Abstract | BACKGROUND:
Dumping syndrome, a common complication of esophageal, gastric or bariatric surgery, includes early and late dumping symptoms. Early dumping occurs within 1 h after eating, when rapid emptying of food into the small intestine triggers rapid fluid shifts into the intestinal lumen and release of gastrointestinal hormones, resulting in gastrointestinal and vasomotor symptoms. Late dumping occurs 1-3 h after carbohydrate ingestion, caused by an incretin-driven hyperinsulinemic response resulting in hypoglycemia. Clinical recommendations are needed for the diagnosis and management of dumping syndrome. METHODS: A systematic literature review was performed through February 2016. Evidence-based medicine was used to develop diagnostic and management strategies for dumping syndrome. RESULTS: CONCLUSIONS: Implementation of these diagnostic and treatment recommendations may improve dumping syndrome management.
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Authors | A P van Beek, M Emous, M Laville, J Tack |
Journal | Obesity reviews : an official journal of the International Association for the Study of Obesity
(Obes Rev)
Vol. 18
Issue 1
Pg. 68-85
(01 2017)
ISSN: 1467-789X [Electronic] England |
PMID | 27749997
(Publication Type: Journal Article, Review, Systematic Review)
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Copyright | © 2016 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation. |
Topics |
- Bariatric Surgery
(adverse effects)
- Diet
- Dumping Syndrome
(diagnosis, etiology, physiopathology, therapy)
- Evidence-Based Medicine
- Humans
- Postoperative Complications
(diagnosis, etiology, physiopathology, therapy)
- Quality of Life
- Randomized Controlled Trials as Topic
- Surveys and Questionnaires
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