Question:
Need to know....are all lap rny's transected?

For my own knowledge in advising others, I need to know if rny performed by lap procedure is always transected? Transected means that a physical separation by cutting the old stomach and the new pouch apart has been made when creating the pouch. Nontransected means that row(s) of staples are used to form the new pouch and the old stomach is still attached to the new pouch with ONLY staples between the two.    — Mylou52 (posted on October 13, 2003)

October 13, 2003
While many surgeons whether Lap or open transect theses days it is not a given. There is a local surgeon near me who never transects. It makes no sense to me and my own surgeon has revised at least 3 of these that I know of to date. Besides over eating as a cause for a disrupture there is the mere fact that 97% of your remainder stomach is hanging on the staple line and gravity alone can mess with the staple line.
   — Carol S.

October 13, 2003
It seems that strange (but it's true) that some laparoscopic RNY's are not transections. Most studies indicate that the most effective RNY is done by the complete physical separation of the pouch and remainder stomach (as opposed to just dividing them with a few rows of staples). However, not all surgeons take the time to transect, even if the procedure is done laparoscopically. One of the problems for the non-transected is that food can work its way around the staple line in the case of habitual over-eating; once food has an opening to the remainder stomach, consumption can increase and the feeling of satiety (fullness) is minimal.
   — SteveColarossi