Billroth II with Braun Enteroenterostomy
Is a Good Alternative Reconstruction to Roux-en-Y Gastrojejunostomy in Laparoscopic Distal Gastrectomy.
Finally, the biliopancreatic or afferent limb is anastomosed 75-150 cm distal to the G-J anastomosis in side-to-side fashion (the enteroenterostomy or J-J anastomosis).
There are three main types of RYGB-associated postoperative internal hernias: transverse mesocolonic hernias, which extend through the transverse mesocolon; J-J hernias, which traverse through the small-bowel mesenteric defect near the enteroenterostomy; and Petersen hernias, which course through the potential space between the roux limb and the transverse mesocolon (Figure 6).
The distance between the enteroenterostomy and EJS (about 40 cm) minimizes biliary content and pancreatic juice reflux to the esophagus.
The second enteroenterostomy is performed 20-25 cm below.
In this situation, doing an enteroenterostomy
or marsupialization with the duplicate being left in place to avoid resecting too much of normal bowel is advised [13-15].
Braun  introduced an enteroenterostomy
anastomosis in an attempt to divert food from the afferent limb, thus reducing the incidence of the "vicious circle" syndrome.
A segmental small bowel resection with an enteroenterostomy
Two patients diagnosed to have benign CBD stricture with history of previous Cholecystectomy, underwent Roux en Y Hepatico-Jejunostomy and enteroenterostomy
. One patient developed bile leak with cholangitis, which was treated with antibiotics and right pleural effusion, which was treated with intercostal drainage.
The standard therapy is surgical decompression, often by means of enteroenterostomy
, as was done in this case; this can also be achieved by laparoscopic or endoscopic intervention, and interventive radiology can offer temporary duodeno-jejunal decompression by means of internalexternal biliary drainage.
The aneurysm was resected en bloc with the adjacent segment of ileum, followed by primary enteroenterostomy
This percentage was statistically similar to that of the nonelderly population, while in 52.9% to 60.3% of the cases, both the small intestine and the sigmoid colon are found to be gangrenous.2,4,5,9 Although there is considerable controversy regarding the preferred surgical procedure, in gangrenous ISK cases, all gangrenous small bowel segments are resected and bowel continuity is restored by an enteroenterostomy
; similarly, a gangrenous sigmoid colon is resected and a primary anastomosis is used if the patient is stable and a tension-free anastomosis is possible.