Dumping syndrome Following Gastrointestinal Surgery: A Review of Pathophysiology Diagnosis and Management

Abstract

Dumping syndrome originated as a group of gastrointestinal symptoms experienced by individuals who had undergone surgery for peptic ulcer. It is now seen quite frequently in those who have had surgery for upper gastrointestinal (GI) cancer, bariatric surgery, or anti-reflux surgery. Early and late dumping syndrome have distinct symptom patterns. Symptoms that happen less than 1 hour after eating are considered early dumping syndrome and consist mainly of gastrointestinal symptoms resulting from osmotic fluid shifts in the intestinal lumen. Late dumping syndrome symptoms occur between 1-3 hours after eating and consist primarily of vasomotor symptoms due to reactive hypoglycemia from the over secretion of insulin in response to the influx of glucose into the portal circulation. According to the existing guidelines, evaluation of HR; running laboratory tests; and comparing results to diagnostic criteria for postprandial dumping syndrome with a glucose challenge test are recommended assessments for the diagnosis of dumping syndrome. Dumping syndrome is diagnosed based on Worsening symptoms after meals, results of provocation tests, lab investigations, an individual’s history of gastric surgery or an inherent condition of rapid gastric emptying (i.e.: dumping syndrome). Most cases of Dumping Syndrome can be treated with changes in diet. If diet does not help, then medical or surgical options can be recommended by a healthcare service provider, but there is little evidence to support the effectiveness of either option. Download Full Text