New to the group and still confused.

[Guest guest]

I have been researching DS seriously since May 01. I have selected

it because I have read it can resolve chronic pancreatitis. Has

anyone been in a similar situation? I have spoken with people who

have had ilieal bypass/gastroplasty who have pancreatits. My problem

has been running into physician's who are recommending a distal RNY

to get the same results as the DS. The pancreatitis is due to

familial hypercholesteremia and the malabsorption would keep my

lipids low enough to eliminate attacks. I have met with Dr. Buchwald

at University of Minnesota, and several others who have recommended

DS only. Then, I run into physician's and insurance personel who

claim that the RNY can achieve the same results; they would just make

the bypass longer. The Hess report specifically states an example of

a patient with pancreatitis. I have read nothing abpout RNY and the

disease.

I have been reading most of Hulls posts as I also have Aetna. I

am preparing for my first visit with Dr. Hares in Michigan. I'll

meet with him next week. Since there is no specific CPT code for DS

my concern is that they will attempt to put the insurance through and

state the procedure is DS, which is not covered by Aetna. Is there a

diplomatic way to request that they attempt insurance approval with

Aetna in a manner that is vague, without appearing as if I am

requesting them to commit fraud? Do I give my PCP details of the

surgery, or just request that she give me a letter giving her OK

for 'gastric bypass surgery'?

Also, has anyone here had surgery with Dr. Hares? I would love to

have any information about your entire experience. I need to know

what to expect in case I actually get some sort of an approval.

Thank you for any help you can offer.