Gastric dumping syndrome classification: Difference between revisions

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Revision as of 14:39, 11 December 2017

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

Dumping syndrome can be divided into two classifications. These classifications are based on the onset of symptoms after the first meal.

Below is a table differentiating the basic classifications:^[1]^[2]

	Early Dumping	Late Dumping
Onset	15-30 minutes after a meal	60-180 minutes after a meal
Risk Factor	Bariatric Surgery	Hyperosmolar chyme
Mechanism	Increased release of multiple GI hormones Decrease in gastric volume Impaired retention Possible Pyloric dysfunction	Rapid glucose absorption Incretin release (GLP-1) Amplified insulin secretion
Symptoms	Nausea Bloating Vomiting Diarrhea Borborygmus Epigastric fullness Abdominal cramps Diaphoresis Desire to lie down Headache Flushing Fatigue Lightheadedness Pallor Palpitations Syncope	Tremor Hunger Perspiration Difficulty with concentration Decreased consciousness
Hormones	Vasoactive agents (VIP, Neurotensin) Incretins (GIP, GLP-1) Glucose-modulating hormones (Glucagon, Insulin)	Incretin
Common Complication	Vasomotor symptoms	Hypoglycemia (high Insulin)

↑ Eagon JC, Miedema BW, Kelly KA (1992). "Postgastrectomy syndromes". Surg. Clin. North Am. 72 (2): 445–65. PMID 1549803.
↑ Miedema BW, Kelly KA (1991). "The Roux operation for postgastrectomy syndromes". Am. J. Surg. 161 (2): 256–61. PMID 1990879.

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 ==Overview==
-[[Gastric dumping syndrome|Dumping syndrome]] can be divided into two classifications. These classifications are based on the onset of [[Symptom|symptoms]] after the first meal.<ref name="pmid1549803">{{cite journal |vauthors=Eagon JC, Miedema BW, Kelly KA |title=Postgastrectomy syndromes |journal=Surg. Clin. North Am. |volume=72 |issue=2 |pages=445–65 |year=1992 |pmid=1549803 |doi= |url=}}</ref>
+[[Gastric dumping syndrome|Dumping syndrome]] can be divided into two classifications. These classifications are based on the onset of [[Symptom|symptoms]] after the first meal.
 ==Classification==
-Below is a table differentiating the basic classifications:<ref name="pmid1990879">{{cite journal |vauthors=Miedema BW, Kelly KA |title=The Roux operation for postgastrectomy syndromes |journal=Am. J. Surg. |volume=161 |issue=2 |pages=256–61 |year=1991 |pmid=1990879 |doi= |url=}}</ref>
+Below is a table differentiating the basic classifications:<ref name="pmid1549803">{{cite journal |vauthors=Eagon JC, Miedema BW, Kelly KA |title=Postgastrectomy syndromes |journal=Surg. Clin. North Am. |volume=72 |issue=2 |pages=445–65 |year=1992 |pmid=1549803 |doi= |url=}}</ref><ref name="pmid1990879">{{cite journal |vauthors=Miedema BW, Kelly KA |title=The Roux operation for postgastrectomy syndromes |journal=Am. J. Surg. |volume=161 |issue=2 |pages=256–61 |year=1991 |pmid=1990879 |doi= |url=}}</ref>
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