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Professional Technical IVT

Billroth I anastomosis

Pronunciation: BILL-roth one an-as-toh-MOH-sis

A surgical reconstruction technique following gastric resection where the stomach is directly connected to the duodenum.

Full Definition

The Billroth I anastomosis is a surgical reconstruction method used after partial gastrectomy, involving direct end-to-end connection of the gastric remnant to the duodenum. This technique preserves the normal anatomical pathway of food through the digestive tract. It is preferred over Billroth II when there is adequate gastric mobility and no significant tension at the anastomotic site. The procedure is commonly used in gastric cancer surgery when the tumor location permits preservation of sufficient stomach length.

Usage

Usage note: Always capitalize 'Billroth' as it is an eponym. Use Roman numeral I, not Arabic numeral 1.

In Context

  • "The surgeon opted for a Billroth I anastomosis given the patient's adequate gastric mobility following distal gastrectomy." — Operative report
  • "Post-operative imaging confirmed patent Billroth I anastomosis without evidence of leak or stricture." — Radiology report

Also known as

gastroduodenostomy end-to-end gastroduodenal anastomosis

Contrasted with

Billroth II anastomosis

Don't confuse with

Billroth II anastomosis Roux-en-Y anastomosis

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