Is billroth 2 the same as Roux-en-Y?

Is billroth 2 the same as Roux-en-Y?

Billroth II reconstruction in comparison to Roux-en-Y is a simpler operation with only one anastomosis and faster operating time (6). This has implications while managing gastric cancer patients who may be malnourished and a simpler procedure may have lesser risk of complications and yield better outcomes.

What is Billroth II Gastrojejunostomy?

Billroth II gastrojejunostomy is a procedure that has been performed for tumor or severe ulcer disease in the distal stomach.

What is Billroth II anastomosis?

The Billroth II anastomosis is created after the distal stomach is resected and an end-to-side gastrojejunostomy is created. From the gastrojejunal anastomosis, an afferent limb leads toward the proximal duodenum, whereas the efferent limb leads to the distal small bowel.

Why is it called a Roux-en-Y?

The Roux-en-Y is named after the Swiss surgeon César Roux (1857-1934), who was Chief of Surgery at the county hospital of Lausanne and following the opening of the new University of Lausanne, in 1890, was its inaugural Professor of External Pathology and Gynecology 4.

What is the difference between billroth 1 and 2?

A Billroth I procedure is a gastroduodenostomy, which can be fashioned in either an end-to-end or an end-to-side manner. A Billroth II or gastrojejunostomy reconstruction is usually fashioned in an end-to-side manner.

When was the first Roux-en-Y?

1967: The Roux-en-Y This gave them the idea to revive the original bypass performed by Roux, making some important adjustments. Using surgical staples, the surgeons reduced the size of the stomach and bypassed a portion of the small intestine.

Is Roux-en-Y restrictive or malabsorptive?

Roux-en-Y is the most common type of gastric bypass surgery. The procedure involves stapling the stomach to create a small pouch that holds less food. We shape a portion of the small intestine into a “Y.” Roux-en-Y is: Malabsorptive (limits food absorption)

What is the difference between Roux-en-Y and Billroth II?

A comparison between the Roux-en-Y (n = 257) and Billroth II (n = 190) groups demonstrated no differences in patient and tumor characteristics, except for Billroth II patients having a higher proportion of antral tumors (71 % vs. 50 %, p < 0.001).

What is Billroth II (BII) reconstruction?

Although Billroth II (BII) reconstruction is simpler and faster than Billroth I or Roux-en-Y (RY) reconstruction in patients undergoing totally laparoscopic distal gastrectomy (TLDG), BII reconstruction is associated with several complications, including more severe bile reflux.

How long is a roux-en-Y operation?

Roux-en-Y operations were slightly longer (244 min vs. 212 min, p < 0.001) and associated with somewhat higher blood loss (243 ml vs. 205 ml, p = 0.033).

What is the difference between R-Y and B-II surgery?

Patients in the B-II group had a significantly shorter hospital stay after operation than patients in the R-Y group (31.6 ± 15.0 days vs. 41.4 ± 20.5 days, P = 0.037). In terms of postoperative complications, the incidence of pancreatic fistula was significantly higher in patients with DGE (38.5%) than in patients without DGE (14.8%) (P = 0.037).