Bariatrics
Have bariatric questions? Ask a bariatric Expert.
Connect one-on-one with {0} who will answer your question
Answered in 27 minutes by:
8/1/2012
Dr. Dan, Bariatric Physician (MD)
Category: Bariatrics
Satisfied Customers: 393
Experience: ASMBS Centers of Excellence Bariatric Surgeon
VerifiedHello,
Did you have a bypass when you were 14? Just out of curiosity, where did you have your operation?
To answer your question, your surgeon will first want to complete an upper GI series xray test, that will delineate your stomach anatomy. If you do not have any connections between the pouch and the rest of your stomach (gastro-gastric fistulae), and indeed you have a large pouch, the best solution for your would be to perform what is called band-over-bypass. It involves taking a Lap Band or Realize Band, and placing it over your pouch. I have had several old bypass patients successfully lose weight with that procedure.
good luck,
Dr Dan
Did you have a bypass when you were 14? Just out of curiosity, where did you have your operation?
To answer your question, your surgeon will first want to complete an upper GI series xray test, that will delineate your stomach anatomy. If you do not have any connections between the pouch and the rest of your stomach (gastro-gastric fistulae), and indeed you have a large pouch, the best solution for your would be to perform what is called band-over-bypass. It involves taking a Lap Band or Realize Band, and placing it over your pouch. I have had several old bypass patients successfully lose weight with that procedure.
good luck,
Dr Dan
Dr. Dan, Bariatric Physician (MD)
Category: Bariatrics
Satisfied Customers: 393
Experience: ASMBS Centers of Excellence Bariatric Surgeon
VerifiedDr. Dan and 87 other Bariatrics Specialists are ready to help you
Hi,
Whether or not insurance covers your second operation, in large part, depends on your insurance. For most of the large carriers, like Medicare, Medicaid (most states), Blue crosses, Aetna, United Healthcare, and Cigna, it doesn't matter if you have had surgery in the past. The only thing that matters is if you meet criteria, which is a BMI of 40 (no other medical problems), a BMI of 35 (if you have diabetes, high blood pressure or sleep apnea), and some other small requirements.
So, to answer your question, no we haven't had much trouble getting the second procedure approved for most of our patients. A small subset of our patients have small-group insurance plans, which will take a much closer look at your history before deciding whether or not to approve the operation.
Good luck,
Dr. Dan
Whether or not insurance covers your second operation, in large part, depends on your insurance. For most of the large carriers, like Medicare, Medicaid (most states), Blue crosses, Aetna, United Healthcare, and Cigna, it doesn't matter if you have had surgery in the past. The only thing that matters is if you meet criteria, which is a BMI of 40 (no other medical problems), a BMI of 35 (if you have diabetes, high blood pressure or sleep apnea), and some other small requirements.
So, to answer your question, no we haven't had much trouble getting the second procedure approved for most of our patients. A small subset of our patients have small-group insurance plans, which will take a much closer look at your history before deciding whether or not to approve the operation.
Good luck,
Dr. Dan
Dr. Dan, Bariatric Physician (MD)
Category: Bariatrics
Satisfied Customers: 393
Experience: ASMBS Centers of Excellence Bariatric Surgeon
VerifiedDr. Dan and 87 other Bariatrics Specialists are ready to help you
Hello,
It sounds like you received a roux-en-y gastric bypass in 1998, which was(and remains) the gold-standard gastric bypass. That means that it is possible for you to receive a band-over-bypass. If your pouch has stretched out, you may be an excellent candidate for the band.
Whether or not it is technically possible depends on the amount of scar tissue you have around that pouch. Unfortunately, there is no test that can show the presence of that scar tissue. It wont be until you get to surgery that the surgeon will determine if it will be safe to put the band on.
Good luck!
Dr Dan
It sounds like you received a roux-en-y gastric bypass in 1998, which was(and remains) the gold-standard gastric bypass. That means that it is possible for you to receive a band-over-bypass. If your pouch has stretched out, you may be an excellent candidate for the band.
Whether or not it is technically possible depends on the amount of scar tissue you have around that pouch. Unfortunately, there is no test that can show the presence of that scar tissue. It wont be until you get to surgery that the surgeon will determine if it will be safe to put the band on.
Good luck!
Dr Dan
Dr. Dan, Bariatric Physician (MD)
Category: Bariatrics
Satisfied Customers: 393
Experience: ASMBS Centers of Excellence Bariatric Surgeon
VerifiedDr. Dan and 87 other Bariatrics Specialists are ready to help you
How JustAnswer works
Describe your issueThe assistant will guide you
Chat 1:1 with a bariatric physicianLicensed Experts are available 24/7
100% satisfaction guaranteeGet all the answers you need
Related Bariatrics Questions
I had the gastric bypass surgery on 7/15 of last year and I
Hello I had the gastric bypass surgery on 7/15 of last year and I thought that with this procedure having GERD is not possible. What causes this after the bypass? I'm on medications such as Nexium and… read more
gerlieH
GENERAL SURGEON
doctor of medicine
2,422 satisfied customers
I had gastric bypass in 2015 and have gained about 35 pounds
Hello, I had gastric bypass in 2015 and have gained about 35 pounds back. I've attempted many times to lose the weight but have failed. Is there another weight loss surgery that can be done after havi… read more
Dr. Nina Lim
Bariatric Physician (MD)
Doctor of Medicine
19 satisfied customers
I had the gastric bypass 20 years ago. I was 20. I have
I had the gastric bypass 20 years ago. I was 20. I have since put back on the majority of my weight. I thought about the sleeve as a revision. I was in a car accident when I was 22 and suffered injuri… read more
Dr Fakhra Noureen
Medical Doctor(GP)/Clinical Pathologist.
M.B.B.S & M.Phil Chemical Pathology.
2,487 satisfied customers
Had Roux n y open gastric bypass in 2004. Now 60 years old
Hello, Had Roux n y open gastric bypass in 2004. Now 60 years old and having problems with nutrients and vitamins. Called where I had the surgery and all records are gone and the doctor retired. Spent… read more
Dr Care
MD, MBBS
2,163 satisfied customers
What is the best doctor-approved way to lose weight? I had a
What is the best doctor-approved way to lose weight? I had a gastric bypass ( roux n y ) in 1995 and lost over 100 pounds. I started gained weight back in 2004. I am now about 120 pounds over weight. … read more
Dr. Nina Lim
Bariatric Physician (MD)
Doctor of Medicine
19 satisfied customers
I had the "Roux-en-Y" gastric bypass in 2008. I am 5'10" and
Hi Dr Dan, I had the "Roux-en-Y" gastric bypass in 2008. I am 5'10" and was 350 pounds before the surgery and after the surgery, I got down to 190. 2 years after this procedure, I had a bad fall from … read more
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
40,706 satisfied customers
Im thinking of weight loss surgery an I know there are
Im thinking of weight loss surgery an I know there are several different types need thorough information to decide which I want to go with… read more
the-good-doctor
Licensed and Practicing Physician
Doctoral Degree
33,961 satisfied customers
I had gastric bypass roux en y 10 years ago. For the last
Hi, I had gastric bypass roux en y 10 years ago. For the last year I've been taking 2 Lortab a day for back pain, quite often on an Empty stomach. Any chance this could cause colitis?… read more
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
40,706 satisfied customers
I rouen-y surgery in 2008. In 2011, it was determined that I
I rouen-y surgery in 2008. In 2011, it was determined that I had a fistula. I had revision surgery on 12/27/2011 and was released on 12/29. On 1/4, I started experiencing pain in my right abdomen. By … read more
Dr. Dan
Bariatric Physician (MD)
Doctoral Degree
393 satisfied customers
I had Roux-en-Y Gastric Bypass 02/01/2008. I got down to 157
I had Roux-en-Y Gastric Bypass 02/01/2008. I got down to 157 lbs. In the last year, I have re-gained 55 pounds due to slipping back in to poor eating habits. I am now eating healthy again, in the mann… read more
Dr. Dan
Bariatric Physician (MD)
Doctoral Degree
393 satisfied customers
I had rny gastric bypass surgery in november 2004. In April
I had rny gastric bypass surgery in november 2004. In April of 2005, I got pregnant. In the 5 months post-op and pre-pregnancy, I lost 113lbs. My weight loss paused during my pregnancy. I've been goin… read more
Dr. Dan
Bariatric Physician (MD)
Doctoral Degree
393 satisfied customers
I had gastric by-pass roux-en-y in 11/2000. I weighed 385.
I had gastric by-pass roux-en-y in 11/2000. I weighed 385. Had major complications, ICU for 58 days, and the next 1.5 year I was in the hospital 7 times, average stay was 7-12 days. My first complicat… read more
Dr. Dan
Bariatric Physician (MD)
Doctoral Degree
393 satisfied customers
I had to have a Gastric bypass revision last year due to a
I had to have a Gastric bypass revision last year due to a perforated ulcer. Four months later the dr. Found another ulcer, this time it was treated successfully. One month ago the pain came back o my… read more
Dr. Dan
Bariatric Physician (MD)
Doctoral Degree
393 satisfied customers
I had a Roux-en-Y Gastric Bypass February 2008. I did well,
Hi, I had a Roux-en-Y Gastric Bypass February 2008. I did well, and went from 369 lbs. to 158 lbs. In the last 6 months or so, I began relapsing in to old eating habits and "pushed" what, or how much,… read more
Dr. Dan
Bariatric Physician (MD)
Doctoral Degree
393 satisfied customers
I used to weigh 369 lbs. I had Roux-en-Y Gastric Bypass and
Hi, I used to weigh 369 lbs. I had Roux-en-Y Gastric Bypass and got down to 158 lbs. I am 5'9" tall, female, age 46. Because I am tall, and had a great figure when I was a younger woman, wow, did I lo… read more
Dr. Dan
Bariatric Physician (MD)
Doctoral Degree
393 satisfied customers
I have had a ROU en Y gastric bypass in January 2001. I went
Hi, I have had a ROU en Y gastric bypass in January 2001. I went from 478lbs down to 250lbs in about 1 year. Almost 10 years later I'm at 320lbs. I exercise as much as I can. A torn medial meniscus ha… read more
Dr. Dan
Bariatric Physician (MD)
Doctoral Degree
393 satisfied customers
This question regards post op lab changes in Roux-en-Y
This question regards ***** ***** lab changes in Roux-en-Y gastric bypass patients. I had this done at age 43 and lost 170 pounds in a little over a year, settling at a completely normal weight for he… read more
Dr. Dan
Bariatric Physician (MD)
Doctoral Degree
393 satisfied customers
I had the jejunoileal bypass in 1985 at UCLA. I have
I had the jejunoileal bypass in 1985 at UCLA. I have maintained my weight loss of 160 lbs. Unfortunately I have not been able to ever do any followup as UCLA doesn't keep records that old and the doct… read more
Dr. Dan
Bariatric Physician (MD)
Doctoral Degree
393 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.
JustAnswer in the News:
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
What Customers are Saying:
I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.
USA
Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.
Freshfield, Liverpool, UK
This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!
Los Angeles, CA
Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.
Hesperia, CA
I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.
Kernersville, NC
Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.
Woodstock, NY
Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.
Elkton, Maryland
< Previous | Next >
Meet the Experts:
Dr. Dan
Bariatric Physician (MD)
393 satisfied customers
ASMBS Centers of Excellence Bariatric Surgeon
Dr. Nina Lim
Bariatric Physician (MD)
19 satisfied customers
Internal Medicine Physician
FamilyPhysician
Doctor
2,592 satisfied customers
Emergency Medicine and Family Practice for over 26 years
Dr. Ketch
Board Certified Physician
76 satisfied customers
Medical Degree, Former Assistant Professor at School of Medicine at Yale University
DrRussMD
Board Certified Physician
51,788 satisfied customers
Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.
Dr Basu
Board Certified Physician
27,735 satisfied customers
MD
Dr. David
Board Certified Physician
224 satisfied customers
Treat children/young adults, former chief resident, multiple publications
< Previous | Next >
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.
