Billroth II, more formally Billroth's operation II, is an
operation
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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. The Billroth II always follows resection of the lower part of the
stomach (
antrum). The surgical procedure is called a partial gastrectomy and gastrojejunostomy.
The Billroth II is often indicated in refractory
peptic ulcer disease
Peptic ulcer disease (PUD) is a break in the inner lining of the stomach, the first part of the small intestine, or sometimes the lower esophagus. An ulcer in the stomach is called a gastric ulcer, while one in the first part of the intestines i ...
and
gastric adenocarcinoma.
[Robinson, JO. The History of Gastric Surgery. Postgraduate Medical Journal. Dec 1960, p 706-713.]
Over the years, the Billroth II operation has been colloquially referred to as any partial removal of the stomach with an end to side connection to the stomach as shown in the picture; however, technically, this picture is a modification of Billroth's operation called a partial gastrectomy with a Kronelein anastomosis where the divided end of the stomach is directly anastomosed to the side of the jejunal loop.
Von Hacker was the first person to refer to the Billroth II partial gastrectomy operation writing from Billroth's clinic in 1885.
See also
*
Billroth I
*
Roux-en-Y
References
External links
system surgical procedures
Digestive system surgery