Guest guest Posted August 8, 2001 Report Share Posted August 8, 2001 Thank you to everyone's info on this subject of comparing surgeries. I've been trying to gather bits and pieces that compare and contrast these types and their subtypes (RNY distal and proximal, etc), because I think it's key in authorization approvals after denials, as more and more they are saying OK to RNY of course, no to DS and I'm being " preemptive " so I can respond quickly. I think most of this has to do with education to the actual docs on the review board. A patient convincing them is not as helpful, unless the written appeal can be very direct in comparing and contrasting from a medical point of view and backed up with research. This is my big focus now. To this end, I need your " bullet " points and any research you know about, anecdotal as well. Since the big thing seems to be the " malabsorptive " , for instance, can you compare and contrast RNY in this aspect with DS? For example, does anyone know the distance of the limb " disconnected " and/or the specific nutrient malabsportion differences between the two? Facts is what I'm after...For instance, the thing about the protein digestion in the stomach in the area around the pyloric valve seems a good one, but I couldn't put that succinctly nor can't say I really understand that... I think ANY research or back up on this would help the whole world, if anyone has any at all. Also, on age -- does anyone have precedent approvals for DS based on the fact that the patient is older? I guess it's due to older patients have less years to live....(doesn't sound very hopeful, but it it helps get authorized, great...they don't have to know I plan to live way past 90!) Quote Link to comment Share on other sites More sharing options...
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