Conversion operation Billroth II into Billroth I with jejunal interposition.
First, under consideration of the erroneous operative often techniques often found in patients with B II gastrectomy, all functional complaints of these patients should prompt the consultant to recommend conversion surgery. Secondly, all recurrent ulcerations, whether peptic or anastomositis, represent an indication for conversion surgery. Last but not least reconstruction of normal nutrition passage in an important indication for surgery in patients with B II gastrectomy, restoring near physiologic passage circumstances. Particularly grave in its consequences is the gastric stump carcinoma with its fateful and irrevocable course for patients with B II gastrectomy if regular gastroscopic and laboratory follow-up inspection do not take place (regardless of questionable operation indication). We recall a tragic case of a woman with B II gastrectomy who refused conversion surgery despite histologic verification of metaplasia, who died of gastric stump carcinoma a year later.
Ostach
W
W
German Red Cross Hospital Mark Brandenburg, Department for Surgery, Berlin.
Clevert
H D
HD
Lindquist
J
J
Rohleder-Telkamp
B
B
D000714:Anastomosis, Surgical / Q000379:methods; D004381:Duodenal Ulcer / Q000601:surgery*; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D011178:Postgastrectomy Syndromes / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery*; D012008:Recurrence; D013276:Stomach Ulcer / Q000601:surgery*