Billroth II, more formally Billroth's operation II, is an
operation
Operation or Operations may refer to:
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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
The curvatures of the stomach are the long, convex, lateral surface, and the shorter, concave, medial surface of the stomach, which are referred to as the greater and lesser curvatures, respectively. The greater curvature, which begins at the ca ...
of the stomach (not involved with the previous closure of the stomach) is then connected to the first part of the
jejunum
The jejunum is the second part of the small intestine in humans and most higher vertebrates, including mammals, reptiles, and birds. Its lining is specialized for the absorption by enterocytes of small nutrient molecules which have been pr ...
in end-to-side anastomosis. The Billroth II always follows resection of the lower part of the
stomach
The stomach is a muscular, hollow organ in the upper gastrointestinal tract of Human, humans and many other animals, including several invertebrates. The Ancient Greek name for the stomach is ''gaster'' which is used as ''gastric'' in medical t ...
(
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 is when the inner part of the stomach's gastric mucosa (lining of the stomach), the first part of the small intestine, or sometimes the lower esophagus, gets damaged. An ulcer in the stomach is called a gastric ulcer, while ...
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