Colonic pseudo-obstruction: a late complication of jejunoileal bypass.
نویسندگان
چکیده
Three cases of jejunoileal bypass, performed for morbid obesity, were complicated 3 to 4 years later by symptoms of colonic pseudo-obstruction. In each case the colon was enlarged, dilated and atonic with no demonstrable organic obstruction. In the patient with end-to-side anastomosis, the entire colon was dilated. In the two patients with end-to-end anastomosis, the dilatation affected the colon distal to the anastomosis with the defunctionalized small bowel. Treatment with antianaerobic antibiotics resulted in a dramatic disappearance of symptoms. It is suggested that bacterial overgrowth in the defunctionalized loops of small bowel may play an important role in the development of colonic pseudo-obstruction as a late complication of jejunoileal bypass.
منابع مشابه
Colonic pseudo - obstruction : a new complication of jejunoileal bypass '
Five female patients ranging in age from 25 to 44 years are reported in whom jejunoileal bypass (three end-to-side and two end-to-end), performed for morbid obesity, was complicated 1 to three years later by symptoms of colonic pseudo-obstruction. In each case, the colon was markedly elongated, dilated, and atonic but with no demonstrable organic obstruction. The cause of this complication is n...
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عنوان ژورنال:
- Israel journal of medical sciences
دوره 20 5 شماره
صفحات -
تاریخ انتشار 1975