Blind pouch syndrome a complication of side to side intestinal anastomosis

Blind loop syndrome in children. Malabsorption secondary to intestinal stasis.

“…(Starzl, Butz, and Hartman, 1961;Botsford and Gazzaniga, 1967). Our patient (Case 1) who presented 10 years after the creation of a side-to-side anastomosis of his ileum, had the typical clinical and laboratory features of this syndrome (Donaldson, 1964): chronic obstruction, malnutrition with malabsorption, particularly of fat and vitamin B12.…”

Ileal J-pouch perforation at the blind end: Report of a case

“…tion. 10,11 Sagar et al 12 reported three cases of blind-end enlargements after ileal pouch anal anastomosis, which were resected surgically to remedy defecation diffi culties. Pezim et al 8 reported an additional two cases of perforations in the long, ileal blind end secondary to volvulus.…”

Case of Ileal Ulcer in Blind Pouch Syndrome

“…Blind pouch syndrome can complicate end‐to‐side or side‐to‐side small intestinal or colonic anastomosis. 2,3,5,8 The etiology is considered to involve stagnation of intestinal contents due to the absence of synchronous movement of the anastomosed intestine, producing a blind pouch that gradually dilates. Bacterial overgrowth can cause mucosal inflammation, edema, ulceration and perforation.…”

“…10 The most important concern is massive blood loss in the stool that requires transfusion. 3,7 In patients who present with massively bloody stool, bleeding from the small intestine should be considered when no abnormal findings are observed in either the upper or lower gastrointestinal tract. However, precise diagnosis can be difficult even when barium contrast examination or angiography is used.…”