A Case of Blind Loop Syndrome after Total Gastrectomy Treated Successfully with Pouch Resection

Abstract

A 57-year-old woman was admitted to our hospital because of malodorous eructation and a significant nutritional disorder from the age of 49 years. The patient needed hospitalization once a year for treatments such as central venous nutrition and administration of albumin to improve her nutritional status. She had a medical history of total gastrectomy with Billroth II reconstruction (modified Tomoda's method) for gastric cancer at the age of 41 years. The diagnosis of blind loop syndrome was made, and antibiotic treatment was given. However, the treatment was unsuccessful. Therefore, laparotomy and blind pouch resection were performed. After the operation, her nutritional status was dramatically improved despite the long duration of symptoms.