I thought I went from sleeve to bypass.....

[SleeveToBypass2023 1,845]

So I'm looking at my medical records online and I see that I had a "gastrojejunostomy and resection of the distal part of stomach for gastric polyposis and refractory gastroesophageal reflux disease". I was like HUH?? Now I'm confused. I went online to look up the differences between this and the bypass, and some sites say they are basically the same, some say they are different because a different area is bypassed with the gastrojejunostomy, some say the gastrojejunostomy is part of the bypass, and I have no clue what to think. At no time did my surgeon ever mention anything other than bypass. No other words, procedures, names of procedures, etc. Just a bypass and removing my lower stomach. So now...what the actual heck????

[DaisyAndSunshine 301]

RNY is a type of gastrojejunostomy. In RNY your duodenum is bypassed and stomach gets connected to jejunum. So medical terminology of what you stated is a bypass as far as I can tell!

In terms of how much is bypassed is determined by the surgeon and his or her expertise!

Edited July 4, 2023 by DaisyAndSunshine

[SleeveToBypass2023 1,845]

21 minutes ago, DaisyAndSunshine said:

RNY is a type of gastrojejunostomy. In RNY your duodenum is bypassed and stomach gets connected to jejunum. So medical terminology of what you stated is a bypass as far as I can tell!

In terms of how much is bypassed is determined by the surgeon and his or her expertise!

Ok so then the sites I saw that said they're the same thing are correct then. Ok. I wonder why I wasn't told that, and why there's no mention of RNY in my chart.....

[The Greater Fool 1,965]

The result of a Sleeve to GB is different than the result of only the GB (RNY).

With the RNY the stomach is sectioned into the 'pouch' and the 'blind stomach.' The 'pouch' is similar to the sleeve, but it is created from a different part of the stomach. The pouch bypasses the Pyloric valve and is attached to the intestine a ways down from the pyloric valve. The sectioned off part of the stomach is still there, still using the pyloric valve, and still processes the gunk (bile) from the Gall Bladder.

The Sleeve, as noted, is made from a different part of the stomach forming the sleeve, which is similar in function to the pouch. The sleeve ends at the Pyloric valve, nothing is bypassed. I'm not sure where the bile from the Gaul bladder goes. The sectioned off stomach is removed.

So one can see that after a sleeve you just don't have the stomach anymore to do what it does after the RNY. The pouch is still different, though it may be a difference without a difference. It seems like the conversion is just taking out the pyloric valve and whatever portion of the intestines to be bypassed, if indeed any intestines are bypassed at all. So while the Sleeve to GB is similar to an RNY, it is not an RNY. You can also see why this would help GERD, since the Pyloric valve is no longer there to allow stomach acids to back-up.

Since the ultimate results of Sleeve to GB and straight up RNY are different it gets a different name, even though it may be functionally the same.

Tomato / Tomato.

Good luck,

Tek

[SleeveToBypass2023 1,845]

3 hours ago, The Greater Fool said:

The result of a Sleeve to GB is different than the result of only the GB (RNY).

With the RNY the stomach is sectioned into the 'pouch' and the 'blind stomach.' The 'pouch' is similar to the sleeve, but it is created from a different part of the stomach. The pouch bypasses the Pyloric valve and is attached to the intestine a ways down from the pyloric valve. The sectioned off part of the stomach is still there, still using the pyloric valve, and still processes the gunk (bile) from the Gall Bladder.

The Sleeve, as noted, is made from a different part of the stomach forming the sleeve, which is similar in function to the pouch. The sleeve ends at the Pyloric valve, nothing is bypassed. I'm not sure where the bile from the Gaul bladder goes. The sectioned off stomach is removed.

So one can see that after a sleeve you just don't have the stomach anymore to do what it does after the RNY. The pouch is still different, though it may be a difference without a difference. It seems like the conversion is just taking out the pyloric valve and whatever portion of the intestines to be bypassed, if indeed any intestines are bypassed at all. So while the Sleeve to GB is similar to an RNY, it is not an RNY. You can also see why this would help GERD, since the Pyloric valve is no longer there to allow stomach acids to back-up.

Since the ultimate results of Sleeve to GB and straight up RNY are different it gets a different name, even though it may be functionally the same.

Tomato / Tomato.

Good luck,

Tek

Thank you!! This is a huge help