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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
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