Gastric dumping syndrome history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
The | The history of [[Gastric dumping syndrome|dumping syndrome]] has to do with [[Surgery|surgeries]] or [[Disease|diseases]] that alter the [[motility]] or capacity of the [[stomach]]. The most common history of [[Gastric dumping syndrome|dumping syndrome]] is a [[bariatric surgery]] history. The most common [[Symptom|symptoms]] of [[Gastric dumping syndrome|dumping syndrome]] are [[shock]], [[Syncope|fainting]], [[syncope]], [[unconsciousness]], [[desire]] to lay down or sit down, [[Dyspnea|breathlessness]], [[dyspnea]], weakness, [[Fatigue|exhaustion]], [[Somnolence|sleepiness]], [[Somnolence|drowsiness]], [[apathy]], falling asleep, [[palpitation]], [[Agitation (emotion)|restlessness]], [[diarrhea]] and [[dizziness]]. | ||
==History == | ==History == | ||
The common surgical, medical and social history findings associated with dumping syndrome include: | The common surgical, medical and social history findings associated with [[Gastric dumping syndrome|dumping syndrome]] include: | ||
===='''Surgical History'''==== | ===='''Surgical History'''==== | ||
*Gastrectomy (partial and total) | *[[Gastrectomy]] (partial and total) | ||
*Esophagectomy | *[[Esophagectomy]] | ||
*Billroth I Gastroduodenostomy | *Billroth I [[Gastroduodenostomy]] | ||
*Billroth II Gastrojejunostomy | *Billroth II [[Gastrojejunostomy]] | ||
*Roux-en-Y gastric bypass surgery | *[[Roux-en-Y]] [[gastric bypass surgery]] | ||
*Antiulcer surgery (vagotomy) | *Antiulcer [[surgery]] ([[vagotomy]]) | ||
*Antireflux surgery (Nissen fundoplication, especially in pediatric patients) | *Antireflux [[surgery]] ([[Nissen fundoplication]], especially in [[Pediatrics|pediatric]] patients) | ||
*Cholecystectomy | *[[Cholecystectomy]] | ||
*Pyloromyotomy | *[[Pyloromyotomy]] | ||
*Esophageal repair of esophageal atresia | *[[Esophageal]] repair of [[esophageal atresia]] | ||
*Laparoscopic sleeve gastrectomy (LSG) | *[[Laparoscopic surgery|Laparoscopic]] sleeve [[gastrectomy]] (LSG) | ||
====Medical History==== | ====Medical History==== | ||
*Diseases | *[[Disease|Diseases]] | ||
**Diabetes Mellitus | **[[Diabetes mellitus|Diabetes Mellitus]] | ||
**Zollinger-Ellison syndrome | **[[Zollinger-Ellison syndrome]] | ||
**Ehlers-Danlos syndrome | **[[Ehlers-Danlos syndrome]] | ||
**Duodenal ulcer | **[[Peptic ulcer|Duodenal ulcer]] | ||
**Exocrine Pancreatic insufficiency | **[[Exocrine gland|Exocrine]] [[Pancreatic insufficiency]] | ||
====Social History==== | ====Social History==== | ||
*Post-surgical diet | *Post-surgical diet | ||
**High carbohydrate (sugar) intake | **High [[carbohydrate]] ([[sugar]]) intake | ||
== Symptoms == | == Symptoms == | ||
Symptoms of dumping syndrome include diarrhea, fainting, palpitations, fatigue, bloating as well as many others. The symptoms can be subdivided as follows: | Symptoms of [[Gastric dumping syndrome|dumping syndrome]] include [[diarrhea]], [[Syncope|fainting]], [[Palpitation|palpitations]], [[fatigue]], [[bloating]] as well as many others. The [[Symptom|symptoms]] can be subdivided as follows: | ||
{| class="wikitable" style="margin: 1em auto 1em auto" | {| class="wikitable" style="margin: 1em auto 1em auto" | ||
| Line 45: | Line 45: | ||
|'''Vasomotor/Systemic''' | |'''Vasomotor/Systemic''' | ||
| rowspan="2" valign="top" | | | rowspan="2" valign="top" | | ||
* Tremor | * [[Tremor]] | ||
* Hunger | * [[Hunger]] | ||
* Perspiration | * [[Perspiration]] | ||
* Difficulty | * Difficulty concentrating | ||
* Decreased consciousness | * Decreased [[consciousness]] | ||
|- | |- | ||
| valign="top" | | | valign="top" | | ||
* Nausea | * [[Nausea and vomiting|Nausea]] | ||
* Diarrhea | * [[Diarrhea]] | ||
* Vomiting | * [[Nausea and vomiting|Vomiting]] | ||
* Bloating | * [[Bloating]] | ||
* Borborygmi | * [[Borborygmus|Borborygmi]] | ||
* Epigastric fullness | * [[Epigastric]] [[Satiety|fullness]] | ||
| valign="top" | | | valign="top" | | ||
* Pallor | * [[Pallor]] | ||
* Fatigue | * [[Fatigue]] | ||
* Flushing | * [[Flushing]] | ||
* Syncope | * [[Syncope]] | ||
* Headache | * [[Headache]] | ||
* Diaphoresis | * [[Diaphoresis]] | ||
* Palpitations | * [[Palpitation|Palpitations]] | ||
* Lightheadedness | * [[Lightheadedness and vertigo|Lightheadedness]] | ||
* Desire to lie down | * [[Desire]] to lie down | ||
|} | |} | ||
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|- | |- | ||
| | | | ||
*Shock | *[[Shock]] | ||
*Fainting | *[[Syncope|Fainting]] | ||
*Syncope | *[[Syncope]] | ||
*Unconsciousness | *[[Unconsciousness]] | ||
*Desire to lay down or sit down | *[[Desire]] to lay down or sit down | ||
*Breathlessness | *[[Dyspnea|Breathlessness]] | ||
*Dyspnea | *[[Dyspnea]] | ||
*Weakness | *Weakness | ||
*Exhaustion | *[[Fatigue|Exhaustion]] | ||
*Sleepiness | *[[Somnolence|Sleepiness]] | ||
*Drowsiness | *[[Somnolence|Drowsiness]] | ||
*Apathy | *[[Apathy]] | ||
*Falling asleep | *Falling asleep | ||
* | *[[Palpitation]] | ||
*Restlessness | *[[Agitation (emotion)|Restlessness]] | ||
*Dizziness | *[[Dizziness]] | ||
| valign="top" | | | valign="top" | | ||
*Headaches | *[[Headache|Headaches]] | ||
*Feeling of warmth | *Feeling of warmth | ||
*Sweating | *[[Perspiration|Sweating]] | ||
*Pallor | *[[Pallor]] | ||
*Clammy skin | *Clammy skin | ||
*Nausea | *[[Nausea and vomiting|Nausea]] | ||
*Abdominal fullness | *[[Abdomen|Abdominal]] [[Satiety|fullness]] | ||
*Meteorism | *[[Tympanites|Meteorism]] | ||
*Borborygmus | *[[Borborygmus]] | ||
| valign="top" | | | valign="top" | | ||
*Eructation | *[[Burping|Eructation]] | ||
*Vomiting | *[[Nausea and vomiting|Vomiting]] | ||
|} | |} | ||
Revision as of 20:19, 5 December 2017
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Differentiating Gastric dumping syndrome from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The history of dumping syndrome has to do with surgeries or diseases that alter the motility or capacity of the stomach. The most common history of dumping syndrome is a bariatric surgery history. The most common symptoms of dumping syndrome are shock, fainting, syncope, unconsciousness, desire to lay down or sit down, breathlessness, dyspnea, weakness, exhaustion, sleepiness, drowsiness, apathy, falling asleep, palpitation, restlessness, diarrhea and dizziness.
History
The common surgical, medical and social history findings associated with dumping syndrome include:
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
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 as follows:
| Early dumping | Late dumping | |
|---|---|---|
| Abdominal | Vasomotor/Systemic |
|
| ||
| Most common | Less common | Least common |
|---|---|---|
|