Gastric dumping syndrome classification

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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 two classifications. These classifications are based on the onset of symptoms after the first meal.

Classification

Below is a table differentiating the basic classifications:[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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