A Case of Blind Loop Syndrome Caused by Infection with Giardia duodenalis Diagnosed with Double Balloon Enteroscopy

A 75-year-old man who had undergone partial gastrectomy was referred to our hospital due to worsening leg edema, loose stools and malnutrition. Double balloon enteroscopy followed by insertion of an indwelling ileus tube was performed to investigate the microbial flora and for washing inside the bli...

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Bibliographic Details
Published in:Case reports in gastroenterology 2014-09, Vol.8 (3), p.276-281
Main Authors: Nakagawa, Tomoo, Katsuno, Tatsuro, Mandai, Yasushi, Saito, Masaya, Yoshihama, Sayuri, Saito, Keiko, Minemura, Shoko, Maruoka, Daisuke, Matsumura, Tomoaki, Arai, Makoto, Yokosuka, Osamu
Format: Article
Language:English
Subjects:
Blind loop syndrome
Double balloon enteroscopy
Giardia duodenalis
Polymerase chain reaction-restriction fragment length polymorphism
Published: September 2014
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Summary:A 75-year-old man who had undergone partial gastrectomy was referred to our hospital due to worsening leg edema, loose stools and malnutrition. Double balloon enteroscopy followed by insertion of an indwelling ileus tube was performed to investigate the microbial flora and for washing inside the blind loop. Trophozoites of Giardia were detected in the sampled fluid from the blind loop and DNA analysis disclosed an assemblage of genotype A-II of Giardia duodenalis. Treatment with oral metronidazole was effective. This case emphasizes the importance of a correct diagnosis when treating patients with blind loop syndrome in the digestive tract.
ISSN:1662-0631
1662-0631
DOI:10.1159/000367593