Search results
Results from the WOW.Com Content Network
Roux-en-Y reconstruction following partial or complete gastrectomy for stomach cancer. [4] Roux-en-Y hepatico jejuno stomy used to treat (macroscopic) bile duct obstruction which may arise due to: a common bile duct tumour or hepatic duct tumour (e.g. resection of cholangiocarcinoma) [5] a bile duct injury (e.g. cholecystectomy, iatrogenic, trauma)
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. The greater curvature of the stomach (not involved with the previous closure of the stomach) is then connected to the first part of the jejunum in end-to-side anastomosis.
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. [1] [2]The operation is most closely associated with Theodor Billroth, but was first described by Polish surgeon Ludwik Rydygier.
The alkaline environment causes the retained gastric tissue to produce acid, which may result in ulcers in a rare complication known as retained antrum syndrome. All patients lose weight after gastrectomy, although the extent of weight loss is dependent on the extent of surgery (total gastrectomy vs partial gastrectomy) and the pre-operative BMI.
It has been found to produce a weight loss comparable to that of Roux-en-Y gastric bypass. [18] The risk of ulcers or narrowing of the gut due to intestinal strictures is less so with sleeve gastrectomy versus Roux-en-Y gastric bypass, but it is not as effective at treating GERD or type 2 diabetes. [18]
According to reports, 0.2% of patients after distal gastrectomy with Roux-en-Y reconstruction, 1% after laparoscopic distal gastrectomy with Billroth II reconstruction, and 0.3–1.0% of patients following total gastrectomy with Billroth II or Roux-en-Y reconstruction have afferent loop syndrome. [15]
The Roux-en-Y laparoscopic gastric bypass, first performed and reported on in case studies between 1993 and 1994, [3] is regarded as one of the most difficult procedures to perform by limited access techniques.
Antrectomy, also called distal gastrectomy, is a type of gastric resection surgery that involves the removal of the stomach antrum to treat gastric diseases causing the damage, bleeding, or blockage of the stomach. [1] [2] This is performed using either the Billroth I (BI) or Billroth II (BII) reconstruction method.