Blind-Pouch Formation Following Lateral Anastomosis

AMA Arch Surg. 1958;76(4):536-541. doi:10.1001/archsurg.1958.01280220056011.
Text Size: A A A
Published online

Side-to-side anastomosis is an expedient method for reestablishing intestinal continuity after resection. However, this procedure may be followed by a unique complication, which does not occur after the end-to-end or end-to-side technique. Infrequently, saccular dilatation develops in the portion of the proximal segment of intestine that projects beyond the anastomotic stoma. This is not necessarily due to leaving in an excessively long blind end. A closed section no longer than an inch beyond the stoma may develop into a large dilatation. This complication is illustrated in the first case reported.

Report of Cases 

Case 1.  —A 63-year-old white man was admitted to the hospital on July 18, 1956. Apparently in good health, he suddenly fainted after eating his dinner. When he became conscious, he vomited bile-stained food, and brownish-red blood was found oozing from the rectum. His skin was moist and cold. Oral temperature 98 F; pulse 64 per minute;


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.