Question:
Revision without SLD? Have Not been transected.

I had RNY LAP in Aug of 2001. I have gained 50lbs in the past 2 yrs. I never seem to get full anymore and can eat well over 1 cup at a sitting. I have tried dieting again, not eating, eating only 1 meal a day, exercising to no avail. I am having UGI tomorrow (4-14-06) to check for SLD. I have not been transected as far as I know. Is it possible to get revision to transection even if there is no SLD? Any help is greatly appreciated. Thanks.    — SusieBella (posted on April 13, 2006)

April 13, 2006
What is SLD?
   — gerardlovesjoy

April 13, 2006
SLD is Staple Line Disruption.
   — SusieBella

April 14, 2006
Your Health Plan's policy states: "Repeat of a Covered Bariatric Surgery Repeat of a covered bariatric surgery may be eligible for coverage only when ALL of the following criteria are met: For the original procedure, patient met all the screening criteria, including BMI requirements The patient has been compliant with a prescribed nutrition and exercise program following the original surgery Significant complications or technical failure (i.e., break down of gastric pouch, slippage, breakage or erosion of gastric band, bowel obstruction etc.) of the bariatric surgery has occurred that required take down or revision of the original procedure that could only be addressed surgically Patient is requesting reinstitution of an acceptable bariatric surgical modality. A Roux-en-Y procedure following vertical banded gastroplasty or laparoscopic adjustable banded gastroplasty is not eligible for coverage for patients who have been substantially noncompliant with a prescribed nutrition and exercise program following the original procedure. Removal of the Gallbladder at the time of an Approved Gastric Bypass Surgical Procedure Coverage is allowed for gallbladder removal at the time of a covered gastric bypass surgical procedure, either for documented gallbladder disease or for prophylaxis." http://medicalpolicy.hcsc.net/medpolicies/home?corpEntCd=IL1&path=templatedata\medpolicies\surg\data\SUR716.003_2005-01-18&ctype=MEDPOLICIES-POLICY&cat=SURGERY#hlink Best wishes! Joshua
   — nursenut

April 14, 2006
My doctor has revised ppl with an intact, but not working surgery based on regain alone. Not all insurances pay, of course, but many have.
   — vitalady

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