Dumping Syndrome

Question 1

Dumping syndrome is a complication of

Answer 1

both gastric bypass and sleeve gastrectomy.

Question 2

There are 2 forms of dumping syndrome:

Answer 2

1.- Early dumping
syndrome
2.- Late-onset dumping
syndrome, or postprandial
hyperinsulinemia hypoglycemia (PHH)

Question 3

Early dumping

syndrome cxfx

Answer 3

Hypotension
Autonomic
response
(flushing,
tachycardia,
possible
syncope)

Question 4

Early dumping

syndrome Cause

Answer 4

Rapid emptying of
hyperosmolar food
causes fluid shifts from
the plasma into the bowel.

Question 5

Early dumping

syndrome tx

Answer 5

Small, frequent meals
Solid foods separated
from liquid intake by 30 minutes

Question 6

Late-onset dumping Sx or PHH cxfx

Answer 6

Hypoglycemia
Dizziness
Fatigue
Diaphoresis
Weakness

Question 7

Late-onset dumping Sx or PHH cause

Answer 7

Most commonly, Roux-en Y gastric bypass is the
cause, but symptoms
begin several months
after surgery, occurring 1–
3 hours after ingestion of
a carbohydrate-rich meal

Question 8

Late-onset dumping Sx or PHH tx

Answer 8

same as Early dumping Sx.

If it fails try octreotide (slows motility)