I am a 60 year old female, 27 years post vertical banded gastroplasty. I regained my weight many years ago and my BMI is now 40. I’ve had acid reflux for the last 5 years, and last year I started vomiting undigested food and having stomach pain and severe acid reflux.
An endoscopy showed stomal stenosis… my stoma has stretched but I’ve experienced no improvement. My surgeon says my band is not likely to stretch and must be removed. An upper GI recently showed severe stenosis and delay of transport through stoma. Pouch dilated.
My gastroenterologist and bariatric surgeon both recommend revision to by-pass or sleeve. I have rhumatoid arthritis and currently take NSAIDS daily and Aciphex twice daily, as well as methotrexate.
My insurance has an exclusion for bariatric surgery. What are my options? Any chance insurance might pay based on medical necessity?
I am in pain, acid reflux causes cough and choking at night, so I sleep in recliner. I vomit frequently after eating.