Blind loop syndrome


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Complications

By Mayo Clinic staff

A blind loop can cause escalating problems, including:

  • Poor absorption of fats. Bacteria in your small intestine break down the bile salts needed to digest fats. As a result, your body can't fully absorb the fat-soluble vitamins A, D, E and K. Incomplete absorption of fats leads to diarrhea, weight loss and vitamin deficiency disorders.
  • Damage to the intestinal lining. Toxins that are released when bacteria break down stagnant food harm the mucous lining (mucosa) of the small intestine. As a result, most nutrients, including carbohydrates and proteins, are poorly absorbed, leading to serious malnourishment.
  • Vitamin B-12 deficiency. Bacteria in the small intestine absorb vitamin B-12, which is essential for the normal functioning of your nervous system and the production of blood cells and DNA. A severe B-12 deficiency can lead to weakness, fatigue, tingling and numbness in your hands and feet, and, in advanced cases, to mental confusion. Damage to your central nervous system resulting from a B-12 deficiency may be irreversible.
  • Brittle bones (osteoporosis). Over time, damage to your intestine from abnormal bacterial growth causes poor calcium absorption, and eventually may lead to bone diseases, such as osteoporosis.
  • Kidney stones. Poor calcium absorption may also result in kidney stones.
References
  1. Turnage RH, et al. Abdominal wall, umbilicus, peritoneum, mesenteries, omentum, and retroperitoneum. In: Townsend CM Jr, et al. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 18th ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/164856770-3/902155171/1565/469.html#4-u1.0-B978-1-4160-3675-3..50052-6--cesec137_2746. Accessed Dec. 18, 2011.
  2. Vanderhoof JA, et al. Clinical manifestations and diagnosis of small bacterial intestinal overgrowth. http://www.uptodate.com/home/index.html. Accessed Dec. 21, 2011.
  3. Bacterial overgrowth syndrome: Malabsorption syndromes. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/print/sec02/ch017/ch017b.html. Accessed Dec. 18, 2011.
  4. Vanderhoof JA, et al. Treatment of small intestinal bacterial overgrowth. http://www.uptodate.com/home/index.html. Accessed Dec. 21, 2011.
  5. Vanderhoof JA, et al. Etiology and pathogenesis of small intestinal bacterial overgrowth. http://www.uptodate.com/home/index.html. Accessed Dec. 21, 2011.
  6. Kahn E, et al. Anatomy, histology, embryology, and developmental anomalies of the small and large intestine. In: Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/das/book/body/164856770-5/902188062/1389/733.html#4-u1.0-B1-4160-0245-6..50104-9--cesec7_4663. Accessed Dec. 21, 2011.
  7. Picco MF (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 15, 2012.
DS00629 March 1, 2012

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