Abstract
Gastrojejunostomy is the term used to describe anastomosis of the stomach to the jejunum. This operation is usually used in combination with other procedures in the treatment of a variety of surgical conditions ranging from peptic ulcer disease to pancreatic carcinoma [1–3]. The fiirst gastrojejunostomy was performed in 1881 by Anton Wölfler for the treatment of pyloric obstruction in a patient with carcinoma (Figure 5–1) [4, 5]. In 1883, Curvoisier modifiied Wölfler’s technique by placing the gastrojejunostomy on the posterior aspect of the stomach instead of the anterior wall [6]. Despite the fundamental contributions of these individuals to the development of the gastrojejunostomy, the surgeon most often associated with this procedure is Theodor Billroth. In 1885, while operating on a patient with gastric outlet obstruction secondary to a pyloric tumor, Billroth performed a gastric resection and then restored gastrointestinal tract continuity with a side-to-side gastrojejunostomy [7] . This procedure is now referred to as the Billroth II. Billroth I, on the other hand, involves end-to-end anastomosis of the stomach to the duodenum following distal gastric resection.
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Collins, B.H., Pappas, T.N. (1996). Laparoscopic Gastrojejunostomy. In: Atlas of Laparoscopic Surgery. Current Medicine Group, London. https://doi.org/10.1007/978-1-4757-9316-1_5
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DOI: https://doi.org/10.1007/978-1-4757-9316-1_5
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