Sutures and Wound Repair/ General Surgery (ABSA) Practice Test

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What type of surgical procedure involves subtotal gastric resection with gastrojejunostomy anterior to the transverse colon?

Billroth I
Billroth II
Roux-en-Y
Whipple procedure

The correct answer is: Billroth II

The procedure involving subtotal gastric resection with gastrojejunostomy anterior to the transverse colon is known as a Billroth II procedure. This type of surgery is performed to address certain gastrointestinal conditions, such as gastric cancer or severe peptic ulcer disease. In the Billroth II procedure, a portion of the stomach is removed (subtotal gastric resection), and the remaining portion is connected to the jejunum (the middle segment of the small intestine) instead of the duodenum. This connection is made in such a way that the jejunum is sutured directly to the stomach, allowing the digestive contents to bypass the duodenum. This approach can help mitigate issues related to gastric outlet obstruction and allows continuity of the gastrointestinal tract, enabling food to pass through and be digested, albeit with some changes in normal digestive physiology.