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Evaluation of the Billroth I gastric resection

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Summary

Results of the Billroth I operation in duodenal ulcer have been too variable to warrant our complete confidence in the operation. This is academic, since the combined operation (hemigastrectomy plus vagotomy plus gastroduodenostomy) appears to be far superior to eitherad modum Billroth I or II gastric resections for this disease entity. The treatment of benign gastric ulcer by Billroth I distal gastrectomy (usually, antrectomy is sufficient) is generally recognized as exceptionally satisfactory. The Billroth I resection for gastric carcinoma has its advocates and detractors; we have no set convictions concerning this problem. Finally, we believe that there is merit in the conversion of a Billroth II to I anastomosis for the treatment of severe dumping.

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Authors and Affiliations

  1. From the Department of Surgery, University of Washington School of Medicine, Seattle, Wash.

    Lloyd M. Nyhus M.D.

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  1. Lloyd M. Nyhus M.D.
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This paper was presented in part at the 46th Annual Clinical Congress, American College of Surgeons, San Francisco, Oct. 12, 1960.

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Nyhus, L.M. Evaluation of the Billroth I gastric resection. Digest Dis Sci 7, 224–235 (1962). https://doi.org/10.1007/BF02231815

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