Billroth I anastomosis

Bill·roth I a·nas·to·mo·sis

reestablishment of intestinal continuity after a distal gastrectomy by a gastroduodenostomy.
See also: Billroth I operation.
Farlex Partner Medical Dictionary © Farlex 2012

Billroth I operation

The excision of the pylorus with an end-to-end anastomosis of the stomach and the duodenum, which was once used in managing peptic ulcer disease and continues in use for stomach cancer.
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.


Christian Albert Theodor, Austrian surgeon, 1829-1894.
Billroth I anastomosis - Synonym(s): Billroth operation I
Billroth II anastomosis - Synonym(s): Billroth operation II
Billroth cords - the tissue occurring between the venous sinuses in the spleen. Synonym(s): splenic cords
Billroth disease
Billroth forceps
Billroth gastrectomy - Synonym(s): Billroth operation I and II
Billroth gastroduodenoscopy
Billroth gastroenterostomy
Billroth gastrojejunostomy
Billroth hypertrophy
Billroth operation I - excision of the pylorus with end-to-end anastomosis of stomach and duodenum. Synonym(s): Billroth I anastomosis; Billroth gastrectomy
Billroth operation II - resection of the pylorus with the greater part of the lesser curvature of the stomach, closure of the cut ends of the duodenum and stomach, followed by a gastrojejunostomy. Synonym(s): Billroth II anastomosis; Billroth gastrectomy
Billroth ovarian retractor
Billroth venae cavernosae - small tributaries of the splenic vein in the pulp of the spleen. Synonym(s): venae cavernosae of spleen
Medical Eponyms © Farlex 2012
References in periodicals archive ?
(2-6) Most of the techniques describing the use of circular staplers for Billroth I anastomosis required an additional gastrotomy for introducing the instrument or passage of the instrument through the part of the stomach to be resected.
A modified stapling technique for performing Billroth I anastomosis after distal gastrectomy.
Use of a circular stapler for Billroth I anastomosis after distal gastrectomy.
We proceeded to a lower third gastrectomy involving the duodenal bulb, pylorus, and antrum and performed a Billroth I anastomosis. We also did a longitudinal incision of the jejunum 15 cm away from the ligament of Treitz and managed to remove one wide-based polyp, which is 1.5 cm in length.
Moreover, a Billroth I anastomosis was deemed preferable so that future endoscopies may be facilitated.
In our study, 54 patients (71.05%) had Billroth I anastomosis and 19 patients (25%) had Billroth II anastomosis.
If there is extensive destruction then a partial gastrectomy may be performed with a Billroth I anastomosis if there is enough duodenum or a Billroth II, gastrojejunostomy if the proximal duodenum is also damaged.
Billroth I anastomosis has been known to offer the advantages of greater simplicity of performance, fewer postanastomosis anatomical changes, increased physiological pathways, and lower incidences of adhesion and internal herniation.
Although mechanical stapling is now an established alternative to conventional hand suturing for construction of a gastrointestinal anastomosis, its role in gastroduodenostomy remains to be defined.[1] Several techniques have been described for performing Billroth I anastomosis after distal gastrectomy using a circular stapler.[1-3] Some surgeons make an incision on the anterior wall of the residual stomach, insert the circular stapler, and perform side-to-end gastroduodenostomy.
We describe a Billroth I gastrectomy and Billroth I anastomosis in which we introduced a CDH stapler (Ethicon Endo-Surgery, Cincinnati, Ohio, USA) through the part of the stomach to be resected.