Which is better billroth 1 or 2?
Billroth I reconstruction was performed more frequently in the lower portion of the stomach (p<0.001) and yielded shorter operating times. The postoperative complication rate was 11.4% in the Billroth I group, which was lower than that in the Billroth II group (16.9%) (p=0.011).
What is the difference between 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).
What is billroth2?
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 are the indications for gastrectomy?
Indications for partial gastrectomy include the following:
- Gastric cancer.
- Recurrent ulcer disease.
- Large duodenal perforations.
- Bleeding gastric ulcer.
- Gastrointestinal stromal tumors (GISTs)
- Corrosive stricture of the stomach.
- Primary gastric melanoma.
Why is it called Roux-en-Y?
The Roux-en-Y is named after the Swiss surgeon César Roux (1857-1934), who was Chief of Surgery at the county hospital of Lausanne and following the opening of the new University of Lausanne, in 1890, was its inaugural Professor of External Pathology and Gynecology 4.
What is a partial gastronomy?
A partial gastrectomy is the surgical removal of a portion of the stomach, as opposed to a total gastrectomy in which the entire stomach is removed. A gastrectomy may also be accompanied by a vagotomy (removal of the part of the vagus nerve that stimulates the stomach’s acid production for digestion).
What is highly selective vagotomy?
Highly selective vagotomy refers to denervation of only those branches supplying the lower esophagus and stomach (leaving the nerve of Latarjet in place to ensure the emptying function of the stomach remains intact). It is one of the treatments of peptic ulcer.
Why is it called a 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.
What is dump syndrome?
Dumping syndrome is a condition that can develop after surgery to remove all or part of your stomach or after surgery to bypass your stomach to help you lose weight. The condition can also develop in people who have had esophageal surgery.
Why is a billroth 2 done?
Billroth II gastrojejunostomy is a procedure that has been performed for tumor or severe ulcer disease in the distal stomach.
What are the complications of gastrectomy?
Possible complications of a gastrectomy include:
- wound infection.
- leaking from a join made during surgery.
- stricture – where stomach acid leaks up into your oesophagus and causes scarring, leading to the oesophagus becoming narrow and constricted over time.
- chest infection.
- internal bleeding.
- blockage of the small intestine.
What is the removal of the stomach called?
A gastrectomy is a medical procedure where all or part of the stomach is surgically removed.
Are there any complications with Billroth 2 surgery?
Other complications like pancreatic fistula, chyle leak and bleeding of the anastomosis site were rare. Almost all types of innominate complications were also higher in the Billroth II type. Among cases of innominate complications, some patients did not experience any complications described in POSSUM.
What’s the difference between Billroth 1 and 2?
Afferent loop syndrome (i.e., sludging of stuff in the loop that is not in the enteric stream) is also a complication of Billroth II. Bile reflux gastritis may occur in both procedures. Billroth I is more physiologic; thus, it results in better protein and fat digestion.
What kind of surgery does Theodor Billroth do?
Billroth Surgery is a partial resection of the stomach with anastomosis to the duodenum (Billroth I) or to the jejunum (Billroth II). It is a standard treatment for ulcer disease, stomach cancer, injury and other diseases of the stomach. This was first described by Theodor Billroth, the pioneer in modern surgery. Billroth I & Billroth II
What kind of reconstruction is done on Billroth 2?
Billroth II reconstruction consists of a gastrojejunostomy in which a side-to-side anastomosis is created between the gastric remnant and a loop of jejunum, with closure of the duodenal stump ( Fig. 76-4 ).