학술논문

A Case of Blind Loop Syndrome at a Functional End-to-end Anastomosis following Laparoscopic Sigmoidectomy / 腹腔鏡下S状結腸癌切除術機能的端々吻合部に生じたblind loop syndromeの1例
Document Type
Journal Article
Source
日本臨床外科学会雑誌 / Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association). 2020, 81(7):1359
Subject
blind loop syndrome
cystic expansion
functional end-to-end anastomosis
嚢状拡張
機能的端々吻合
Language
Japanese
ISSN
1345-2843
1882-5133
Abstract
The patient was an 82-year-old man who underwent laparoscopic sigmoidectomy for sigmoid colon cancer. Reconstruction was performed with a functional end-to-end anastomosis. The patient's postoperative course was good, and he was discharged on the 8th postoperative day. From one year and three months after the operation, dilation of the anastomotic site was seen on computed tomography (CT). Three years and 7 months after the operation, he visited our hospital for constipation and abdominal bloating. Blind loop syndrome was diagnosed due to the marked dilation of the anastomotic site on CT. Because his symptoms did not improve with conservative treatment, laparoscopic resection of the anastomotic site with reconstruction by double-stapling technique anastomosis was performed. Blind loop syndrome at a functional end-to-end anastomosis is a rare postoperative complication. However, patients with symptoms of intestinal obstruction should be treated surgically.