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Dumping Syndrome

Hongyi Cui, M.D., Ph.D. Reviewed 06/2022
 


BASICS

DESCRIPTION

GI and vasomotor symptoms resulting from rapid gastric emptying and delivery of large amounts of hyperosmolar content into the small intestine 
  • Usually occurs following gastric and es...

DIAGNOSIS

HISTORY

  • Dumping syndrome is a clinical diagnosis based on typical symptoms following gastric surgery.

  • Symptom recognition is crucial, especially in patients with a history of gastric or esopha...

TREATMENT

  • Dietary modification is the mainstay of treatment, and benefits most patients.

    • Low-carbohydrate, high-protein diet

    • Add dietary fiber.

    • Avoid milk and milk products.

    • Frequent small meals with mini...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Lying supine for 30 minutes after eating or when symptoms occur reduces the incidence of syncope. 

Patient Monitoring

Ensure adequate nutrition. 

DIET

Mainstay of tre...

REFERENCES

1
Tzovaras  G, Papamargaritis  D, Sioka  E, et al. Symptoms suggestive of dumping syndrome after provocation in patients after laparoscopic sleeve gastrectomy. Obes S...

ADDITIONAL READING

  • Berg P, McCallum R. Dumping syndrome: a review of the current concepts of pathophysiology, diagnosis, and treatment. Dig Dis Sci. 2016;61(1):11–18.

  • ...

SEE ALSO

  • Diarrhea, Chronic; Hypoglycemia, Nondiabetic; Peptic Ulcer Disease

  • Algorithm: Diarrhea, Chronic

CODES

ICD10

K91.1 Postgastric surgery syndromes 

SNOMED

  • 80193009 Postgastric surgery syndrome (disorder)

  • 235666009 Early dumping syndrome

  • 235667000 Late dumping syndrome

CLINICAL PEARLS

  • Dumping syndrome is well-described but often unrecognized following upper GI tract surgery.

  • Dumping syndrome is the most common cause for emergency room presentation after bariatric sur...

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