[Microbial overgrowth syndrome after gastrectomy. Recent diagnostic aspects].
Blind loop syndrome is the most common syndrome of bacterial overgrowth following gastrectomy. We report two cases with diarrhea, steatorrhea, exudative enteropathy and major nutritional deficiency. Diagnosis was based on the breath test and aspirate analysis. Surgery with restoration of the duodenal continuity was the treatment. Patients with contraindications for surgery should be given prolonged antibiotic therapy which should be repeated if symptoms reoccur.
Baranger
B
B
Clinique Chirurgicale, Hôpital du Val de Grâce, Paris.
Algayres
J P
JP
Bili
H
H
Coutant
G
G
Deligny
M
M
André
J L
JL
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001419:Bacteria / Q000254:growth & development*; D001765:Blind Loop Syndrome / Q000209:etiology / Q000382:microbiology* / Q000601:surgery; D001944:Breath Tests; D002446:Celiac Disease / Q000209:etiology; D003967:Diarrhea / Q000209:etiology; D004386:Duodenum / Q000601:surgery; D005122:Exudates and Transudates / Q000382:microbiology; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D007579:Jejunal Diseases / Q000209:etiology; D008286:Malabsorption Syndromes / Q000209:etiology; D008875:Middle Aged; D009748:Nutrition Disorders / Q000209:etiology; D012008:Recurrence
D000900:Anti-Bacterial Agents
Syndrome de pullulation microbienne après gastrectomie. Aspects diagnostiques récents.