Gastric dumping syndrome physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Umar Ahmad, M.D.[2]
Overview
Common physical examination findings of dumping syndrome include tachycardia, flushing, abdominal pain, abdominal distention, borborygmus, tremor and weight loss in most severe cases.
Physical Examination
Physical examination of patients with dumping syndrome is usually remarkable for:
General
- Weight loss. This is commonly found in severe cases[1]
Vital Signs
- Tachycardia (rapid heart beats)[2]
- Hypotension (due to decreased intra-vascular volume)[3]
Skin
Abdomen
- Abdominal distention (bowel inflates)[6]
- Abdominal tenderness (non-specific pain)[4]
- Borborygmus (rumbling noises in the bowel)[7]
Neuromuscular
References
- ↑ Emous M, Wolffenbuttel B, Totté E, van Beek AP (2017). "The short- to mid-term symptom prevalence of dumping syndrome after primary gastric-bypass surgery and its impact on health-related quality of life". Surg Obes Relat Dis. 13 (9): 1489–1500. doi:10.1016/j.soard.2017.04.028. PMID 28624531. Vancouver style error: initials (help)
- ↑ 2.0 2.1 Sato D, Morino K, Ohashi N, Ueda E, Ikeda K, Yamamoto H, Ugi S, Yamamoto H, Araki S, Maegawa H (2013). "Octreotide improves early dumping syndrome potentially through incretins: a case report". Endocr. J. 60 (7): 847–53. PMID 23708181.
- ↑ JOHNSON LP, SLOOP RD, JESSEPH JE (1962). "Etiologic significance of the early symptomatic phase in the dumping syndrome". Ann. Surg. 156: 173–9. PMC 1466323. PMID 14452070.
- ↑ 4.0 4.1 "5-hydroxyindoles and kinins in the carcinoid and dumping syndromes". Can Med Assoc J. 96 (18): 1282. 1967. PMC 1922887. PMID 6022307.
- ↑ "Flushing in the Carcinoid and Dumping Syndromes". Nutrition Reviews. 25 (4): 110–111. 2009. doi:10.1111/j.1753-4887.1967.tb05594.x. ISSN 0029-6643.
- ↑ Woodward ER (1976). "The early postprandial dumping syndrome: clinical manifestations and pathogenesis". Major Probl Clin Surg. 20: 1–13. PMID 957773.
- ↑ 7.0 7.1 Sirinek KR, O'Dorisio TM, Howe B, McFee AS (1985). "Neurotensin, vasoactive intestinal peptide, and Roux-en-Y gastrojejunostomy. Their role in the dumping syndrome". Arch Surg. 120 (5): 605–9. PMID 3985800.