TY  - CHAP
M1  - Book, Section
TI  - Hemigastrectomy, Billroth I Method
A1  - Ellison, E. Christopher
A1  - Zollinger, Jr., Robert M.
A1  - Pawlik, Timothy M.
A1  - Vaccaro, Patrick S.
A1  - Bitans, Marita
A1  - Baker, Anthony S.
PY  - 2022
T2  - Zollinger’s Atlas of Surgical Operations, 11e
AB  - The  Billroth  I  procedure  for  gastroduodenostomy  is  the  most  physiologic  type  of  gastric  resection  because  it  restores  normal  continuity.  Although  long  preferred  by  some  surgeons  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,  provided  that  both  stomach  and  duodenum  have  been  thoroughly  mobilized.  Furthermore,  a  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.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1187820817
ER  -