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September 1979

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

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)