- Joined
- Feb 15, 2021
As I said, it really doesn't happen these days with the modern technology that a person can over eat their way to a burst stapleline. I'm talking here about when the stapleline bursts months to years after surgery. It didn't tend to be dangerous as such because in those days the stapleline wasn't completely across the stomach. Surgeons would leave a small opening, in the line for the food to pass through into the lower part of the stomach. No part of the stomach was removed or detached as it is now. The procedure back then was called gastroplasty, and later vertical gastroplasty, then vertical banded gastroplasty.Ohhhhhhh. Yes. Now that makes me nauseous to think about. Leaking staple line from eating too much. Barf. That’s a really serious issue too once it happens.
Stapleline dehiscence during surgery is where life threatening leaks can happen. It's rare for first time bariatric patients, but much more common, (20x so) in revisional surgeries because of the difficulty in getting old scar tissue to seal together. This is why many surgeons are reluctant to perform revisions, and won't perform them on non-insurered patients. If a leak occurs during surgery, you're in open cheque book territory as hospital stays can run into many months with an unknown number of extra surgeries to try to correct. Surgeons generally will check for leaks before discharge, either by having the patient do a barium swallow test post surgery (that sucks with a new pouch and seems cruel) or it can be done during surgery by using a blue dye saline mix added to the pouch under pressure and examining the stapleline via the laprascopic camera to look for any leaks.
ETA: The ultralong appointment. I watched a short compilation and Amber talked about an "Intake Appointment". My guess is that these specific intake appointment days include a long group information session including talks from the surgeon, dietician, nurse, and on staff GP, their finance coordinator, with a Q&A afterwards. This session could be 3-4 hours and generally includes having baseline weight taken. They may then have individual appointments scheduled later in the day. She also talked about a long travel distance, so she's continuing with the out of state surgeon (a lie because she was asking about insurance covering surgery in Kentucky). She's talked about a celebrity surgeon, so that would tend to mean either Dr Smith at Kentucky Bariatric Institute, or Dr Proctor at Beltline Bariatics in Atlanta. The other "celebrity" bariatric surgeons are just too far away. I still believe she's angling for a TLC paid surgery.
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