title: [The blind-loop syndrome after side-to-side anastomoses of the gut (author's transl)].
abstract: The postoperative blind-loop syndrome can occur after side-to-side, end-to side or by-pass anastomoses of the gut and presents clinically as malabsorption syndrome. Pathogenetically, stasis or slowing of the bowel movements will cause a rapid increase of pathogenic bacteria in the small intestine. Malabsorption is characterized by 3 symptoms: Loss of weight, anemia, steatorrhoea. The method of choice for therapy is to perform a new, end-to-end, anastomosis of the intestine in order to re-establish a physiological situation. During the last 6 years 14 patients with malabsorption syndromes of varying degrees were operated upon: 6 had pure small intestinal anastomoses, 7 anastomoses between the small and large intestine and 1 patient had a side-to-side sigmoidal anastomosis. In all patients the side-to-side or by-pass anastomoses could be reversed.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001765:Blind Loop Syndrome / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D003106:Colon / Q000601:surgery; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D007583:Jejunum / Q000601:surgery; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis*
vernacular_title: Das Blindsacksyndrom nach Seit-zu-Seit-Darmanastomosen