Five cases of blind pouch syndrome and blind loop syndrome.

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  • 盲端・盲管症候群の５例

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Blind pouch syndrome and blind loop syndrome after surgery are comparatively rare. We studied five patients with blind pouch or blind loop syndrome after surgery who required surgical treatment in the hospital in an eleven-year period from 1990 to 2001. They were three men and two wemen. Their ages ranged from 52 to 72 years, with an average of 63.8. Their first operations were performed 3244 years before admission, with an average of 38.6. The long durations had passed. The first operations in three patients were permormed for acute appendicitis. All patients were performed reoperations for ileus and after diseases after the first operation. Then their blind pouchs or blind loops were created. Their chief complaints were abdominal pain in four patients. Two patients had anemia due to digestive bleeding in one and normocytic-normochromic anemia in the remaining one. We were able to diagnose blind loops in three patients, but were not in two, including one undergone an emergency operation for digestive perforation and the other diagnosed as adhesion ileus. We performed resection of the blind pouchs and blind loops in the all patients.

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