Two cases of blind pouch syndrome with bleeding after intestinal anastomosis.

Miyoshi, Yasuo; Mizumoto, Seigou; Akashi, Hideo; Kurokawa, Eiji; Mishima, Hideyuki; Iihara, Keisuke; Nagaoka, Hirohito; Ooue, Masayuki; Takami, Kohji; Aoki, Yukitoshi

doi:10.5833/jjgs.22.2756

Cited by 2 publications

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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.…”

Section: Discussionmentioning

confidence: 96%

“…The second important clinical issue that emerged in our case was that hemostasis of melena due to blind pouch syndrome-associated anastomotic ulcer was achieved with a few days of fasting, and the anastomotic ulcer had healed by eight days after surgery. According to Miyoshi et al (9), not only the overgrowth of bacteria but also stasis of the intestinal contents and mechanical irritation associated with peristalsis may be responsible for blind syndrome-associated anastomotic ulcer. Our case appears to support this idea, as the ulcer had healed after a few days of fasting.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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Blind Loop Syndrome at the Functional End-to-end Anastomotic Site of the Ileum—A Case Report—

恵麻¹,

伸二²,

和憲³

et al. 2019

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

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A 70-year-old man was admitted to a hospital with sustained pain in the hypogastric region of his abdomen. He had a history of left nephroureterectomy for bladder cancer at 46 years of age and total cystectomy and ileal neobladder reconstruction for recurrence of the cancer at 54 years of age. Abdominal computed tomography revealed a sac-like dilatation of the functional end-to-end anastomotic site of the ileum, containing stagnant intestinal contents. The patient was diagnosed with blind loop syndrome, specifically categorized as the blind pouch type. Abdominal pain persisted, and an urgent operation was performed 3 days after admission, owing to the high risk of intestinal perforation. Although the dilated anastomotic region was not perforated, the anastomotic site was resected and reconstructed by layer-tolayer anastomosis. To date, no recurrence has been observed. Blind loop syndrome of the functional end-to-end anastomotic site is rare. This condition should be considered a possible complication of functional end-to-end intestinal anastomosis, and surgical treatment is necessary in patients presenting with abdominal symptoms.

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Two cases of blind pouch syndrome with bleeding after intestinal anastomosis.

Cited by 2 publications

References 0 publications

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

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

Blind Loop Syndrome at the Functional End-to-end Anastomotic Site of the Ileum—A Case Report—

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