Gastric dumping syndrome primary prevention: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Gastric dumping syndrome}} | {{Gastric dumping syndrome}} | ||
{{CMG}} | {{CMG}}; {{AE}} {{UA}} | ||
==Overview== | ==Overview== | ||
Effective measures for the primary prevention of dumping syndrome include preventing or avoiding surgery and preventing risk factor exposure. No vaccines are available for dumping syndrome. | Effective measures for the primary [[Prevention (medical)|prevention]] of [[Gastric dumping syndrome|dumping syndrome]] include preventing or avoiding [[surgery]] and preventing [[risk factor]] exposure. No [[Vaccine|vaccines]] are available for [[Gastric dumping syndrome|dumping syndrome]]. | ||
==Primary Prevention== | ==Primary Prevention== | ||
Effective measures for the primary prevention of dumping syndrome include avoiding surgery, preventing risk factor exposure and a specific post-surgical diet. | Effective measures for the primary [[Prevention (medical)|prevention]] of [[Gastric dumping syndrome|dumping syndrome]] include avoiding [[surgery]], preventing [[risk factor]] exposure and a specific post-surgical [[Diet (nutrition)|diet]]. | ||
* There are no available vaccines against dumping syndrome. | * There are no available [[Vaccine|vaccines]] against [[Gastric dumping syndrome|dumping syndrome]]. | ||
* [[Intravenous fluid]] substitution is not effective in preventing early dumping [[Symptom|symptoms]].<ref name="pmid14452070">{{cite journal |vauthors=JOHNSON LP, SLOOP RD, JESSEPH JE |title=Etiologic significance of the early symptomatic phase in the dumping syndrome |journal=Ann. Surg. |volume=156 |issue= |pages=173–9 |year=1962 |pmid=14452070 |pmc=1466323 |doi= |url=}}</ref><ref name="urlwww.practicalgastro.com">{{cite web |url=https://www.practicalgastro.com/pdf/February06/UklejaArticle.pdf |title=www.practicalgastro.com |format= |work= |accessdate=}}</ref> | |||
* Continuous [[Feeding tube|enteral feeding]] may be help in avoiding dumping [[Symptom|symptoms]] after meal [[ingestion]]. However this is not suggested because it is [[Invasive (medical)|invasive]]. | |||
===Diet=== | |||
'''Dietary Modifications (Level III; Grade B)''' | |||
* Decrease [[carbohydrate]] intake<ref name="MeierButler2006">{{cite journal|last1=Meier|first1=J. J.|last2=Butler|first2=A. E.|last3=Galasso|first3=R.|last4=Butler|first4=P. C.|title=Hyperinsulinemic Hypoglycemia After Gastric Bypass Surgery Is Not Accompanied by Islet Hyperplasia or Increased -Cell Turnover|journal=Diabetes Care|volume=29|issue=7|year=2006|pages=1554–1559|issn=0149-5992|doi=10.2337/dc06-0392}}</ref><ref name="pmid18656831">{{cite journal |vauthors=Kellogg TA, Bantle JP, Leslie DB, Redmond JB, Slusarek B, Swan T, Buchwald H, Ikramuddin S |title=Postgastric bypass hyperinsulinemic hypoglycemia syndrome: characterization and response to a modified diet |journal=Surg Obes Relat Dis |volume=4 |issue=4 |pages=492–9 |year=2008 |pmid=18656831 |doi=10.1016/j.soard.2008.05.005 |url=}}</ref> | |||
** Avoid simple [[Sugar|sugars]] like soda, candy sweets, and cookies | |||
* [[Fluid]] restriction | |||
** Wait at least 30 minutes after a meal before drinking | |||
* Increase [[protein]] intake | |||
* Increase [[fat]] intake | |||
* Increase fiber intake | |||
* [[Dairy]] and [[dairy]] product restriction | |||
* Shorter meals | |||
* Eat slowly | |||
* [[Mastication|Chew]] properly | |||
* Lying [[supine]] for 30 minutes after a meal | |||
* [[Glycemic index]] education of foods is important | |||
===='''Dietary Foods''' ==== | |||
The following is a table that illustrates the types of food to take and avoid in the case of [[Gastric dumping syndrome|dumping syndrome]]. | |||
{| class="wikitable" style="margin: 1em auto 1em auto" | {| class="wikitable" style="margin: 1em auto 1em auto" | ||
!'''Breads, Cereals, Rice and Pasta''' | !'''Breads, Cereals, Rice and Pasta''' | ||
| Line 23: | Line 39: | ||
** 1/2 cup cooked cereal, rice, or pasta | ** 1/2 cup cooked cereal, rice, or pasta | ||
| | | | ||
* Breads, bagels, rolls, unsweetened cereals, pasta, potatoes, rice, crackers, and soup (only if taken one hour after solid foods at medium temperature). | * Breads, bagels, rolls, unsweetened cereals, pasta, potatoes, rice, crackers, and soup (only if taken one hour after [[solid]] foods at medium temperature). | ||
| | | | ||
* Sweet rolls and doughnuts | * Sweet rolls and doughnuts | ||
| Line 119: | Line 135: | ||
* Ice cream and sherbet | * Ice cream and sherbet | ||
* Honey, syrup, and jelly | * Honey, syrup, and jelly | ||
* Sugar alcohols such as sorbitol, xylitol, and mannitol | * Sugar alcohols such as [[sorbitol]], [[xylitol]], and [[mannitol]] | ||
|} | |} | ||
Latest revision as of 19:50, 13 December 2017
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Gastric dumping syndrome Microchapters |
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Differentiating Gastric dumping syndrome from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Gastric dumping syndrome primary prevention On the Web |
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American Roentgen Ray Society Images of Gastric dumping syndrome primary prevention |
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Risk calculators and risk factors for Gastric dumping syndrome primary prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Umar Ahmad, M.D.[2]
Overview
Effective measures for the primary prevention of dumping syndrome include preventing or avoiding surgery and preventing risk factor exposure. No vaccines are available for dumping syndrome.
Primary Prevention
Effective measures for the primary prevention of dumping syndrome include avoiding surgery, preventing risk factor exposure and a specific post-surgical diet.
- There are no available vaccines against dumping syndrome.
- Intravenous fluid substitution is not effective in preventing early dumping symptoms.[1][2]
- Continuous enteral feeding may be help in avoiding dumping symptoms after meal ingestion. However this is not suggested because it is invasive.
Diet
Dietary Modifications (Level III; Grade B)
- Decrease carbohydrate intake[3][4]
- Avoid simple sugars like soda, candy sweets, and cookies
- Fluid restriction
- Wait at least 30 minutes after a meal before drinking
- Increase protein intake
- Increase fat intake
- Increase fiber intake
- Dairy and dairy product restriction
- Shorter meals
- Eat slowly
- Chew properly
- Lying supine for 30 minutes after a meal
- Glycemic index education of foods is important
Dietary Foods
The following is a table that illustrates the types of food to take and avoid in the case of dumping syndrome.
| Breads, Cereals, Rice and Pasta | Foods To Choose | Foods to Avoid |
|---|---|---|
|
|
|
| Fruits | Foods to Choose | Foods To Avoid |
|
|
|
| Milk and Dairy Products | Foods To Choose | Foods to Avoid |
|
|
|
| Meats, Poultry, Fish, Dry Beans, Peas, Eggs and Cheese | Foods to Choose | Foods to Avoid |
|
|
|
| Vegetables | Foods to Choose | Foods to Avoid |
|
|
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| Fats, Condiments and Beverages | Foods to Choose | Foods to Avoid |
|
| |
| Snacks, Sweets, and Desserts | Foods to Choose | Foods to Avoid |
|
References
- ↑ 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.
- ↑ "www.practicalgastro.com" (PDF).
- ↑ Meier, J. J.; Butler, A. E.; Galasso, R.; Butler, P. C. (2006). "Hyperinsulinemic Hypoglycemia After Gastric Bypass Surgery Is Not Accompanied by Islet Hyperplasia or Increased -Cell Turnover". Diabetes Care. 29 (7): 1554–1559. doi:10.2337/dc06-0392. ISSN 0149-5992.
- ↑ Kellogg TA, Bantle JP, Leslie DB, Redmond JB, Slusarek B, Swan T, Buchwald H, Ikramuddin S (2008). "Postgastric bypass hyperinsulinemic hypoglycemia syndrome: characterization and response to a modified diet". Surg Obes Relat Dis. 4 (4): 492–9. doi:10.1016/j.soard.2008.05.005. PMID 18656831.