Question:
Stomach stapling procedure in 1990 ...want an RNY
I had stomach stapling and the surgery didn't work for me. Lost total 20lbs. That's been 16 yrs. ago and wls has come a long way. I have tricare prime insurance and wondered if there was anyone else that has had the rny after having a previous wls. Just want to be prepared for the denial. Thanks, Suuz — Suuz51 (posted on February 17, 2006)
February 16, 2006
BEFORE you go deciding on a RNY, you should research the DS. For
revisions....much better record...
— T S.
February 17, 2006
Hi!!
I went through the same stapling around the same time you did. Now, I don't
have the same insurance you do, but I have CIGNA and they are the most
horrible for getting approved. I was denied because I didn't have the
required 6 month doctor supervised diet but NOT because it was a revision.
So you should have hope. Even my surgeon didn't blink when he found out it
was a revision and he deals with people on my insurance all the time. So it
may not be a problem for you. I sure wish you all the luck in the world...
from one stapled southern girl to another! lol
Sandy~Diamond
— Sandy~Diamond
February 17, 2006
the DS is the way to go, with your history, maybe the only way, i cannot
have the rny or the band due to previous bariatric surgery, so I have a
high level appeal going on with tricare now, congressional intervention
assisting arbitrarily excluded the DS during my approval process, and part
of my need and entitlement to tricare is a service connected disability
that prevents the rny. But medicare, medicaid, and members of
congressgress men can have a DS, just not those who serve our military, or
retire, or win a medal of honor, or are former POW'S. Good luck, you can
get it at some military hospitals, you can write me and give more detail
where you are station. I have and others familar with tricare around the
country are up on wls ,visit the ds forum.
— walter A.
February 17, 2006
I have tricare prime and they didn't bat a eye at approval for the rny,
depending upon your weight and co morbitities is what they look at and BMI,
regardless of prior stomach stapling. What area are you in? There have been
changes recently in tricare depending on area.
— leahrobinson
February 17, 2006
Suuz...I had my stomach stapled 16 yrs. ago too...I lost 60lbs and then
gained that back plus some more. LET ME MAKE YOUR DAY SUUZ...I too have
Tricare Prime...and as long as your PCM refers you, YOU WILL BE
APPROVED...I was approved in less than a week...I had my surgery on Feb 8,
2006...which was a great success...best thing I ever did...please check out
my profile.
I did have to have an open surgery instead of the lap because of the prior
surgery...Tonya
— Tonya M.
February 17, 2006
Suuz...I had my stomach stapled 16 yrs. ago too...I lost 60lbs and then
gained that back plus some more. LET ME MAKE YOUR DAY SUUZ...I too have
Tricare Prime...and as long as your PCM refers you, YOU WILL BE
APPROVED...I was approved in less than a week...I had my surgery on Feb 8,
2006...which was a great success...best thing I ever did...please check out
my profile.
I did have to have an open surgery instead of the lap because of the prior
surgery...Tonya
— Tonya M.
February 18, 2006
We have several people in our support group who had earlier stomach
stapling procedures that did not result in any long-term weight loss. You
can achieve success with a revision to the more current RNY for a few
reasons. First, the pouch will be transcected from the remnant stomach--
chances are, you were not transcected the first time out which made it easy
for a channel to develop to your remnant stomach (which is why you ability
to overeat hasn't been altered). Secondly, with increased awareness about
the need to maintain a high-protein, low-carb intake to maximize your
initial weight loss, you will have much better guidance adjusting to a
different relationship with food. Thirdly, there has been growing
realization about the need for long-term peer-to-peer support which also
bodes well for your future success.
Now, the DS is certainly a highly successful weight loss procedure that
offers the fastest and most-sustained weight loss results. However, the DS
carries with it certain risks that must be carefully evaluated. Also, the
studies indicating the success for revisions from failed RNY's to DS
procedures tended to examine people with more recent failures, so those
results might not be necessarily applicable to your situation. However,
you should review the advantages and disadavantages of the DS and the RNY
to see what will work best for you.
Lastly, you may not necessarily need to have your revision done
"open"; many skilled surgeons exist throughout the county who
perform revisions laparoscopically.
Good luck in making the decision that will work best for you.
Good luck in making the best choice.
— SteveColarossi
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