Hi Everyone, new to this group, thinking of revising to the switch, need

[Guest guest]

info from the pros. My name is Patty and on 12/27/00, I had a RNY.

My doctor, unbenownst to me, only bypassed 75CM of intestine in the

surgery. On the day of surgery, I was 217 @ 5'2 " . Today, 6/7/01, I

am only at 192. I lost the first 12lbs in the hospital for seven

days and the rest I had to WORK off with exercise & protein etc.

I feel that my years of yo-yo dieting have slowed my metabolism down

so much that I need the malabsorption in the switch procedure. I've

had an upper GI and my Dr. says my pouch is fine but I feel I have

been able to eat too much from day one. I have never dumped or

thrown up from eating-so I don't feel that I've been eating too

much. I know that's what he thinks but it's not so!!! The bottom

line is that if I could have gotten a handle on my weight through

traditional methods, I wouldn't have gone through this painful

initial operation. Has anyone gone from a proximal (if you could

even call it that) to the switch and had much better success? It

would be easier to stay with my doctor for insurance reasons but he

says he will only try to decrease my pouch more, not bypass any

intestines. Do you think that I should take the add'l risks of not

being approved insurance wise and go to someone else for the

revision, someone who will do the switch? Or have you guys had the

switch done for other reasons such as dumping syndrome etc-those that

had revisions that is.

Also, when trying to pin my insurance down on what specific ops they

pay for, they just kept saying the gastric bypass. Does this qualify

as a gastric bypass, or at least a type, that would get past the

hawkeyes of the insurance people? Any info/feedback I can get will

be better than what I have now. I know I appear to be a pathetically

failed RNY patient but I don't think it's my fault. How could I have

less control over food than people that have even way more weight to

lose? Anyway, thanks for listening. I appreciate it. Patty

[Guest guest]

Patty,

Is there any other surgeon in network for you that

does the DS? If so, let them handle the paper work for

you. They will know how to code it so that it is more

likely to be accepted. Go to www.duodenalswitch.com

and you will find a list of Surgeons who do the DS.

Then check with your insurance to see if any of them

are in network. Note: Get full names and addresses of

surgeons, my insurance told me my Dr was not in

network until I figured out they were spelling his

name wrong! What state do you live in? I hope you find

what you need! I too am going to have a revision for a

failed gastric stapling done in 1980, so I understand

your concerns! Best of luck and if I can help, just

let me know. Angel

--- PML157@... wrote:

> info from the pros. My name is Patty and on

> 12/27/00, I had a RNY.

> My doctor, unbenownst to me, only bypassed 75CM of

> intestine in the

> surgery. On the day of surgery, I was 217 @ 5'2 " .

> Today, 6/7/01, I

> am only at 192. I lost the first 12lbs in the

> hospital for seven

> days and the rest I had to WORK off with exercise &

> protein etc.

>

> I feel that my years of yo-yo dieting have slowed my

> metabolism down

> so much that I need the malabsorption in the switch

> procedure. I've

> had an upper GI and my Dr. says my pouch is fine but

> I feel I have

> been able to eat too much from day one. I have

> never dumped or

> thrown up from eating-so I don't feel that I've been

> eating too

> much. I know that's what he thinks but it's not

> so!!! The bottom

> line is that if I could have gotten a handle on my

> weight through

> traditional methods, I wouldn't have gone through

> this painful

> initial operation. Has anyone gone from a proximal

> (if you could

> even call it that) to the switch and had much better

> success? It

> would be easier to stay with my doctor for insurance

> reasons but he

> says he will only try to decrease my pouch more, not

> bypass any

> intestines. Do you think that I should take the

> add'l risks of not

> being approved insurance wise and go to someone else

> for the

> revision, someone who will do the switch? Or have

> you guys had the

> switch done for other reasons such as dumping

> syndrome etc-those that

> had revisions that is.

>

> Also, when trying to pin my insurance down on what

> specific ops they

> pay for, they just kept saying the gastric bypass.

> Does this qualify

> as a gastric bypass, or at least a type, that would

> get past the

> hawkeyes of the insurance people? Any info/feedback

> I can get will

> be better than what I have now. I know I appear to

> be a pathetically

> failed RNY patient but I don't think it's my fault.

> How could I have

> less control over food than people that have even

> way more weight to

> lose? Anyway, thanks for listening. I appreciate

> it. Patty

>

>

>

----------------------------------------------------------------------

>

[Guest guest]

I'm not certain that any surgeon has been able to put the stomach back

together and create a true DS/BPD for a person who has had the RNY. What is

important is how long the small intestine is between the " Y " and the start

of the large intestine-- which the DS folks refer to as the " common

channel " . The liver and pancreatic secretions that break down protein and

fats meet up with food there. This is where absorption happens. The

malabsorption part of the DS surgery is because people have (generally)

between 75-100 cms common channel. You probably just need a more " distal "

RNY. There are RNY doctors that do that.

in Seattle

----- Original Message -----

.. I have never dumped or

> thrown up from eating-so I don't feel that I've been eating too

> much. I know that's what he thinks but it's not so!!! The bottom

> line is that if I could have gotten a handle on my weight through

> traditional methods, I wouldn't have gone through this painful

> initial operation. Has anyone gone from a proximal (if you could

> even call it that) to the switch and had much better success