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Jacob Walfish, MD; Albert Frankel, MD

Arch Surg. 1979;114(9):1075-1078.

Abstract
• An unusual late complication of side-to-side intestinal anastomosis, chronic small-bowel obstruction with massive proximal ileal dilation despite a widely patent anastomosis, occurred in a patient. The classic blind loop syndrome was not present. Several potential mechanisms are suggested, including regional absence of normal peristalsis on a mechanical basis and bacterial overgrowth. This report adds support to the concept that side-to-side intestinal anastomosis should be avoided whenever possible.

(Arch Surg 114:1075-1078, 1979)

Author Affiliations
From the Departments of Medicine (Dr Walfish) and Surgery (Dr Frankel), Mount Sinai Medical Center, New York. Dr Frankel is now at Muhlenberg Hospital, Plainfield, NJ.

Footnotes
Accepted for publication Aug 18, 1978.

Reprint requests to Mount Sinai Medical Center, One Gustave L. Levy Pl, New York, NY 10029 (Dr Frankel).

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