SUBTOTAL GASTRECTOMY: BILLROTH I AND II Step 1: Surgical Anatomy ♦ The arterial blood supply to the stomach is rich and comes from multiple sources. Billroth I is a type of surgical reconstruction that has been performed after partial gastrectomy, usually in the setting of tumor or ulcer resection. The key feature of a Billroth I reconstruction is the formation of an end-to-end anastomosis between the proximal remnant stomach and duodenal stump.
Billroth I versus Billroth II Medizin, Wissen
BACKGROUND/AIMS: After a distal resection of the stomach, the continuity of the gastrointestinal tract can be restored by either a gastroduodenal anastomosis (Billroth I), a gastrojejunal anastomosis (Billroth II) or a Roux-en-Y gastrojejunostomy. There is still no consensus on the reconstruction technique of choice. Billroth II, more formally Billroth's operation II, is an operation in which a partial gastrectomy (removal of the stomach) is performed and the cut end of the stomach is closed. The greater curvature of the stomach (not involved with the previous closure of the stomach) is then connected to the first part of the jejunum in end-to-side anastomosis. The Billroth I (BI) operation is a gastroduodenostomy that can be performed end-to-end or end-to-side. In the Billroth II (BII) reconstruction the gastrojejunostomy is performed end-to-side. As an alternative, Roux-Y (RY) reconstructions can be done (see Chapter 82 ). Although Billroth II and Roux-en-Y procedures are the two most commonly performed types of reconstruction techniques following distal stomach resection, there is yet no consensus on which reconstruction is the best choice.
Gastrectomia billroth 1 y 2
Gastrectomy* / adverse effects Gastroenterostomy Network Meta-Analysis Postoperative Complications* / epidemiology Randomized Controlled Trials as Topic Major surgical treatment for distal gastric cancer include Billroth I (BI), Billroth II (BII), and Roux-en-Y (RY). The Billroth I procedure requires extensive mobilization of the gastric pouch as well as the duodenum. This mobilization should include an extensive Kocher maneuver for mobilization of the duodenum. In addition, the greater omentum should be detached from the transverse colon, including the region of the flexures. Previous studies showed that the overall rate of perforation during ERCP with normal anatomy, Roux-en-Y and Billroth II were 0.35%, 2.0-11.1%, and 5.6-7.7% respectively, illustrating the increased risk in these patients. 26,33-36 Perforations usually occur when the afferent limb is entered near the duodenojejunal flexure resulting in tear of. Billroth I (B-I), Billroth II (B-II), and Roux-en-Y (R-Y) are the major reconstruction procedures after distal gastrectomy. In our study, we aimed to evaluate the functional recovery following the B-I, B-II, and R-Y reconstructions through a network meta-analysis. PubMed, Embase, and Cochrane Library databases were searched until April 2018.
PostSurgical Anatomy and ERCP Techniques in Gastrointestinal Endoscopy
Therefore, we conclude that the Billroth I method should be the first choice after a distal gastrectomy as long as the anatomic and oncological environment of an individual patient allows us to perform it. However more prospective studies should be designed to compare the overall surgical outcomes of both anastomosis methods. Go to: Background • Billroth I reconstruction consists of a gastroduodenostomy in which the anastomosis is created between the gastric remnant and the duodenum (Fig. 76-3 ). •
Delta-shaped Billroth I anastomosis in totally laparoscopic distal gastrectomy for digestive tract reconstruction is simple and easy to perform, and has an advantage in postoperative gastrointestinal function recovery. RY reconstruction is superior to Billroth I and Billroth II in terms of postoperative complications. Definition Die Billroth-II-Resektion ist eine Form der Magenresektion mit unphysiologischer Rekonstruktion der Nahrungspassage. Indikationen distales Magenkarzinom Ulcus ventriculi Gastroduodenale Ulkuskrankheit Pylorusstenose Vorgehen Die distalen zwei Drittel des Magens werden abgesetzt, der Duodenumstumpf wird blind verschlossen.
SurgicalCORE Table/Figure
Both Billroth I and Billroth II techniques are feasible and safe reconstruction methods after LADG for gastric cancer. To reduce major complication rates, surgeons should pay attention to bleeding in Billroth I reconstruction and stump leakage in Billroth II reconstruction. Adenocarcinoma / pathology Adenocarcinoma / surgery* Gastrectomy / methods* Background In this modern era, laparoscopic distal gastrectomy (LDG) has largely replaced open distal gastrectomy for the treatment of gastric cancer; however, a quantitative review of reconstruction methods applied exclusively using LDG has not yet been published. Thereafter, we compared three reconstruction methods (Billroth I, Billroth II, and Roux-en Y) using the data derived solely from.
