• 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)
Walfish J, Frankel A. Chronic Pseudo-obstruction Secondary to Side-to-Side Intestinal Anastomosis. Arch Surg. 1979;114(9):1075-1078. doi:10.1001/archsurg.1979.01370330097019