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Billroth II, more formally Billroth's operation II, is an operation in which a partial gastrectomy (removal of the stomach) is performed and the cut end of the stomach is closed.
Gastroenterostomy, anastomosis of gastric cardia to jejunum. A gastroenterostomy is the surgical creation of a connection between the stomach and the jejunum.The operation can sometimes be performed at the same time as a partial gastrectomy (the removal of part of the stomach).
A jejunostomy is different from a jejunal feeding tube. A jejunal feeding tube is an alternative to a gastrostomy feeding tube and is commonly used when gastric enteral feeding is contraindicated or carries significant risks.
A loop of the small gut is brought up and hooked to this tube at about 180 cm from the start of the intestine. Numerous studies show that the loop reconstruction (Billroth II gastrojejunostomy) works more safely when placed low on the stomach, but can be a disaster when placed adjacent to the esophagus.
A gastrojejunostomy, or GJ feeding tube, is a combination device that includes access to both the stomach and the jejunum, or middle part of the small intestine. Typical tubes are placed in a G-tube site or stoma, with a narrower long tube continuing through the stomach and into the small intestine.
Roux-en-Y hepaticojejunostomy or choledochojejunostomy with gastrojejunostomy as palliation for irresectable pancreatic head cancer. [8] References
Percutaneous endoscopic gastrostomy (PEG) is an endoscopic medical procedure in which a tube (PEG tube) is passed into a patient's stomach through the abdominal wall, most commonly to provide a means of feeding when oral intake is not adequate (for example, because of dysphagia or sedation).
Before finalisation of the front wall, a double-lumen gastric tube is placed distally to the anastomosis, allowing early enteral nutrition. [9] In order to prevent enterogastric (bile) reflux, the formation of a jejunojejunostomosis (Braun anastomosis), side-to-side, and 30 cm aborally of the gastrojejunostomy is mandatory. [9]