Antecolic or retrocolic anastomoses in Billroth II gastrojejunostomy?

A retrospective study of major postoperative morbidity in two groups (50 patients each) that underwent Billroth II gastrectomy for duodenal ulcer disease showed no difference according to the type of anastomosis used (antecolic vs retrocolic). Prevention was not related to the type of anastomosis used, the main means of prevention being the use of meticulous care during the gastrojejunostomy.