RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Robert M.
SR Print(0)
ID 1127271971
T1 HEMIGASTRECTOMY, BILLROTH I METHOD
T2 Zollinger's Atlas of Surgical Operations, 10e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179755-9
LK accesssurgery.mhmedical.com/content.aspx?aid=1127271971
RD 2024/04/19
AB The  Billroth  I  procedure  for  gastroduodenostomy  is  the  most  physiologic  type  of  gastric  resection,  since  it  restores  normal  continuity.  Although  long  preferred  by  some  in  the  treatment  of  gastric  ulcer  or  antral  carcinoma,  its  use  for  duodenal  ulcer  has  been  less  popular.  Control  of  acid  secretion  by  vagotomy  and  antrectomy  has  permitted  retention  of  approximately  50%  of  the  stomach  while  ensuring  the  lowest  ulcer  recurrence  rate  of  all  procedures  (figure  1).  This  allows  an  easy  anastomosis  without  tension,  providing  both  stomach  and  duodenum  have  been  thoroughly  mobilized.  Furthermore,  the  poorly  nourished  patient  has  an  adequate  gastric  capacity  for  maintaining  a  proper  nutritional  status  postoperatively.  Purposeful  constriction  of  the  gastric  outlet  to  the  size  of  the  pylorus  tends  to  delay  gastric  emptying  and  decrease  postgastrectomy  complaints.