RNY and removal of stomach - ThinnerTimes

Corrine · 09-04-2007, 08:08 AM

Can anyone tell me the rationale for removing the remaining part of the stomach after the pouch has been stapled off?

And.... and I may regret asking this one.... worst case scenario - what is left to work with if the patient requires a revision of some kind down the road?

Jeri · 09-04-2007, 08:11 AM

As far as I know they don't remove the main part of the stomach. It's still there...just inactive.

Dayanara · 09-04-2007, 08:13 AM

The other portion of the stomache still creates digestive fluids that your body needs and ends up meeting with the food you have eaten in the small intestine instead of mixing in the stomach. So they do not remove it, it stays there still performing duties a stomach should.

I cannot do it now since I am at work, but if you look up a bypass figure, you will see this and able to follow the process visually and get a better understanding.

Jeri · 09-04-2007, 08:15 AM

Thanks, Trish. I didn't think inactive was the right word but didn't know how to explain it.

Toony · 09-04-2007, 08:32 AM

http://www.mayoclinic.com/health/gastric-bypass/MM00703

This is the best video I've seen to explain how everything works with gbp surgery... it's animated so no blood and gore!!! Take a look...

toony

Corrine · 09-04-2007, 08:35 AM

Most of the information I've read on the internet talks about the remaining portion of the stomach being left but when I attended the Bariatric Pathway sessions recently at MAMC, we were told that the unused part of the stomach is removed.

I've found MAMC's website and it's talked about there.

http://www.mamc.amedd.army.mil/surge...cs/obesity.htm

Dayanara · 09-04-2007, 08:36 AM

Thanks Toony! Hard for me to search for things between the phone ringing and doing work.

Jeri · 09-04-2007, 08:38 AM

Wow that's scary to me.

I wouldn't want to have my stomach removed & if my surgeon didn't give me an option to leave it in I think I would find a different surgeon.

Dayanara · 09-04-2007, 08:43 AM

Quote:

Originally Posted by Corrine

Most of the information I've read on the internet talks about the remaining portion of the stomach being left but when I attended the Bariatric Pathway sessions recently at MAMC, we were told that the unused part of the stomach is removed.

I've found MAMC's website and it's talked about there.

http://www.mamc.amedd.army.mil/surge...cs/obesity.htm

I have heard of that, but thought it was no longer done due to complications.

I personally would never want to get that done. Look around on the forums and you can see why. A few people are needing reversals due to complications, this reversal could help them significantly. But if they had no full stomach there left how could a reversal be done? So pretty much that form of the surgery is the end all to it, no going back if things go wrong. I definately cannot see any benefit from having the full stomach removed, I am no doctor, but there is no reason to remove it, just seems like an unnecessary step.

Corrine · 09-04-2007, 08:48 AM

I've just called the Bariatric Pathway Coordinator to make sure I wasn't mistaken, and yep - for open RNY, the remaining stomach is removed.

For lap surgery, that's not the case.

I need to talk with someone more about this before I go any further.