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{{Gastric dumping syndrome}}
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''


{{CMG}}
{{CMG}}; {{AE}} {{UA}}
 
{{SK}} Postgastrectomy dumping syndrome; gastric dumping
 
==[[Gastric dumping syndrome overview|Overview]]==


{{Editor Help}}
==[[Gastric dumping syndrome historical perspective|Historical Perspective]]==


==Overivew==
==[[Gastric dumping syndrome classification|Classification]]==
{{Search infobox}}
'''Gastric dumping syndrome''', or '''rapid gastric emptying''', happens when the lower end of the small intestine, the [[jejunum]], fills too quickly with undigested food from the [[stomach]]. "Early" dumping begins during or right after a meal. Symptoms of early dumping include nausea, vomiting, [[bloating]], cramping, diarrhea, dizziness and fatigue. "Late" dumping happens 1 to 3 hours after eating. Symptoms of late dumping include weakness, sweating, and dizziness. Many people have both types.


In addition, people with this syndrome often suffer from low blood sugar, or [[hypoglycemia]], because the rapid "dumping" of food triggers the [[pancreas]] to release excessive amounts of [[insulin]] into the bloodstream. This type of hypoglycemia is referred to as "alimentary hypoglycemia".
==[[Gastric dumping syndrome pathophysiology|Pathophysiology]]==


==Causes==
==[[Gastric dumping syndrome causes|Causes]]==
Dumping syndrome is most common in patients with certain types of stomach surgery, such as a [[gastrectomy]] or [[gastric bypass surgery]], that allow the stomach to empty rapidly. Dumping syndrome can also occur as a result of complications after a [[cholecystectomy]] (gallbladder removal).[http://www.drdonnica.com/faqs/00007641.htm]


Patients with [[Zollinger-Ellison syndrome]], a rare disorder involving extreme [[peptic ulcer]] disease and gastrin-secreting tumors in the [[pancreas]], may also have dumping syndrome.
==[[Gastric dumping syndrome differential diagnosis|Differentiating Gastric dumping syndrome from other Diseases]]==


Dumping is also common for esophageal cancer patients who have had an esophagectomy; surgery to remove the cancerous portion of their esophagus.  The stomach is pulled into the chest and attached to what remains of the esophagus, leaving a short digestive tract.  Both early and late dumping syndrome can occur. 
==[[Gastric dumping syndrome epidemiology and demographics|Epidemiology and Demographics]]==


Finally, patients with connective tissue conditions such as [[Ehlers-Danlos syndrome]] can experience "late" dumping as a result of decreased motility.
==[[Gastric dumping syndrome risk factors|Risk Factors]]==
 
==[[Gastric dumping syndrome screening|Screening]]==
 
==[[Gastric dumping syndrome natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


==Diagnosis==
==Diagnosis==
Doctors diagnose dumping syndrome primarily on the basis of symptoms in patients who have had gastric surgery.  Tests may be needed to exclude other conditions that have similar symptoms. Nuclear gastric emptying studies can be useful in the diagnosis of rapid gastric emptying and helpful in assessing a patient's response to therapy.
[[Gastric dumping syndrome diagnostic study of choice| Diagnostic Study of Choice]] | [[Gastric dumping syndrome history and symptoms| History and Symptoms]] | [[Gastric dumping syndrome physical examination | Physical Examination]] | [[Gastric dumping syndrome laboratory findings|Laboratory Findings]] | [[Gastric dumping syndrome x ray|X Ray]] | [[Gastric dumping syndrome CT|CT]] | [[Gastric dumping syndrome MRI|MRI]] | [[Gastric dumping syndrome other imaging findings|Other Imaging Findings]] | [[Gastric dumping syndrome other diagnostic studies|Other Diagnostic Studies]]


==Treatment==
==Treatment==
Dumping syndrome is largely avoidable by avoiding certain foods which are likely to cause it, therefore having a [[balanced diet]] is important. Treatment includes changes in eating habits and medication. People who have gastric dumping syndrome need to eat several small meals a day that are low in [[carbohydrate]]s, especially omitting simple sugars (candy, desserts, ice cream), and should drink liquids between meals, not with them. People with severe cases take medicine such as [[cholestyramine]] or [[proton pump inhibitor]]s (such as [[pantoprazole]]) to slow their digestion. Doctors may also recommend [[surgery]].
[[Gastric dumping syndrome medical therapy|Medical Therapy]] | [[Gastric dumping syndrome surgery|Surgery]] | [[Gastric dumping syndrome primary prevention|Primary Prevention]] | [[Gastric dumping syndrome secondary prevention|Secondary Prevention]] | [[Gastric dumping syndrome cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Gastric dumping syndrome future or investigational therapies|Future or Investigational Therapies]]
 
==Case Studies==
[[Gastric dumping syndrome case study one|Case#1]]


==Source==
==Source==
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http://digestive.niddk.nih.gov/ddiseases/pubs/rapidgastricemptying/index.htm
http://digestive.niddk.nih.gov/ddiseases/pubs/rapidgastricemptying/index.htm


{{SIB}}
 
{{digestive_system}}
{{digestive_system}}
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{{Gastroenterology}}
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Syndromes]]


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Latest revision as of 18:27, 19 December 2017

Gastric dumping syndrome
Dumping syndrome pain
https://www.youtube.com/watch?v=JhhK4b1bs_g%7C350}}

Gastric dumping syndrome Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Gastric dumping syndrome from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

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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]

Synonyms and keywords: Postgastrectomy dumping syndrome; gastric dumping

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Gastric dumping syndrome from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice | History and Symptoms | Physical Examination | Laboratory Findings | X Ray | CT | MRI | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case#1

Source

Most of the text of this article is taken from http://digestive.niddk.nih.gov/ddiseases/pubs/rapidgastricemptying/index.htm


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