title: Blind pouch syndrome secondary to gastrojejunostomy. Report of a case.
abstract: A case of blind pouch syndrome following a Roux-en-Y reconstruction after gastrectomy is presented. The patient had a history of pain, anaemia and weight loss and the diagnosis was made on the basis of upper gastrointestinal barium contrast radiography. The surgical procedure was an entero-entero anastomosis between the blind loop and the efferent loop. The postoperative course was uneventful. No symptomatic recurrence was found at one-year follow-up. We advocate this procedure as a valid alternative to resection in cases where the blind loop is not damaged by chronic dilatation. The aim of this operation is to maintain the preferential gastric emptying route via the blind loop in order to prevent recurrence on the stump, and reduce loop isolation in order to minimise ischemic or stenotic damage to the anastomosis.
authors.affiliation: Dipartimento di Chirurgia, Divisione di Chirurgia Generale e Vascolare, Az. Osp. M. Mellini, Chiari, Brescia, Italia.
authors.forename: Nereo
authors.initials: N
authors.lastname: Vettoretto
authors.forename: Roberto
authors.initials: R
authors.lastname: Poiatti
authors.forename: Gottardo
authors.initials: G
authors.lastname: Ghilardi
authors.forename: Marco
authors.initials: M
authors.lastname: Paganelli
authors.forename: Matteo
authors.initials: M
authors.lastname: Porro
authors.forename: Maurizio
authors.initials: M
authors.lastname: Giovanetti
mesh_terms: D000328:Adult; D005260:Female; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans; D007410:Intestinal Diseases / Q000209:etiology* / Q000601:surgery; D007582:Jejunostomy / Q000009:adverse effects*; D013577:Syndrome