Ulcerated Staple Pic
Well, here it is. I finally got my picture on the staples on here. I had to take a picture of the picture so it's not great quality, but you can definately see that there's stuff there that shouldn't be.
Just click on my profile and follow the picturetrail link at the top. It's in the "ulcer" folder.
Laurie - FOUR pounds from surgeon's goal
Glad the docs will fix you up soon!
Did you have open RNY?
Kathy Yes, I had open RNY micro pouch.
Good news is the pouch is perfect (apart from the staples) and the stoma is good too!!! This surgery definately WORKED for me!!! Right now it's working a little too well. I'm mal absorbing my meds and vitamins too much to the point that they aren't working.
Cant wait to see the surgeon next week!!!!!
Laurie
Laurie,
Worked too well is definitely the case. There are definitely two sides to this...you are so close to goal yet getting there is coming at quite a hefty price for you. The malabsorption and malnutrition are pretty big issues. I really hope that the doctor gets things all straightened out for you and that you are soon on the road to being very healthy and strong!
Kathy
My goodness Laurie, what a difference in you!
Can you explain the staple picture to me? Is the your pouch we are looking down into? Is your stomach severed from your pouch? This is so interesting to me, I may have missed my calling as a bariatric surgeon!
I'm so glad to see you posting, you have been in my thoughts and prayers.
Happy New Year!
Barb
Barb,
In many cases when open RNY is performed, the pouch is still attached to the remnant stomach and is just separated by a staple line. In many lap RNYs (and perhaps even some open RNYs) the stomach is transsected from the pouch (severed and is no longer attached). Having the pouch separate from the remnant stomach reduces things like staple line disruptions where stomach acid from the remnant stomach eats away at the staple line causing there to be an opening between pouch and old stomach. Often folks with a disruption end up finding they can eats lots more since the food is spilling over into the old stomach.
Why do some doctors transsect and others not? The non-transsection is the more traditional surgery as is the open RNY.
Rich had open RNY and is not transsected and I had lap RNY and I am transsected (plus I believe my pouch was hand-sewn - my surgeon's preference).
Kathy
Hey Kathy,
I've read about staple line disruptions and such. I was trying to figure out what I was looking at in Laurie's picture. Like if her pouch was seperated from the stomach, etc. It was interesting but I didn't really know what I was looking at. Except of course 2 protuding staples! Ouch!
I had open rny with a fobi pouch and my pouch is transected from my stomach. So I'm not sure if the open verses lap makes a difference there. The fobi was why I had to be open I believe. I love the idea of the hand sewn pouch though. What a novel idea to save alot of patients alot of problems. All for a few more minutes of the surgeons time!
I definately don't have anything like a staple line distruption, I'm lucky to be able to get in 3 ounces at a sitting. Can't wait to hear what my doc says about this when I go in on Tuesday!
Happy New Year Dear, to you and Rich!! It's been such a pleasure getting to know you! You keep me in stitches. (definately no pun intended here!)
Barb
Happy New Year to you too, Barb!
I think what we are seeing in Laurie's lovely pouch picture is a couple of staples that have popped out of the staple line between the pouch and remnant stomach as she is not transsected. Owie!
There are 6 rows of staples, I believe, separating the pouch and the remnant stomach. In a transsection, they cut between the 3rd and 4th row to separate well, actually the stapler not only staples but it cuts too - how versatile! I watched a lap RNY on the internet. It was pretty darned cool!
I really know nothing about a fobi pouch or what a micro pouch is. Ought to read up since now I'm curious.
Keep you in staples... bwahahahahahahahahahaha!
Kathy
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