What does a Billroth I procedure entail?

A Billroth I procedure involves a partial gastrectomy, specifically the removal of the lower part of the stomach, followed by anastomosis to the duodenum. This surgical approach is typically performed to treat peptic ulcers of the stomach and is aimed at restoring continuity of the gastrointestinal tract after excising the diseased portion of the stomach. By connecting the remaining gastric pouch directly to the duodenum, the procedure allows for the normal passage of food into the small intestine, facilitating digestion and absorption.

The focus on duodenal anastomosis is crucial, as it distinguishes the Billroth I from the Billroth II procedure, which would instead connect the remaining stomach to the jejunum. Understanding this specific connection is essential for surgical assistants and practitioners in comprehending gastrointestinal surgical techniques and their implications.