Gastric dumping syndrome history and symptoms

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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 diarrhea, shock, fainting, syncope, unconsciousness, desire to lay down or sit down, breathlessness, dyspnea, weakness, exhaustion, sleepiness, drowsiness, apathy, falling asleep, palpitation, restlessness, 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

• 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 as follows:

Symptom classification by Early Dumping or Late Dumping

Early dumping		Late dumping
Abdominal	Vasomotor/Systemic	Tremor Hunger Perspiration Difficulty concentrating Decreased consciousness
Nausea Diarrhea Vomiting Bloating Borborygmi Epigastric fullness	Pallor Fatigue Flushing Syncope Headache Diaphoresis Palpitations Lightheadedness Desire to lie down

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 Palpitation Restlessness Dizziness	Headaches Feeling of warmth Sweating Pallor Clammy skin Nausea Abdominal fullness Meteorism Borborygmus	Eructation Vomiting