The difference between Bi1 Bi2 surgery for gastric cancer

If the patient has gastric cancer in the sinus part of the stomach, the distal stomach is usually operated radically, the lower 3/4 of the stomach is removed and the upper 1/4-1/3 is preserved, and after the operation, the stomach, small intestine or stomach and duodenum are usually sutured together. If the residual stomach is directly anastomosed with the duodenum, it is called a Bi1 anastomosis, and if the residual stomach is anastomosed with the jejunum, it is generally called a Bi2 anastomosis. The Bi1 anastomosis is closer to the normal physiological structure of a person, and the reaction inside the stomach is generally milder after the surgery, and rarely leads to reflux esophagitis. If a Bi2 anastomosis is performed, complications such as dumping syndrome, reflux esophagitis, or anastomotic inflammation may occur after the surgery.