A case of massive bleeding from the intestinal stomal ulcer.

Horiuchi, Tetsuya; Tsuji, Tsuyoshi; Uesaka, Kazunobu; Oka, Sumikazu; Morimoto, Goichi; Kamada, Y.; Tanaka, Shinji

doi:10.5833/jjgs.21.941

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2019

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“…The profile of melena has previously been reported in patients with blind pouch syndrome-associated anastomotic ulcer (1,8-11), and the time from surgery to melena was reported to vary among reports: 3 times in 2-19 years and 15 years (1), 30 years (8), 3 times in 50-52 years and 13 years (9), 39 years (10), and 10 years (11). In the present case, severe melena occurred 15 years after surgery.…”

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confidence: 96%

Blind Pouch Syndrome-associated Anastomotic Ulcer Diagnosed with Capsule and Double-balloon Endoscopy

et al. 2019

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Blind pouch syndrome-associated anastomotic ulcer is rare, and its endoscopic features remain poorly described. A 79-year-old man was referred to our hospital for melena. Capsule endoscopy revealed multiple ulcers in the small intestine. Double-balloon endoscopy (DBE) and a gastrografin examination through DBE revealed a potential anastomotic ulcer, a blind pouch, and a side-to-side anastomosis in the middle of the small intestine. Laparoscopic partial resection of the small intestine with anastomosis was performed on the suspected blind pouch syndrome-associated anastomotic ulcer. To our knowledge, this is the first report describing the endoscopic features of a blind pouch syndrome-associated anastomotic ulcer.

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