[Verse 1] Scalpel down the greater curve, preserve that gastroepiploic arc, Right side feeds the conduit up — you sever that, you're cutting in the dark. Distal gastrectomy, sweep the antrum clean, Subtotal for the corpus, total when it's mean. Proximal resection needs a double-tract or esophagogastrostomy, Wedge it out for GISTs, pyloromyotomy splits the ring for free. [Chorus] Billroth One, Two, Roux-en-Y — know your letters, know your loops, Antecolic, retrocolic, close the Petersen's space to stop the troops. Stapled or hand-sewn, check your tension and perfusion with the ICG glow, Choose your reconstruction, execute it clean, manage every undertow. [Verse 2] Heineke-Mikulicz flips the cut transverse, Finney makes a wider gate, Jaboulay sidesteps the pylorus whole — vagotomy seals the fate. Braun enteroenterostomy defunctioned the afferent snare, Roux stasis, alkaline reflux — bile scorching tissue bare. Gastrojejunostomy for bypass when obstruction blocks the road, Duodenal stump blowout blows the whole damn episode. [Chorus] Billroth One, Two, Roux-en-Y — know your letters, know your loops, Antecolic, retrocolic, close the Petersen's space to stop the troops. Stapled or hand-sewn, check your tension and perfusion with the ICG glow, Choose your reconstruction, execute it clean, manage every undertow. [Verse 3] Early dumping floods the bowel fast, osmotic surge, the vasovagal swing, Late dumping's hypoglycemia — reactive insulin sting. Esophagojejunal leak, that anastomosis wept, Pancreatic fistula after D2 lymphadenectomy — kept Drains in long, fed distal through the jejunostomy line, Chyle leak runs milky white — a rare efflorescence, lymph and fat combined. [Bridge] Bariatric anatomy on the trauma board tonight — Sleeve, gastric bypass, one-anastomosis, internal hernia in the right Mesocolic defect, Roux limb twisted, bowel caught inside the gap, CT shows a swirling mesentery — don't miss that diagnostic trap. Blind loop overgrowth, B12 depleted, iron tanked, bone crumbling slow, Metabolic sequelae compound for years, remnant cancer seeds below. [Chorus] Billroth One, Two, Roux-en-Y — know your letters, know your loops, Antecolic, retrocolic, close the Petersen's space to stop the troops. Stapled or hand-sewn, check your tension and perfusion with the ICG glow, Choose your reconstruction, execute it clean, manage every undertow. [Outro] Supplement the B12, fold in folate, calcium, vitamin D, Surveil that remnant mucosa — adenocarcinoma lurks in history. Marginal ulcer bleeds at midnight, damage control when trauma tears the wall, Efflorescence — rare and vivid, lymph blooming where the chyle will fall. Know the loops, close the gaps, feed distal, watch the stump — Every anastomosis earns its patency or gets the pump.
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