Reconstruction by Billroth I Method

  • Hyuk-Joon Lee
  • Jin-Jo Kim
  • Naoki Hiki
  • Shinya Tanimura


Gastroduodenostomy (Billroth I) is one of the most common reconstruction methods after distal gastrectomy. The advantage of Billroth I over Billroth II or Roux-en-Y gastrojejunostomy is that the operating time is short, the normal duodenal passage of food is preserved, and the afferent loop syndrome is avoided. According to the Korean nationwide survey performed by the Korean Gastric Cancer Association, Billroth I reconstruction was performed in 55.3% of all distal gastrectomy cases in 2004 [1].


Linear Stapler Remnant Stomach Circular Stapler Duodenal Stump Proximal Resection Margin 
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Copyright information

© Springer 2012

Authors and Affiliations

  • Hyuk-Joon Lee
    • 1
  • Jin-Jo Kim
    • 2
  • Naoki Hiki
    • 3
  • Shinya Tanimura
    • 3
  1. 1.Department of Surgery and Cancer Research InstituteSeoul National University Hospital, Seoul National University College of MedicineJongno-guKorea
  2. 2.Department of Surgery, Incheon St. Mary’s HospitalThe Catholic University of KoreaBupyeong-guKorea
  3. 3.Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute HospitalJapanese Foundation for Cancer ResearchKoto-kuJapan

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