Super Obese individuals (people with a Body Mass Index over 45) have an increased risk during any surgery. The longer patient stays under the affect anesthesia, the greater the risk. Gastric bypass surgery can last over 2 hours. Duodenal switch surgery often takes over 4 hours. That’s a long time to be under anesthesia.
So surgeons started breaking the procedure up into two stages. The first stage was to reduce the size of the stomach. The second stage would be done a year later after the patient lost some weight. The second stage of the procedure would include bypassing some of the intestines to reduce calorie absorption.
So, surgeons started coding the first part of the procedure as the first half of a duodenal switch. Insurance was paying.
Gastric bypass surgery
So surgeons started breaking the procedure up into two stages. The first stage was to reduce the size of the stomach. The second stage would be done a year later after the patient lost some weight. The second stage of the procedure would include bypassing some of the intestines to reduce calorie absorption.
So, surgeons started coding the first part of the procedure as the first half of a duodenal switch. Insurance was paying.
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