/19 2:40 am
Topic: RE: Apollo Overstitch Revision Surgery

I've been researching Apollo Overstitch and found your post. I'm wondering how you are doing now that it's been a few months. Would you recommend the procedure? Any info is appreciated.

thanks!

robyn

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