However, this procedure can be aggravating and become impossible due to adhesion formation.6 It also has a failure rate of 25%.2 Gastrojejunostomy, another procedure commonly employed provides adequate gastric decompression but can lead to incomplete release of duodenal obstruction leading to
blind loop syndrome, gastric bile reflux and ulceration.6 Subtotal gastrectomy and Billroth II gastrojejunostomy, and repositioning of duodenum anteriorly are some of the otherless commonly used options when going for a surgical intervention.5 The aforementioned interventions proved successful in a study of seven patients by M.
A side-to-side anastomosis for proximal duplicate lumens was done to promote drainage and prevent
blind loop syndrome. Appendicectomy was also done.
In upto 30% of patients symptoms may develop including chronic abdominal pain, malabsorption,
blind loop syndrome, enterolith formation, haemorrhage, diverticulitis, obstruction, abscess formation and rarely diverticular perforation1,2,5,7,8.
Ischemic jejunal stenosis and
blind loop syndrome after blunt abdominal trauma.
A predisposition to SIBO exists in diverse conditions where there is altered anatomy from prior surgery (eg,
blind loop syndrome) or stricture or where there is impaired gut motility and prolonged orocecal transit time.
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.