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©2013 UpToDate ® Print Email Billroth II gastrectomy Schematic representation of the different configurations that may be encountered in patients who have undergone Billroth II reconstruction. In panel A, a large anastomosis results in wide separation of the jejunal limbs compared to the smaller anastomosis in panel B. Panel C demonstrates that the location of the afferent and efferent limbs relative to one another can vary, although the afferent limb is often closer to the lesser curvature as illustrated in panels A and B.