Surgery Question.

Loaf
on 10/21/13 3:15 am - Canada
VSG on 10/31/14

Maybe somebody could shed some light on the subject.

 

Why with RNY do they leave the extra part of your stomach in and with a VSG it is removed?

 

 

A questions that I will be for sure asking the Dr. when I get to meet them.

 

Cheers

Catw
on 10/21/13 4:04 am - Arnprior, Canada

I don't know for sure, and would be curious if this interpretation is correct.  I read this;

"In this procedure, the stomach is separated into two sections.  The upper part is made into a very small pouch that holds 1 to 2 ounces initially.  It is about the size of your thumb.  A normal stomach holds 40 to 50 ounces and is roughly the size of a person’s head.  The small pouch is at the bottom of the esophagus and is very resistant to stretching.  The lower part of the stomach is not removed.  Nothing enters it but it does still produce gastric juices, which aids the digestion process by eventually joining with the food in the small intestines. ."

If you need the gastric juices for digestion, you'd still have that part of your stomach with a VSG, so the rest is removed, but for an RNY, you don't so they keep it, and attach it to the intestines where it's needed.

Let us know if the doc says the same thing.

Cathy

        

Loaf
on 10/21/13 5:26 am - Canada
VSG on 10/31/14

That is what i inferred as well.  The RNY pouch does not produce any digestive juices.

Diminishing Dawn
on 10/21/13 5:55 am - Windsor, Canada

Yes rny = stomach plus pouch, no pyloric valve between pouch/intestines. Malabsorption. 

Vsg = partial removal of stomach. Banana shaped one left, you keep pyloric valve. No malabsorption.  Bad if you have reflux. 

 

Don't get too hung up on them removing the stomach.  I know it seems weird.  You are still left with a functioning one. 

 

17+ years post op RNY. first year blog here or My LongTimer blog. Tummy Tuck Dr. Matic 2014 -Ohip funded panni Windsor WLS support group.message me anytime!
HW:290 LW:139 RW: 167 CW: 139

Loaf
on 10/21/13 6:04 am - Canada
VSG on 10/31/14

No i was just wondering why the portion of the stomach that is no longer used with RNY is left in the body, but when stomach is re-shaped with the VSG the excess is removed.

 

 

Amarachi
on 10/21/13 8:28 am - Canada
The stomach is left in the RNY because it produces the gastric juices needed to digest the food, the intestine is cut at the jejunum and attached to the new pouch , the Y junction gastric juices from your stomach get added to the bolus of food.

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