Gastric dumping syndrome epidemiology and demographics: Difference between revisions
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*Out of these about 1-5% reported severe symptoms. | *Out of these about 1-5% reported severe symptoms. | ||
*After truncal vagotomy with drainage the incidence of dumping syndrome has been reported to be 6-14%. | *After truncal vagotomy with drainage the incidence of dumping syndrome has been reported to be 6-14%. | ||
*After proximal | *After proximal vagotomy without drainage the incidence of dumping syndrome has been reported to be is less than 2%. | ||
*After partial gastrectomy the incidence of dumping syndrome has been reported to be 14-20%. | *After partial gastrectomy the incidence of dumping syndrome has been reported to be 14-20%. | ||
*Newer gastric operations, such as proximal gastric vagotomy (which produces minimal disturbance of gastric emptying mechanisms), are associated with a much lower incidence of postgastrectomy syndromes. In the pediatric population, dumping syndrome is described almost exclusively in children who have undergone Nissen fundoplication. | *Newer gastric operations, such as proximal gastric vagotomy (which produces minimal disturbance of gastric emptying mechanisms), are associated with a much lower incidence of postgastrectomy syndromes. In the pediatric population, dumping syndrome is described almost exclusively in children who have undergone Nissen fundoplication. | ||
Revision as of 20:43, 16 November 2017
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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
Incidence and prevalence varies depending on the procedure or disease leading to dumping syndrome.
Epidemiology and Demographics
Incidence
- The incidence of patients who have undergone gastric surgery ranges from approximately 20,000 per 100,000 to 50,000 per 100,000.
- Out of these about 1-5% reported severe symptoms.
- After truncal vagotomy with drainage the incidence of dumping syndrome has been reported to be 6-14%.
- After proximal vagotomy without drainage the incidence of dumping syndrome has been reported to be is less than 2%.
- After partial gastrectomy the incidence of dumping syndrome has been reported to be 14-20%.
- Newer gastric operations, such as proximal gastric vagotomy (which produces minimal disturbance of gastric emptying mechanisms), are associated with a much lower incidence of postgastrectomy syndromes. In the pediatric population, dumping syndrome is described almost exclusively in children who have undergone Nissen fundoplication.
- Reductions in the need for elective gastric surgery have led to a decline in the frequency of postgastrectomy syndromes. A 10-fold reduction has occurred in elective operations for peptic ulcer disease in the last 20-30 years. Although this trend preceded the advent of histamine-2 receptor antagonists, these drugs and proton pump inhibitors have accelerated the decline. Helicobacter pylori treatment and eradication in patients with peptic ulcer disease have further decreased the need for surgery.
Prevalence
- The incidence/prevalence of [disease name] is approximately [number range] per 100,000 individuals worldwide.
- In [year], the incidence/prevalence of [disease name] was estimated to be [number range] cases per 100,000 individuals worldwide.
- The prevalence of [disease/malignancy] is estimated to be [number] cases annually.
Case-fatality rate/Mortality rate
- In 2012, the mortality rate of bariatric surgery leading to dumping syndrome was approximately 1,000 per 100,000 individuals with about 10% having serious complications.
Age
- Patients of all age groups may develop [disease name].
- The incidence of [disease name] increases with age; the median age at diagnosis is [#] years.
- [Disease name] commonly affects individuals younger than/older than [number of years] years of age.
- [Chronic disease name] is usually first diagnosed among [age group].
- [Acute disease name] commonly affects [age group].
Race
- There is no racial predilection to [disease name].
- [Disease name] usually affects individuals of the [race 1] race. [Race 2] individuals are less likely to develop [disease name].
Gender
- [Disease name] affects men and women equally.
- [Gender 1] are more commonly affected by [disease name] than [gender 2]. The [gender 1] to [gender 2] ratio is approximately [number > 1] to 1.
Region
- The majority of [disease name] cases are reported in [geographical region].
- [Disease name] is a common/rare disease that tends to affect [patient population 1] and [patient population 2].