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Hello All,
I'm hoping to find out from those who've already had consults for a lap band revision. I've already had one consult and to be honest walked away feeling like the office trying to money grab. By that I mean, they told me that there was no way for them to determine the condition of my band or any erosion etc in advance of surgery and therefore would have one surgery to remove the band. Then several months after recovery, I would then go in for a second surgery to revise. They then explained that they wanted to order an EGD, and ultrasound. I asked why, if the test won't help them gain information what was the point. They didn't really have an answer. Side note- I understand that those tests are routinely done to check the status of the band, I just found it interesting that when countered with their justification for two surgeries they didn't have a concrete answer. Then, I expressed how worried I was about the idea of 2 completely separate surgeries. Two times under anesthesia, 2 post-ops, 2 recoveries. The explanation they gave was that insurance approval rates for revision was 50/50. Okay. If the insurance gives specific parameters for revision surgery -mine does- why is there such a hard time getting it approved? I specifically asked if their practice required specific time frames for participation in diets/nutrition etc classes- my insurance does not require it for certain revisions, and was told no. But yet it seems that if I went with their plan I would have one surgery, recover, have to enroll has a new bariatric surgery patient and complete all of the required steps, which just means more expenses.
So that's my question: how many of you were required to have a band removal and then proceed as a new separate surgery?
I have a second opinion consult on Tuesday, so I'm hoping to get more info on everyone else's process.
Thanks!
TxNc
Yes however I believe he no longer does the RNY t DS only to SIPS which is not a true DS.
Revision from RNY to DS 12/10/12 Dr. Ara Kesishian BMI: 19
Created by MyFitnessPal - Nutrition Facts For Foods
on 5/29/19 9:17 pm
EI had long black hair most of my life until my surgery at 41 years old. My thick braid thinned from 3" to 1" when I cut my hair short.
You know estrogen/testosterone is stored within fat cell. There are some common traits that I have learned seeing many folks go through WLS that is hormone shifts happen and are strong. My hair never came back as full as my older sister has and she is 10 yrs older. But mine is curly? Crazy? I am part American Indian and I am the only one of my siblings with curls. I have grown to love it!
Think of your health and get those vitamins ABCDE, iron, zinc and protein.
on 5/29/19 12:48 pm
I would also be very leery of the band. Some hospitals do not even perform that surgery any more because the number of complications are so high!
Most people are able to eat a greater volume of food if they allow carbs into their diet; you can eat a lot more noodles than you can dense protein. So a lot of people (myself included) end up gaining weight because they stray from the protein-forward diet we stick to right after surgery.
I'm in the process of getting a revision from sleeve to RNY due to acid. I love my sleeve and it works well-- I've already lost 10lb of my regain by going back to basics and logging my food-- but the risk of Barrett's esphopagus is high enough that I need to switch to a bypass.
Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!
Hello, Thank you so much for commenting!!! His (endoscopy physician) exact words were that he didn't think I stretched enough for the more invasive pouch reduction but that it stretched enough for the Lap-Band over Bypass. I think the weight gain and the fact that I can eat way more than I had in years previous led me to believe that I had extended my pouch. It looks like I have (enough) to gain excess weight of nearly 100 pounds. I noticed the weight when I was pregnant and now being two years post pregnancy I realize I need help. However, the clinician in me (advanced practice registered nurse) has concerns with the lap band over bypass. So I am researching the clinical data and outcomes. I am also investigating the Rose procedure. Have you had a revisional surgery performed? If so what was your outcome and how was your recovery?
on 5/29/19 11:14 am
If your pouch hasn't stretched out, it sounds like you should still have restriction. What makes you think you need a second surgery?
Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!
Thank you for answering my question.
Thank you for answering my question.
Following. Thank you so much for posting this. I am praying I also do not get denied. Did they give you a reason for insurance rejection? I also have RNY nearly 10 years ago and praying to have surgery in July.