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Blind Loop Syndrome

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blind loop syndrome.
Blind Loop Syndrome
A complication of Billroth II subtotal gastroenterostomy—end-to-side enteroenteric anastomosis—that may arise long after surgery; the afferent loop consists of duodenum and a variable portion of jejunum, a loop that is a temporary reservoir for 1–1.5 litres of biliary and pancreatic secretions; after a fatty meal, the contents of a partially obstructed afferent loop increase and ‘explosively’ enter the stomach and may be regurgitated as greenish bilious fluid; other symptoms include intermittent diarrhoea due to disaccharidase deficiency, abdominal ‘colic’, haemorrhage, vitamin deficiency and neurologic symptoms; with prolonged partial obstruction, the stool is steatorrhoeic—bulky, grey, and greasy—accompanied by weight loss; complete blind loop obstruction may be a medical emergency with rapid deterioration, shock, and perforation peritonitis
Management Antibiotics—e.g., T-S—loop shortening, afferent-to-efferent or Roux-en-Y anastomoses or gastrojejunostomy

blind loop syndrome
a profound toxemia caused by the proliferation of gram-negative bacteria in a bowel segment in which there is local stasis and recirculation of bowel contents. Called also stagnant loop syndrome.

blind loop syndrome
Afferent loop syndrome, stagnant loop syndrome Surgery A complication of Billroth II subtotal gastroenterostomy–end-to-side enteroenteric anastomosis that may arise long after surgery; the afferent loop consists of duodenum and a variable portion of jejunum, a loop that is a temporary reservoir for 1-1.5 liters of biliary and pancreatic secretions; after a fatty meal, the contents of a partially obstructed afferent loop ↑ and 'explosively' enter the stomach and may be regurgitated as greenish bilious fluid; other Sx include intermittent diarrhea due to disaccharidase deficiency, abdominal 'colic', hemorrhage, vitamin deficiency and neurologic Sx; with prolonged partial obstruction, the stool is steatorrheic–bulky, gray, and greasy, accompanied by weight loss; complete blind loop obstruction may be a medical emergency with rapid deterioration, shock, and perforation peritonitis Treatment Antibiotics–eg, T-S, loop shortening, afferent-to-efferent or Roux-en-Y anastomoses or gastrojejunostomy


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Pseudo-obstruction, blind loop syndrome, jejunal dyskinesia, chronic diverticulitis complicated by the formation of enterolith, and vitamin B-12 malabsorption secondary to chronic stasis and bacterial overgrowth within the jejunal diverticula have also been reported.
 
 
 
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