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A Billroth procedure is performed to treat problems such as perforating ulcers or cancer.

Depending on the severity of the condition or its location in the stomach or intestine, the surgeon will decide on which procedure to perform. Billroth procedures remove the lower portion of the stomach as well as the beginning of the intestine, called the duodenum.

A Billroth 1 procedure is when the remaining part of the stomach is attached to the remaining part of the duodenum before the common bile duct. The common bile duct is a tube that delivers digestive enzymes into the intestine.

A Billroth 2 procedure is performed when there is not enough length left of the duodenum for attachment before the common bile duct. In this case, the surgeon seals off the duodenum, and attaches the end of the stomach farther down the small intestine.

Patients who have had either procedure must change their diet in order to prevent complications. You must work closely with your surgeon and a dietitian to learn how to lower your risk of complications.

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