Abstract
When partial gastrectomy is performed, there are several options available for reconstruction including Billroth I (BI), Billroth II (BII), and Roux-en-Y (REY). While utilized less frequently than the others, the BII is indicated in specific circumstances such as the multiply operated abdomen, anticipated need for biliary tree access, and avoidance of complications specifically associated with the alternative operations. Postoperatively, morbidities associated with this procedure include nutritional deficiencies, dumping syndromes, afferent loop syndrome, delayed gastric emptying, bile reflux, and ulcers. Familiarity with the BII is critical for the management of patients who have undergone this procedure in the past as well as keeping it in the armamentarium of surgical options should it become necessary intraoperatively.
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References
Bumm R, Siewert JR. Distal gastrectomy with Billroth I or Billroth II reconstruction. Mastery of surgery. 6th ed; p. 986–95. Philadelphia: Wolters Kluwer, 2011.
ten Broek RP, Issa Y, van Santbrink EJ, et al. Burden of adhesions in abdominal and pelvic surgery: systematic review and met-analysis. BMJ. 2013;347:f5588.
Vogel SB, Drane WE, Woodward ER. Clinical and radionuclide evaluation of bile diversion by Braun enteroenterostomy: prevention and treatment of alkaline reflux gastritis. An alternative to Roux-en-Y diversion. Ann Surg. 1994;219(5):458–65; discussion 65–6.
Bolton JS, Conway WC II. Postgastrectomy syndromes. Surg Clin N Am. 2011;91:1105–22.
Yang H, Kong S, Hope W, Kercher K, Heniford BT. Laparoscopic resection for gastric adenocarcinoma. Mastery of endoscopic and laparoscopic surgery. 4th ed; p. 235–55. Philadelphia: Lippincott Williams and Wilkins, 2014.
Radigan AE. Post-gastrectomy: managing the nutrition fall-out. Practical gastroenterology, Nutrition issues in gastroenterology, series #18; p. 63–75. New York: Mahl, 2004.
Kate V, Kalayarasan R, Elamurugan TP, Ananthakrishnan N. Surgery for peptic ulcer disease. Textbook of surgical gastroenterology. p. 283–99. New Delhi: Jaypee Brothers Medical Publishers, 2016.
Madura JA. Primary bile reflux gastritis: diagnosis and surgical treatment. Am J Surg. 2001;186:269–73.
Stefaniwsky AB, Tint GS, Speck J, Shefer S, Salen G. Ursodeoxycholic acid treatment of bile reflux gastritis. Gastroenterology. 1985;89(5):1000–4.
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Wierzbicki, J., Nau, P. (2019). Surgical Management: Billroth II. In: Grams, J., Perry, K., Tavakkoli, A. (eds) The SAGES Manual of Foregut Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-96122-4_59
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DOI: https://doi.org/10.1007/978-3-319-96122-4_59
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