I NEED HELP

Sep 22, 2009

Jan 31, 2008 I had Gastric Sleeve at my highest I loss 150. In Jan 31,09 I went for my one year after surgery. I was doing going. I did not gain or lose any weight. I went back to in 3 months witch was April I gain 5 pounds. I went back in other 3 month witch was July. I gain 10 pound when I went back. Before having the Sleeve we talk about doing it.  After I loss 100 pounds we was going to do th Bypass. But my Doctor wanted to see how much I could get of  with this surgery.
 Now I have been trying to get Roux-en-Y Gastric Bypass since April. I have Anthem as my Insurance. They are saying that its not a medically necessary but it is. Last time I went to a Doctor my weight was 374 pounds. Before I had surgery my weight was 500 pounds. I would like to get down too 170-200pounds or less.

 Does anyone know anything that I could use in my appeal?????   At the bottom if you dont know what the Sleeve is.

Sleeve Gastrectomy

• What is it? This is a relatively new form of restrictive weight loss surgery. In the operation, which is usually done with a laparoscope, about 75% of the stomach is removed. What remains of the stomach is a narrow tube or sleeve, which connects to the intestines.
  
  Usually, a sleeve gastrectomy is a first step in a sequence of weight loss surgeries. It's typically followed up by gastric bypass or biliopancreatic diversion, which will result in greater weight loss. However, in some cases, it might be the only surgery you need.
  
  
• The Pros. For people who are very obese or sick, standard gastric bypass or biliopancreatic diversion may be too risky. A sleeve gastrectomy is a simpler operation that allows them a lower-risk way to start losing weight. Afterwards, once they've lost weight and their health has improved -- usually after 12-18 months -- they can go on to have a second surgery, such as gastric bypass. In people with high BMIs, sleeve gastrectomies result in an average weight loss of 40% to 50% of excess weight after three years. People with lower BMIs tend to lose even more of their excess weight. The preliminary evidence suggests that sleeve gastrectomy works about as well as adjustable gastric banding. 
  
  Because the intestines aren't affected, a sleeve gastrectomy doesn't affect the absorption of food, so nutritional deficiencies are not a problem.
• The Cons. Since a sleeve gastrectomy is often just the first step in weight loss surgery, you will probably face further operations later on. Unlike gastric banding procedures, a sleeve gastrectomy is irreversible. Most importantly, since it's relatively new, the long-term benefits and risks aren't yet known.

0 Comments