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Article
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
Abstract

• 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)

References
1.
Wright HK, Tilson MD: Postoperative Disorders of the Gastrointestinal Tract. New York, Grune & Stratton, 1973, pp 139-171.
2.
Whitaker WG, Shepard D:  Late sequelae of blind intestinal pouches . Am J Surg 120:752-755, 1970.Article
3.
Clawson DK:  Side-to-side intestinal anastomosis complicated by ulceration, dilatation and anemia: A physiologically unsound procedure . Surgery 34:254-257, 1953.
4.
Hertzberg J:  Anemia associated with dilated blind segments of the small intestine after side-to-side anastomosis . Acta Chir Scand 120:376-379, 1961.
5.
Williamson CS, Wilkinson LH, Harold FH, et al:  Symptomatic blind pouch following lateral anastomosis of intestine . Arch Surg 66:878-887, 1953.Article
6.
Cannon WB, Murphy FT:  The movement of the stomach and intestines in some surgical conditions . Ann Surg 43:512-636, 1906.Article
7.
Heifetz CF, Senturia HR:  Blind intestinal pouches resulting from lateral anastomoses . Surgery 27:673-687, 1950.
8.
Phillips JHC:  Jejunal diverticulosis: Some clinical aspects . Br J Surg 40:350-354, 1953.Article
9.
Scudamore HH:  Scleroderma of the small intestine: Clinical aspects emphasizing obstructive symptoms and malabsorption (abstracted) . Ann Intern Med 68:1149-1150, 1968.Article
10.
Maldonado JE, Gregg JA, Green PA, et al:  Chronic idiopathic intestinal pseudo-obstruction . Am J Med 49:203-212, 1970.Article
11.
Barry RE, Benfield JR, Nicell P, et al:  Colonic pseudo-obstruction: A new complication of jejuno-ileal bypass . Gut 16:903-908, 1975.Article
12.
Barry RE, Chow AW, Billesdon J, et al:  Colonic pseudo-obstruction complicating jejuno-ileal bypass: The role of intestinal flora (abstracted) . Gut 16:825, 1975.Article
13.
Greenlee HB: Surgery of the Small and Large Intestines . Chicago, Yearbook Medical Publishers, 1973, p 72.
14.
Goligher JC: Surgery of the Anus, Rectum, and Colon . London, Bailliere, Tindal, and Cassell, 1967, p 533.
15.
Nardi G: Abdominal Surgery: An Atlas of Operative Procedure . Philadelphia, WB Saunders Co, 1974, p 183.
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