Abstract
The underlying disturbance common to all cases of the blind loop syndrome is bacterial overgrowth in the proximal small bowel. Stasis of intestinal contents and direct contamination via a fistula from the lower bowel predispose to bacterial overgrowth. Clinical components of the syndrome are diarrhea, steatorrhea, macrocytic anemia, and malnutrition. Awareness of predisposing conditions and proper interpretation of tests for steatorrhea aid diagnosis. A surgical approach to treatment should be considered in the presence of afferent loop stasis, jejunal diverticula, gastrojejunocolic fistula, or intestinal stricture. Medical therapy includes parenteral administration of vitamin B12, oral use of antibiotics, dietary substitution of fats containing medium chain triglycerides for those containing long chain triglycerides, and use of antidiarrheal agents.
| Original language | English |
|---|---|
| Pages (from-to) | 99-105 |
| Number of pages | 7 |
| Journal | Postgraduate Medicine |
| Volume | 55 |
| Issue number | 4 |
| State | Published - Dec 1 1974 |
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ASJC Scopus subject areas
- Medicine(all)
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Blind loop syndrome. / Rogers, A. I.; Rothman, S. L.
In: Postgraduate Medicine, Vol. 55, No. 4, 01.12.1974, p. 99-105.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Blind loop syndrome
AU - Rogers, A. I.
AU - Rothman, S. L.
PY - 1974/12/1
Y1 - 1974/12/1
N2 - The underlying disturbance common to all cases of the blind loop syndrome is bacterial overgrowth in the proximal small bowel. Stasis of intestinal contents and direct contamination via a fistula from the lower bowel predispose to bacterial overgrowth. Clinical components of the syndrome are diarrhea, steatorrhea, macrocytic anemia, and malnutrition. Awareness of predisposing conditions and proper interpretation of tests for steatorrhea aid diagnosis. A surgical approach to treatment should be considered in the presence of afferent loop stasis, jejunal diverticula, gastrojejunocolic fistula, or intestinal stricture. Medical therapy includes parenteral administration of vitamin B12, oral use of antibiotics, dietary substitution of fats containing medium chain triglycerides for those containing long chain triglycerides, and use of antidiarrheal agents.
AB - The underlying disturbance common to all cases of the blind loop syndrome is bacterial overgrowth in the proximal small bowel. Stasis of intestinal contents and direct contamination via a fistula from the lower bowel predispose to bacterial overgrowth. Clinical components of the syndrome are diarrhea, steatorrhea, macrocytic anemia, and malnutrition. Awareness of predisposing conditions and proper interpretation of tests for steatorrhea aid diagnosis. A surgical approach to treatment should be considered in the presence of afferent loop stasis, jejunal diverticula, gastrojejunocolic fistula, or intestinal stricture. Medical therapy includes parenteral administration of vitamin B12, oral use of antibiotics, dietary substitution of fats containing medium chain triglycerides for those containing long chain triglycerides, and use of antidiarrheal agents.
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UR - http://www.scopus.com/inward/citedby.url?scp=0016365025&partnerID=8YFLogxK
M3 - Article
C2 - 4594535
AN - SCOPUS:0016365025
VL - 55
SP - 99
EP - 105
JO - Postgraduate Medicine
JF - Postgraduate Medicine
SN - 0032-5481
IS - 4
ER -