Gastric dumping syndrome surgery

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

Overview

Surgical intervention is not recommended for the management of [disease name].

OR

Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]

OR

The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].

OR

The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

Surgery is the mainstay of treatment for [disease or malignancy].

Indications

• Surgical intervention is not recommended for the management of [disease name].

OR

• Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
  • [Indication 1]
  • [Indication 2]
  • [Indication 3]
• The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
  • [Indication 1]
  • [Indication 2]
  • [Indication 3]

Surgery

• The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

• Surgery is the mainstay of treatment for [disease or malignancy].

Surgical Procedures

Procedure	Mechanism	Complications
Stoma Revision	Narrowing of the gastrojejunal stoma	Stomal strictures, Gastric outlet obstruction
Jejunal Interposition	Creation of a long iso- or antiperistaltic limb between stomach and jejunum	Ulceration and stenosis of the interposed segment
Pyloric Reconstruction	Modification of pyloroplasty by cutting the pyloroplasty incision and its longitudinal closure	Low-risk
Billroth I to Billroth II conversion	Restoration of physiologic delivery of the meal to the duodenum	Low-risk
Roux limb conversion to Roux-en-Y gastrojejunostomy	Slowing rate of gastric emptying and chyme transit via the Roux limb	Roux stasis
GI retrograde electrical pacing	Experimental procedure (No human studies have been performed)