Billroth II Versus Roux-en-Y for the Gastrojejunostomy in the Pancreatoduodenectomy

Billroth II Versus Roux-en-Y for the Gastrojejunostomy Reconstruction in the Pancreatoduodenectomy: a Randomized Controlled Study

The purpose of this study is to compare the safety and superiority of Roux-Y versus Billroth II gastrojejunostomy reconstruction on delayed gastric emptying after pancreatoduodenectomy.

Inclusion Criteria:

• Consecutive series of patients undergoing pancreaticoduodenectomy (PD).
• Given informed consent.

Exclusion Criteria:

• Inability to perform pancreatogastrostomy.
• Resection of other organs, except the superior mesenteric-portal vein.
• Previous gastric surgery.
• Preoperative gastric or duodenal obstruction.
• Previous complex abdominal surgery.