Gastric dumping syndrome classification: Difference between revisions

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__NOTOC__
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{{Gastric dumping syndrome}}
{{Gastric dumping syndrome}}
{{CMG}}
{{CMG}}; {{AE}} {{UA}}


==Overview==
==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 early dumping and late dumping syndrome based upon the timeline of onset of [[symptoms]] and clinical features.


==Classification==
==Classification==
 
Dumping syndrome may be classified based upon the timeline of the onset of [[symptoms]] and clinical features. The following table depicts the major classification systems of dumping syndrome :<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><ref name="pmid9279532">{{cite journal |vauthors=Vecht J, Gielkens HA, Frölich M, Lamers CB, Masclee AA |title=Vasoactive substances in early dumping syndrome: effects of dumping provocation with and without octreotide |journal=Eur. J. Clin. Invest. |volume=27 |issue=8 |pages=680–4 |year=1997 |pmid=9279532 |doi= |url=}}</ref>
{| class="wikitable"
{| class="wikitable" style="margin: 1em auto 1em auto"
!
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Clinical Features
!Early Dumping
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Early Dumping
!Late Dumping
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Late Dumping
|-
|-
|'''Onset'''
|'''Onset'''
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|'''Risk Factor'''
|'''Risk Factor'''
|[[Bariatrics|Bariatric]] [[Surgery]]
|[[Bariatrics|Bariatric]] [[Surgery]]
|Hyperosmolar [[chyme]]
|[[Hyperosmolar]] [[chyme]]
|-
|-
|'''Mechanism'''
|'''Mechanism'''
|
|
* Increased release of multiple [[Gastrointestinal tract|GI]] [[Hormone|hormones]]
* Increased release of multiple [[Gastrointestinal tract|gastrointestinal]] [[Hormone|hormones]]
* Decrease in [[Stomach|gastric]] [[volume]]
* Decrease in [[Stomach|gastric]] [[volume]]
* Impaired [[retention]]
* Impaired [[retention]]
* Possible Pyloric dysfunction
* Possible [[Pylorus|pyloric]] dysfunction
|
|
* Rapid [[glucose]] absorption
* Rapid [[glucose]] absorption
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* [[Borborygmus]]
* [[Borborygmus]]
* [[Epigastric]] fullness
* [[Epigastric]] fullness
* Abdominal [[Cramp|cramps]]
* [[Abdominal]] [[Cramp|cramps]]
* [[Diaphoresis]]
* [[Diaphoresis]]
* [[Desire]] to lie down
* Desire to lie down
* [[Headache]]
* [[Headache]]
* [[Flushing]]
* [[Flushing]]
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|
|
* [[Vasoactive]] agents ([[Vasoactive intestinal peptide|VIP]], [[Neurotensin]])
* [[Vasoactive]] agents ([[Vasoactive intestinal peptide|VIP]], [[Neurotensin]])
* [[Incretin|Incretins]] (GIP, [[Glucagon-like peptide-1|GLP-1)]]
* [[Incretin|Incretins]] ([[Gastric inhibitory polypeptide]]- [[Gastric inhibitory polypeptide|GIP]], [[Glucagon-like peptide-1|glucagon like peptide]]- [[Glucagon-like peptide-1|GLP-1)]]
* Glucose-modulating [[Hormone|hormones]] ([[Glucagon]], [[Insulin]])
* [[Glucose]]-modulating [[Hormone|hormones]] ([[Glucagon]], [[Insulin]])
|
|
* [[Incretin]]
* [[Incretin]]
|-
|-
|'''Common Complication'''
|'''Common Complication'''
|Vasomotor [[Symptom|symptoms]]
|[[Vasomotor]] [[Symptom|symptoms]]
|[[Hypoglycemia]] (high [[Insulin]])
|[[Hypoglycemia]] (high [[Insulin]])
|}
|}

Latest revision as of 18:15, 13 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

Dumping syndrome can be divided into early dumping and late dumping syndrome based upon the timeline of onset of symptoms and clinical features.

Classification

Dumping syndrome may be classified based upon the timeline of the onset of symptoms and clinical features. The following table depicts the major classification systems of dumping syndrome :[1][2][3]

Clinical Features Early Dumping Late Dumping
Onset 15-30 minutes after a meal 60-180 minutes after a meal
Risk Factor Bariatric Surgery Hyperosmolar chyme
Mechanism
Symptoms
Hormones
Common Complication Vasomotor symptoms Hypoglycemia (high Insulin)

References

  1. Eagon JC, Miedema BW, Kelly KA (1992). "Postgastrectomy syndromes". Surg. Clin. North Am. 72 (2): 445–65. PMID 1549803.
  2. Miedema BW, Kelly KA (1991). "The Roux operation for postgastrectomy syndromes". Am. J. Surg. 161 (2): 256–61. PMID 1990879.
  3. Vecht J, Gielkens HA, Frölich M, Lamers CB, Masclee AA (1997). "Vasoactive substances in early dumping syndrome: effects of dumping provocation with and without octreotide". Eur. J. Clin. Invest. 27 (8): 680–4. PMID 9279532.

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