Gastric dumping syndrome history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].

History

Surgical History

• Gastrectomy (partial and total)
• Esophagectomy
• Billroth I Gastroduodenostomy
• Billroth II Gastrojejunostomy
• Roux-en-Y gastric bypass surgery
• Antiulcer surgery (vagotomy)
• Antireflux surgery (Nissen fundoplication, especially in pediatric patients)
• Cholecystectomy
• Pyloromyotomy
• Esophageal repair of esophageal atresia
• Laparoscopic sleeve gastrectomy (LSG)

Medical History

• Diseases
  • Diabetes Mellitus
  • Zollinger-Ellison syndrome
  • Ehlers-Danlos syndrome
  • Duodenal ulcer
  • Exocrine Pancreatic insufficiency

Social History

• Post-surgical diet
  • High carbohydrate (sugar) intake

Symptoms

Symptoms of dumping syndrome include diarrhea, fainting, palpitations, fatigue, bloating as well as many others. The symptoms can be subdivided into a variety of ways. They are as follows:

• Pallor
• Fatigue
• Flushing
• Syncope
• Headache
• Diaphoresis
• Palpitations
• Lightheadedness
• Desire to lie down

Symptom classification by Early Dumping or Late Dumping

Early dumping		Late dumping
Abdominal	Vasomotor/Systemic		Tremor Hunger Perspiration Difficulty concerntrating Decreased consciousness
Nausea Diarrhea Vomiting Bloating Borborygmi Epigastric fullness

Symptom classification by Sigstad's Score

Most common	Less common	Least common
Shock Fainting Syncope Unconsciousness Desire to lay down or sit down Breathlessness Dyspnea Weakness Exhaustion Sleepiness Drowsiness Apathy Falling asleep Palpation Restlessness Dizziness	Headaches Feeling of warmth Sweating Pallor Clammy skin Nausea Abdominal fullness Meteorism Borborygmus	Eructation Vomiting