Overview of Surgery
Background:

  • Billroth Type 2 surgeries are presently done for gastric outlet obstruction or gastric cancer.

  • Some patients had this type of surgery for peptic ulcer disease more than 20 years ago


Surgical Procedure:

  • The gastric antrum and duodenal cap are resected.

  • The Duodeno-jejunal flexure is anastomosed to the greater curvature of the stomach

  • Two Limbs are created:

    • An Afferent limb (duodenum) inflowing towards the gastric remnant

    • Efferent limb (jejunum) draining down into the small bowel

    • The Efferent limb anastomsis is either Antecolic or Retrocolic (in front of, or through the transverse mesocolon respectively)