Gastric dumping syndrome physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Gastric dumping syndrome}} | {{Gastric dumping syndrome}} | ||
{{CMG}} | {{CMG}}; {{AE}} {{UA}} | ||
==Overview== | ==Overview== | ||
Common [[physical examination]] findings of [[Gastric dumping syndrome|dumping syndrome]] include [[tachycardia]], [[flushing]], [[abdominal pain]] | Common [[physical examination]] findings of [[Gastric dumping syndrome|dumping syndrome]] include [[tachycardia]], [[flushing]], [[abdominal pain]], [[Abdominal distension|abdominal distention]], [[borborygmus]], [[tremor]] and [[weight loss]] in most severe cases. | ||
==Physical Examination== | ==Physical Examination== | ||
[[Physical examination]] of patients with [[Gastric dumping syndrome|dumping syndrome]] is usually remarkable for: | [[Physical examination]] of patients with [[Gastric dumping syndrome|dumping syndrome]] is usually remarkable for: | ||
==== General ==== | ==== General ==== | ||
* [[Weight loss]]. This is commonly found in severe cases | * [[Weight loss]]. This is commonly found in severe cases<ref name="pmid28624531">{{cite journal |vauthors=Emous M, Wolffenbuttel BHR, Totté E, van Beek AP |title=The short- to mid-term symptom prevalence of dumping syndrome after primary gastric-bypass surgery and its impact on health-related quality of life |journal=Surg Obes Relat Dis |volume=13 |issue=9 |pages=1489–1500 |year=2017 |pmid=28624531 |doi=10.1016/j.soard.2017.04.028 |url=}}</ref> | ||
===='''Vital Signs'''==== | ===='''Vital Signs'''==== | ||
*[[Tachycardia]] (rapid heart beats) | *[[Tachycardia]] (rapid heart beats)<ref name="pmid23708181">{{cite journal |vauthors=Sato D, Morino K, Ohashi N, Ueda E, Ikeda K, Yamamoto H, Ugi S, Yamamoto H, Araki S, Maegawa H |title=Octreotide improves early dumping syndrome potentially through incretins: a case report |journal=Endocr. J. |volume=60 |issue=7 |pages=847–53 |year=2013 |pmid=23708181 |doi= |url=}}</ref> | ||
*[[Hypotension]] (due to decreased intra-[[vascular]] volume)<ref name="pmid14452070">{{cite journal |vauthors=JOHNSON LP, SLOOP RD, JESSEPH JE |title=Etiologic significance of the early symptomatic phase in the dumping syndrome |journal=Ann. Surg. |volume=156 |issue= |pages=173–9 |year=1962 |pmid=14452070 |pmc=1466323 |doi= |url=}}</ref> | |||
===='''Skin'''==== | ===='''Skin'''==== | ||
*Profuse [[perspiration]] (sweating) | *Profuse [[perspiration]] (sweating)<ref name="pmid23708181">{{cite journal |vauthors=Sato D, Morino K, Ohashi N, Ueda E, Ikeda K, Yamamoto H, Ugi S, Yamamoto H, Araki S, Maegawa H |title=Octreotide improves early dumping syndrome potentially through incretins: a case report |journal=Endocr. J. |volume=60 |issue=7 |pages=847–53 |year=2013 |pmid=23708181 |doi= |url=}}</ref> | ||
*[[Skin]] [[flushing]] (skin turns red) | *[[Skin]] [[flushing]] (skin turns red)<ref name="pmid6022307">{{cite journal |vauthors= |title=5-hydroxyindoles and kinins in the carcinoid and dumping syndromes |journal=Can Med Assoc J |volume=96 |issue=18 |pages=1282 |year=1967 |pmid=6022307 |pmc=1922887 |doi= |url=}}</ref><ref>{{cite journal|title=Flushing in the Carcinoid and Dumping Syndromes|journal=Nutrition Reviews|volume=25|issue=4|year=2009|pages=110–111|issn=00296643|doi=10.1111/j.1753-4887.1967.tb05594.x}}</ref> | ||
===='''Abdomen'''==== | ===='''Abdomen'''==== | ||
* [[Abdominal distention]] (bowel inflates) | * [[Abdominal distention]] (bowel inflates)<ref name="pmid957773">{{cite journal |vauthors=Woodward ER |title=The early postprandial dumping syndrome: clinical manifestations and pathogenesis |journal=Major Probl Clin Surg |volume=20 |issue= |pages=1–13 |year=1976 |pmid=957773 |doi= |url=}}</ref> | ||
*[[Abdominal tenderness]] (non-specific pain) | *[[Abdominal tenderness]] (non-specific pain)<ref name="pmid6022307">{{cite journal |vauthors= |title=5-hydroxyindoles and kinins in the carcinoid and dumping syndromes |journal=Can Med Assoc J |volume=96 |issue=18 |pages=1282 |year=1967 |pmid=6022307 |pmc=1922887 |doi= |url=}}</ref> | ||
*[[Borborygmus]] (rumbling noises in the [[Intestine|bowel]]) | *[[Borborygmus]] (rumbling noises in the [[Intestine|bowel]])<ref name="pmid3985800">{{cite journal |vauthors=Sirinek KR, O'Dorisio TM, Howe B, McFee AS |title=Neurotensin, vasoactive intestinal peptide, and Roux-en-Y gastrojejunostomy. Their role in the dumping syndrome |journal=Arch Surg |volume=120 |issue=5 |pages=605–9 |year=1985 |pmid=3985800 |doi= |url=}}</ref> | ||
====Neuromuscular==== | ====Neuromuscular==== | ||
* [[Tremor]] (trembling hands) | * [[Tremor]] (trembling hands)<ref name="pmid3985800">{{cite journal |vauthors=Sirinek KR, O'Dorisio TM, Howe B, McFee AS |title=Neurotensin, vasoactive intestinal peptide, and Roux-en-Y gastrojejunostomy. Their role in the dumping syndrome |journal=Arch Surg |volume=120 |issue=5 |pages=605–9 |year=1985 |pmid=3985800 |doi= |url=}}</ref> | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 16:00, 15 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Umar Ahmad, M.D.[2]
Overview
Common physical examination findings of dumping syndrome include tachycardia, flushing, abdominal pain, abdominal distention, borborygmus, tremor and weight loss in most severe cases.
Physical Examination
Physical examination of patients with dumping syndrome is usually remarkable for:
General
- Weight loss. This is commonly found in severe cases[1]
Vital Signs
- Tachycardia (rapid heart beats)[2]
- Hypotension (due to decreased intra-vascular volume)[3]
Skin
Abdomen
- Abdominal distention (bowel inflates)[6]
- Abdominal tenderness (non-specific pain)[4]
- Borborygmus (rumbling noises in the bowel)[7]
Neuromuscular
References
- ↑ Emous M, Wolffenbuttel B, Totté E, van Beek AP (2017). "The short- to mid-term symptom prevalence of dumping syndrome after primary gastric-bypass surgery and its impact on health-related quality of life". Surg Obes Relat Dis. 13 (9): 1489–1500. doi:10.1016/j.soard.2017.04.028. PMID 28624531. Vancouver style error: initials (help)
- ↑ 2.0 2.1 Sato D, Morino K, Ohashi N, Ueda E, Ikeda K, Yamamoto H, Ugi S, Yamamoto H, Araki S, Maegawa H (2013). "Octreotide improves early dumping syndrome potentially through incretins: a case report". Endocr. J. 60 (7): 847–53. PMID 23708181.
- ↑ JOHNSON LP, SLOOP RD, JESSEPH JE (1962). "Etiologic significance of the early symptomatic phase in the dumping syndrome". Ann. Surg. 156: 173–9. PMC 1466323. PMID 14452070.
- ↑ 4.0 4.1 "5-hydroxyindoles and kinins in the carcinoid and dumping syndromes". Can Med Assoc J. 96 (18): 1282. 1967. PMC 1922887. PMID 6022307.
- ↑ "Flushing in the Carcinoid and Dumping Syndromes". Nutrition Reviews. 25 (4): 110–111. 2009. doi:10.1111/j.1753-4887.1967.tb05594.x. ISSN 0029-6643.
- ↑ Woodward ER (1976). "The early postprandial dumping syndrome: clinical manifestations and pathogenesis". Major Probl Clin Surg. 20: 1–13. PMID 957773.
- ↑ 7.0 7.1 Sirinek KR, O'Dorisio TM, Howe B, McFee AS (1985). "Neurotensin, vasoactive intestinal peptide, and Roux-en-Y gastrojejunostomy. Their role in the dumping syndrome". Arch Surg. 120 (5): 605–9. PMID 3985800.