Question:
Has anyone heard of complete stomach seperation instead of staples?
— margie W. (posted on April 14, 2003)
April 13, 2003
Sure, most surgeons are doing transections now to prevent staple line
disruptions down the line.
— Leslie F.
April 13, 2003
Yes, I have a complete stomach seperation, Dr.Aguirre in Ensenada,Mexico
did my surgery. Most of the surgeons in the USA say they "Transect and
Divide" this is NOT the same as a "Complete Stomach
Seperation" there is NO chance of ever having a SLD because the 2
stomach's DO NOT TOUCH in any way, so therefore you do not have a staple
line. I have found only 2 surgeons here in the USA that do stomach
seperation. I was under the impression that transected meant this but have
found out this is not true. The Complete Stomach Seperation is by far the
better of the 2, It's a more natural process, and allows you to start the
soft food diet the 2nd day after your released from the hospital. If you
would like to more about this please e-mail me and I can try to explain it
better. Good Luck!
— latrishanickle
April 13, 2003
Yes, that was what was done to me. So glad I don't have to worry about
staple line disruptions or things like that. For awhile I hadn't even
realized there were operations where they did not completely seperate the
two portions because that is the only way my surgeon does it.
— Dee ,.
April 13, 2003
Also I did forget to mention, they do still staple everything. They fire
several lines of staples then cut between them to seperate the stomach
portions. So staples are still involved.
— Dee ,.
April 13, 2003
Yep, Dr.Robinson in Ga does complete seperation (transection). Thanks
goodness I wont have to worry about SLD's. As someone else has already
said, DO NOT fall for the LIE of "complete seperation". This is
NOT a true transection and you will still be at risk of staple line
disruption. Good luck. Sidney Open RNY 10-23-02 down 80+
— Siddy I.
April 14, 2003
When i chose my surgeon, I made sure that he did the surgery as a
transection versus stapling only. It was a "non" issue for me. I
was either going ot be transected, or not have that surgeon do the surgery!
I did not want to deal with the heart ache that SLD can cause.
— Vicki L.
April 14, 2003
I would also like to say, it makes a "HUGE" difference where on
your pouch the bypass is connected, the top or the bottom. If it is not at
the bottom there is a reason for this, that they could not connect there
because they did not enough room to do so. To get a good example of the
difference look up Dr.Gibbs in Little Rock Arkansas and Dr.Aguirre in
Ensenada,Mexico check for the pictures of the Gastric Bypass procedure.
Both of their website address's are on my profile. This without a doudt
will explain the difference in the 2 procedures.
— latrishanickle
April 14, 2003
Most lap RNYs are complete transections because they can't get the stapler
in there through the little incisions.
— koogy
April 14, 2003
I had LAP RNY, and my stomach was transected by STAPLES. There is an
instument that the doc uses. When he places the staple line across the top
of the stomach, it also cuts/separates by placing a line of staples on
either side of the cut. From what my doctor said, this minimizes staple
line distruption because the scar tissue forms a thicker "seal",
thus lowering the chance of a disruption, whereas if he just placed a line
a staples across the stomach, there's a chance that you'll get an opening
and then you'll be able to eat more, and not lose weight. Of course, I had
to wear a "G" tube for a full month after surgery, but it was
well worth it.
— lily1968
April 15, 2003
I had a lap RNY. My stomach was completely separated into two pieces
(transected), by stapling and cutting. The complete separation is done
because the stomach heals better and stronger if it is separated and
stapled, as opposed to just stapled. When the stomach is not separated,
sometimes the patient can have a staple line disruption (SLD) and the
surgery, in effect, becomes "undone".
— Kathy J.
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