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 the difference between Billroth 1 and Billroth 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 the potential complication resulting from Billroth II?
Of the complications associated with Billroth II partial gastrectomy, including marginal ulceration, bezoars, stump carcinoma, and chronic bile reflux gastritis, jejunal gastric intussusception is rarest.
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.
Is billroth 2 a bariatric surgery?
It was also well recognized that Billroth II (partial) gastrectomy is associated with weight loss and several variations of this procedure have been used effectively in the surgical treatment of morbid obesity with benefit lasting for up to 10 years [4], [6], [7], [8], [9], [10], [11].
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 is the anastomosis completed in a Billroth I procedure?
Billroth I, more formally Billroth’s operation I, is an operation in which the pylorus is removed and the distal stomach is anastomosed directly to the duodenum. The operation is most closely associated with Theodor Billroth, but was first described by Polish surgeon Ludwik Rydygier.
What is Braun anastomosis?
Braun enterostomy is a type of anastomosis done following a major surgery like pancreaticoduodenectomy (removal of pancreas and a part of the intestine). Enteroenterostomy is an anastomosis (connection) between one part of the small bowel to another (jejunum or ileum).
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.
How do you perform a distal gastrectomy?
Distal Gastrectomy (Open)
- Patient is positioned supine on operating table.
- Anesthesia and antibiotic administration (usually a cephalosporin)
- Upper midline incision (xiphoid process to below umbilicus)
- Division of falciform ligament.
- Abdominal exploration (for extent of locoregional disease and distant metastases)
Why Pyloroplasty is done?
Why the Procedure is Performed Pyloroplasty is used to treat complications in people with peptic ulcers or other stomach problems that cause a blockage of the stomach opening.
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.
Why are Gastrectomies done?
A gastrectomy is often used to treat stomach cancer. Less commonly, it’s used to treat: life-threatening obesity. oesophageal cancer.
What is a full gastrectomy?
A total gastrectomy involves removing your whole stomach, nearby lymph nodes, and parts of your esophagus and small intestine. Your esophagus is reconnected to your small intestine so you can continue to eat and swallow (see Figures 4 and 5).
What is Billroth I anastomosis?
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.
Is gastrojejunostomy a gastric bypass?
Gastrojejunostomy is a surgical procedure in which an anastomosis is created between the stomach and the proximal loop of the jejunum. This is usually done either for the purpose of draining the contents of the stomach or to provide a bypass for the gastric contents.
How long does gastrojejunostomy surgery take?
The surgery takes around 2 to 4 hours. After the laparoscopic gastrojejunostomy, the patient has to follow diet instruction provided by the doctor.
What is a dumping syndrome?
Overview. 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 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 truncal vagotomy and Antrectomy?
Vagotomy-antrectomy, preferably with a Billroth I reconstruction, is the most effective operation in current use to control recurrent ulceration. Truncal vagotomy-pyloroplasty is not an ideal operation to use for the complications of ulcer.
What is truncal vagotomy how does it affect git functions?
Truncal vagotomy: The two main trunks (anterior and posterior) of the vagus nerve are cut above the place where the esophagus joins the stomach (gastroesophageal junction). A truncal vagotomy removes the nerve going through the entire gastrointestinal system including the liver, gallbladder, pancreas and bowels.
What is the Roux en Y procedure?
Roux-en-Y gastric bypass (RYGB) is a type of weight-loss surgery. Weight-loss surgery is also called bariatric surgery. It’s often done as a laparoscopic surgery, with small incisions in the abdomen. This surgery reduces the size of your upper stomach to a small pouch about the size of an egg.
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 colectomy surgery?
A colectomy is a type of surgery used to treat colon diseases. These include cancer, inflammatory disease, or diverticulitis. The surgery is done by removing a portion of the colon. The colon is part of the large intestine.
How long is Hemicolectomy surgery?
A hemicolectomy usually takes about two hours, but it may take longer depending on any complications during the procedure.
What is the role of Jejunojejunostomy?
Jejunojejunostomy is a surgical technique used in an anastomosis between two portions of the jejunum. It is a type of bypass occurring in the intestine. It may lead to marked reduction in the functional volume of the intestine. This technique is also performed using Laparoscopic surgery.
What is RNY bypass?
Overview. Gastric bypass, also called Roux-en-Y (roo-en-wy) gastric bypass, is a type of weight-loss surgery that involves creating a small pouch from the stomach and connecting the newly created pouch directly to the small intestine.
What is Gastrogastric fistula?
Background: Gastrogastric fistula is a communication between the proximal gastric pouch and the distal gastric remnant, rarely described in the realm of bariatric procedures. The aim of this study was to review the existing literature about this topic and to demonstrate its laparoscopic treatment.
What is Candy Cane syndrome?
Candy cane syndrome is a rare complication reported in bariatric patients following Roux-en-Y gastric bypass. It occurs when there is an excessive length of roux limb proximal to gastrojejunostomy, creating the possibility for food particles to lodge and remain in the blind redundant limb.
Graduated from ENSAT (national agronomic school of Toulouse) in plant sciences in 2018, I pursued a CIFRE doctorate under contract with Sun’Agri and INRAE in Avignon between 2019 and 2022. My thesis aimed to study dynamic agrivoltaic systems, in my case in arboriculture. I love to write and share science related Stuff Here on my Website. I am currently continuing at Sun’Agri as an R&D engineer.