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Fig. 5 | Insights into Imaging

Fig. 5

From: A primer to common major gastrointestinal post-surgical anatomy on CT—a pictorial review

Fig. 5

Billroth type 2 procedure. Axial contrast-enhanced CT images of a 75-year-old man with Billroth II antecolic loop gastrojejunostomy for a gastric ulcer. Images show a remnant stomach (S), and metallic suture material on the lesser curvature side indicating a Hofmeister modification (white arrow, a). The gastrojejunal anastomosis (dashed arrow, b), and the two jejunal limbs (A afferent limb, E efferent limb) are identified. The blind end of the afferent limb (A) is continuous with the third portion of the duodenum and the efferent limb (E) is brought up to the anastomosis anterior to the transverse colon (C). The duodenal stump (white arrow, c) is also noted

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