September 1979

Chronic Pseudo-obstruction Secondary to Side-to-Side Intestinal Anastomosis

Author Affiliations

From the Departments of Medicine (Dr Walfish) and Surgery (Dr Frankel), Mount Sinai Medical Center, New York. Dr Frankel is now at Muhlenberg Hospital, Plainfield, NJ.

Arch Surg. 1979;114(9):1075-1078. doi:10.1001/archsurg.1979.01370330097019

• An unusual late complication of side-to-side intestinal anastomosis, chronic small-bowel obstruction with massive proximal ileal dilation despite a widely patent anastomosis, occurred in a patient. The classic blind loop syndrome was not present. Several potential mechanisms are suggested, including regional absence of normal peristalsis on a mechanical basis and bacterial overgrowth. This report adds support to the concept that side-to-side intestinal anastomosis should be avoided whenever possible.

(Arch Surg 114:1075-1078, 1979)