What is a Billroth II Gastrojejunostomy?

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.

What is Billroth II anastomosis?

The Billroth II anastomosis is created after the distal stomach is resected and an end-to-side gastrojejunostomy is created. From the gastrojejunal anastomosis, an afferent limb leads toward the proximal duodenum, whereas the efferent limb leads to the distal small bowel.

What is being removed during a Gastroenterostomy?

A gastroenterostomy is the surgical creation of a connection between the stomach and the jejunum. The operation can sometimes be performed at the same time as a partial gastrectomy (the removal of part of the stomach).

What does subtotal gastrectomy mean?

A subtotal gastrectomy includes removing the part of your stomach with cancer, nearby lymph nodes, and possibly parts of other organs near the tumor (see Figures 2 and 3). ​

What is the difference between billroth 1 and 2?

A Billroth I procedure is a gastroduodenostomy, which can be fashioned in either an end-to-end or an end-to-side manner. A Billroth II or gastrojejunostomy reconstruction is usually fashioned in an end-to-side manner.

What is truncal vagotomy?

A truncal vagotomy is the division of the anterior and posterior trunks 4-cm proximal to the GEJ. Removes the acetylcholine-mediated secretion of acid from parietal cells. Results in the accelerated emptying of liquids due to the removal of the vagally mediated receptive relaxation of the gastric fundus.

What does Gastroenterostomy mean in medical terms?

noun, plural gas·tro·en·ter·os·to·mies. Surgery. the making of a new passage between the stomach and the duodenum (gastroduodenostomy ) or, especially, the jejunum (gastrojejunostomy ).

How much stomach is removed in a subtotal gastrectomy?

Removing part of the stomach Your surgeon may remove up to two thirds of your stomach if the cancer is at the lower end of your stomach. This is called a subtotal gastrectomy.

What is the difference between a billroth 1 and 2?

A Billroth I is the creation of an anastomosis between the duodenum and the gastric remnant (gastroduodenostomy). A Billroth II operation is constructed by sewing a loop of jejunum to the gastric remnant (gastrojejunostomy).

Why is it called Roux-en-Y?

Overview. The name is derived from the surgeon who first described it (César Roux) and the stick-figure representation. Diagrammatically, the Roux-en-Y anastomosis looks a little like the letter Y.

Why is truncal vagotomy done?

Truncal vagotomy. This type is commonly used with pyloroplasty or abdominal drainage to treat chronic peptic ulcers. It involves cutting one or more of the branches that split off the main trunk of the vagus nerve and travel down your esophagus to your stomach and other digestive organs.

What is a Billroth II gastrojejunostomy?

Billroth II gastrojejunostomy is a procedure that has been performed for tumor or severe ulcer disease in the distal stomach.

What is Billroth II ICD 9 cm?

Billroth II. ICD-9-CM. 43.7. Billroth II, more formally Billroth’s operation II, is an operation in which the greater curvature of the stomach is connected to the first part of the jejunum in end-to-side anastomosis.

Who was the first person to refer to the Billroth II Operation?

Von Hacker was the first person to refer to the Billroth II partial gastrectomy operation writing from Billroth’s clinic in 1885. ^ Robinson, JO. The History of Gastric Surgery.

What is the difference between a Billroth II and Roux-en-Y procedure?

There are two portions (“limbs”) of the small bowel after the procedure: A Roux-en-Y gastrojejunostomy (as can be seen in Roux-en-Y gastric bypass procedures) has a different configuration than a Billroth II gastrojejunostomy. Some consider the Roux-en-Y a variation of a Billroth II procedure.