Laparoscopic Gastrojejunostomy

  • Bradley H. Collins
  • Theodore N. Pappas

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.

Keywords

Pancreatic Cancer Peptic Ulcer Disease Gastric Outlet Obstruction Duodenal Obstruction Surgical Palliation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1996

Authors and Affiliations

  • Bradley H. Collins
  • Theodore N. Pappas

There are no affiliations available

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