Walfish J, Frankel A
Arch Surg. 1979 Sep;114(9):1075-8. 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.
一名患者出现了端侧肠吻合术罕见的晚期并发症，即尽管吻合口广泛通畅，但仍发生慢性小肠梗阻并伴有近端回肠大量扩张。经典的盲袢综合征并不存在。提出了几种潜在机制，包括基于机械原因局部缺乏正常蠕动以及细菌过度生长。本报告为应尽可能避免端侧肠吻合术这一观点提供了支持。
