Dumping Syndrome

From Anvita Health Wiki

Contents 1 Etiology 2 Clinical-manifestations 3 Management 4 More General Terms 5 References

Etiology

• gastrectomy with or without vagotomy
• rapid gastric emptying of a large osmotic load into the small intestine

Clinical-manifestations

• abdominal discomfort, nausea/vomiting ~ 15 minutes after eating
• vasomotor manifestations occur later within 90 minutes

• palpitations, tachycardia
• sweating
• dizziness

Management

• 6 small meals/day, high in protein, low in refined carbohydrates
• avoid liquid with meals
• pectin
• anticholinergic agents
• ephedrine
• subcutaneous octreotide in refractory cases

More General Terms

• syndrome
• chronic gastrointestinal disease

References

1. Manual of Medical Therapeutics, 28th ed, Ewald & McKenzie (eds), Little, Brown & Co, Boston, 1995, pg 344
2. Medical Knowledge Self Assessment Program (MKSAP) 14, American College of Physicians, Philadelphia 2006
3. Rapid Gastric Emptying [1]

dumping syndrome; postgastrectomy syndrome; rapid gastric emptying