Reconstruction by Billroth I Method

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].