Question:
What is transection?

I'm confused. After all my research on surgery types, open vs. lap, distal vs. proximal, I've now been asked about a "transected" RNY. How is this different from staples? I honestly don't know what transecting is! I know what a staple gun is, and know how this is used, and how the needle and thread is used, but what is transecting?    — Kristy J. (posted on November 26, 2000)

November 26, 2000
Hi! Transection means that the stomach is cut into two pieces, then stapled. The upper part is made into an RnY 'pouch' while the lower section remains in the body, producing acid but not digesting food (as with a non-transcected RNY). Transection is considered safer or better by many because there is much less potential for leakage post-op. If the stomach is just stapled shut, there could be a leak from the pouch into the lower stomach area. This not only can be dangerous health-wise, but also can compromise weight loss and maintenance. It is an excellent idea to ask one's surgeon whether the stomach will be transected or not. Some surgeons do this routinely and others prefer to have multiple staple lines. The transection can be done in an open or laparoscopic surgery, I believe. Hope this helps! All the best,
   — Teresa N.