Question:
Okay, I'm dumb.What does transected mean?
I guess I haven't read it all after all. What does transected mean? — Debbie W. (posted on March 4, 2003)
March 4, 2003
I'm no expert, but I think it means that the surgeon actually separates
your old stomach from your new pouch. They are not connected any longer.
I was told that I was transected and that was my understanding of it. Hope
I got it right :)
— Rhoni333
March 4, 2003
Debbie, you're not dumb, and don't let anyone make you feel that you are.
Additionally, you don't have to ask permission to ask a question. That is
what this website is for. I must admit, sometimes if we search the library,
we can find what we need there, but not all of the time. Coincidentally, I
asked a question almost similar to yours just today. From my limited
knowledge (and I just found out) transected is when your new
"pouch" and the old part of your stomach are basically sectioned
or stapled off into two parts. This (I think) pretty much limits the
potential of possibly having a staple line disruption. I felt embarrassed
that I didn't ask this question BEFORE my surgery. I had six pages of
questions, and NEVER did I think *transection* was anywhere in the
equation, LOL. Sometimes you have to do or ask what you want to ask, and
deal with the "drama" later. Just remember, someone with a
genuine concern for you wanting to get an answer will help you, despite any
other negatives. Wait a while, there may be more good and EXPERIENCED post
ops that are capable of giving you a more detailed meaning or description
of what transection is all about. I sure hope you get a better reply than I
did for asking the question. I'm still happy, got my questions answered
(some sent by personal emails), and huh, looking and feeling FINER
everyday, thank you very much! ;)Best Wishes to you!
— yourdivaness
March 4, 2003
Transected is when your new "pouch" and the remainder of your
stomach are completely separated (cut)from each other. In the Roux-en-Y
surgery, the larger, separated part of the stomach remains inside as a
functioning organ and is connected by a section of intestine to the
intestine that leaves your pouch (Picture the "Y"). Since the
larger, cut away part of the stomach still works, it provides the digestive
"juices" to the food that leaves the pouch, however, it's just
much farther down the intestional tract.
This is pretty much how the surgeon explained it to me.
If you are not transected, you simply have a staple line separating the 2
parts of the stomach and that's when you hear about some people getting a
SLD (staple line disruption)
— Carolyn M.
March 5, 2003
Debbie, Hi! There are no dumb questions and AMOS is all about support and
answering questions as best we can. I had staple line disruption with my
first rny so I feel I have researched the "transection" issue
more than most people. I was not transected at first and that means the
surgeon fired the staple gun introducing eight (yes **8**) rows of staples
creating the pouch but with the old stomach still attached. I noticed I
was eating a lot more at 9 mos postop and I suspected SLD since I was not
transected. Had an upper GI (on 9/11/01 of all days) and the staple line
had come undone. I didn't make it come undone. I didn't overeat or pull
it out by exercising. SLD is simply the failure of the pouch to form scar
tissue and seal itself properly. It is a mechanical failure when not
transected. I didn't give it another thought and when the surgeon asked me
if I wanted to go back in and fix it, I immediately said YES! I am so glad
I did. He opened me back up (same incision from 1st surgery) and
physically cut and stapled the pouch away from the old stomach. There is
not just a barrier of staples now. The pouch and stomach are totally
separated. There is scar tissue now forming a tight seal and it will not
disrupt now. I feel much more comfortable knowing this is permanent. I
would have always worried that someday somewhere in the future, because I
was not transected, the staples could come undone. It happens a lot in
nontransected patients. Some never even realize it has happened as most
don't have any symptoms other than regain and eating a lot more. I see
that you haven't had surgery yet, my advice is ASK YOUR SURGEON IF HE/SHE
TRANSECTS AND IF HE/SHE SAYS YOU HAVE THE CHOICE, BE TRANSECTED. That way
you can relax and enjoy the journey. And not have to have two surgeries in
one year like I did.
Good luck to you, Marilyn open rny, transected, and lost 118 lbs with 30
more to go!
— Mylou52
March 5, 2003
Debbie, Hi! There are no dumb questions and AMOS is all about support and
answering questions as best we can. I had staple line disruption with my
first rny so I feel I have researched the "transection" issue
more than most people. I was not transected at first and that means the
surgeon fired the staple gun introducing eight (yes **8**) rows of staples
creating the pouch but with the old stomach still attached. I noticed I
was eating a lot more at 9 mos postop and I suspected SLD since I was not
transected. Had an upper GI (on 9/11/01 of all days) and the staple line
had come undone. I didn't make it come undone. I didn't overeat or pull
it out by exercising. SLD is simply the failure of the pouch to form scar
tissue and seal itself properly. It is a mechanical failure when not
transected. I didn't give it another thought and when the surgeon asked me
if I wanted to go back in and fix it, I immediately said YES! I am so glad
I did. He opened me back up (same incision from 1st surgery) and
physically cut and stapled the pouch away from the old stomach. There is
not just a barrier of staples now. The pouch and stomach are totally
separated. There is scar tissue now forming a tight seal and it will not
disrupt now. I feel much more comfortable knowing this is permanent. I
would have always worried that someday somewhere in the future, because I
was not transected, the staples could come undone. It happens a lot in
nontransected patients. Some never even realize it has happened as most
don't have any symptoms other than regain and eating a lot more. I see
that you haven't had surgery yet, my advice is ASK YOUR SURGEON IF HE/SHE
TRANSECTS AND IF HE/SHE SAYS YOU HAVE THE CHOICE, BE TRANSECTED. That way
you can relax and enjoy the journey. And not have to have two surgeries in
one year like I did.
Good luck to you, Marilyn open rny, transected, and lost 118 lbs with 30
more to go!
— Mylou52
March 5, 2003
Debbie, Hi! There are no dumb questions and AMOS is all about support and
answering questions as best we can. I had staple line disruption with my
first rny so I feel I have researched the "transection" issue
more than most people. I was not transected at first and that means the
surgeon fired the staple gun introducing eight (yes **8**) rows of staples
creating the pouch but with the old stomach still attached. I noticed I
was eating a lot more at 9 mos postop and I suspected SLD since I was not
transected. Had an upper GI (on 9/11/01 of all days) and the staple line
had come undone. I didn't make it come undone. I didn't overeat or pull
it out by exercising. SLD is simply the failure of the pouch to form scar
tissue and seal itself properly. It is a mechanical failure when not
transected. I didn't give it another thought and when the surgeon asked me
if I wanted to go back in and fix it, I immediately said YES! I am so glad
I did. He opened me back up (same incision from 1st surgery) and
physically cut and stapled the pouch away from the old stomach. There is
not just a barrier of staples now. The pouch and stomach are totally
separated. There is scar tissue now forming a tight seal and it will not
disrupt now. I feel much more comfortable knowing this is permanent. I
would have always worried that someday somewhere in the future, because I
was not transected, the staples could come undone. It happens a lot in
nontransected patients. Some never even realize it has happened as most
don't have any symptoms other than regain and eating a lot more. I see
that you haven't had surgery yet, my advice is ASK YOUR SURGEON IF HE/SHE
TRANSECTS AND IF HE/SHE SAYS YOU HAVE THE CHOICE, BE TRANSECTED. That way
you can relax and enjoy the journey. And not have to have two surgeries in
one year like I did.
Good luck to you, Marilyn open rny, transected, and lost 118 lbs with 30
more to go!
— Mylou52
March 5, 2003
Sorry about the triple post! I didn't think it went the first two
times.....
— Mylou52
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