Billroth I and Billroth II

                        To perform a technically adequate study and to obtain all the pertinent information required, the radiologist must be familiar with the many types of gastric surgical procedure that may be performed. There are multiple eponyms and descriptive terminology used in gastric surgery. “Billroth I” is loosely used to refer to any partial gastric resection with an anastomosis to the duodenal stump. “Billroth II” loosely refers to any partial gastric resection with a gastrojejunostomy: the duodenal bulb is closed off and becomes part of the afferent limb with the efferent limb leading away from the stomach distally

Billroth I

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“radiology images Double-contrast” left posterior oblique view of the stomach following partial gastric resection with anastomosis to the duodenal bulb.

Billroth II

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radiology images Double-contrast supine view of the stomach following partial gastric resection with a gastrojejunostomy. There is filling of the efferent limb and a small portion of the afferent limb.

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