Question:
Is it really so important in RNY to have the bottom stomach cut? Or just stapled ok?

I have researched this but the surgeons don't all totally tell everything about the way they do it. I need clarification, but I guess maybe just reassurance also.    — Bryytteyes (posted on June 30, 2000)

July 1, 2000
my surgeon totally cuts it apart staples and oversews with sutures so you cannot get a fistula or disrupt the suture line. i've heard that is best.any surgeon who would not give me the details would not do it on me. good luck
   — shelly R.

July 1, 2000
As a victim of a disrupted staple line, I can tell you it IS "that important". I *only* had wait 5 months from diagnosis to surgery. My freind waited 9 months and she had need of gall bladder removal AND hystie and still, insurance blaked. She regained 70# while waiting through insurance games. My doctor has been doing the transected model since 1996, but I was 1994, and my husband is 1995. We sit and WAIT for his staple line to go and hope our insurance will cover it when it does. I WOULD NOT do a surgery that relies on staples alone, and I dont' care HOW many rows of what kind of staples or how oversewn it is. Mine was, too. It isn't worth the health risks of regain and the mental damage done when the disruptionn occurs. Ask my freind who had to wait over 1 yr, regain back to 330 lbs and go back to her wheelchair before she got approval for revision. It just IS NOT worth it to take that chance.
   — vitalady

July 1, 2000
All of the below listed responses are EXACTLY some of the reasons I opted for a longtudinal gastric resection/duodenal switch (LGR/DS). I figured I will never need to have my stomach put back together, overtime it will stretch to about 12 oz, which is enough, without the risk of regaining weight and I will have a normal/naturally functioning stomach. Some things nature did for a reason shouldn't be messed with in my mind...Fondly,
   — merri B.