Surgical Management: Billroth II

  • Jaclyn Wierzbicki
  • Peter NauEmail author


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.


Billroth II Gastrojejunostomy Partial gastrectomy BII 


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© SAGES 2019

Authors and Affiliations

  1. 1.Department of SurgeryThe University of Iowa Hospitals and ClinicsIowa CityUSA

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