POST BARIATRIC HYPOS VS DUMPING Flashcards

1
Q

What is Dumping Syndrome?

A

Rapid gastric emptying causing a range of symptoms

It occurs when food moves too quickly from the stomach to the small intestine.

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2
Q

What causes Dumping Syndrome?

A

Rapid transit of food from the stomach to the small intestine

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3
Q

When do symptoms of Dumping Syndrome typically appear in the early phase?

A

10-30 minutes after eating

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4
Q

When do symptoms of Dumping Syndrome typically appear in the late phase?

A

1-3 hours after eating

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5
Q

What are common symptoms of Dumping Syndrome in the early phase?

A
  • Nausea
  • Vomiting
  • Abdominal pain
  • Diarrhea
  • Bloating
  • Dizziness
  • Tachycardia
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6
Q

What are common symptoms of Dumping Syndrome in the late phase?

A
  • Sweating
  • Shakiness
  • Weakness
  • Hunger
  • Dizziness
  • Headache
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7
Q

What dietary factors are associated with Dumping Syndrome?

A

High sugar or high carbohydrate meals

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8
Q

What are the diagnostic methods for Dumping Syndrome?

A
  • Clinical history
  • Glucose challenge test
  • Gastric emptying studies
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9
Q

What management strategies are recommended for Dumping Syndrome?

A
  • Small, frequent meals
  • Avoid high-sugar and high-carbohydrate foods
  • Increase protein and fiber
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10
Q

What medications may be used for severe cases of Dumping Syndrome?

A
  • Acarbose
  • Octreotide
  • Proton pump inhibitors
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11
Q

What is the prognosis for patients with Dumping Syndrome?

A

Generally good with dietary adjustments

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12
Q

What are potential complications of Dumping Syndrome?

A
  • Malnutrition
  • Severe dehydration
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13
Q

In which patient population is Dumping Syndrome more common?

A

Bariatric patients

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14
Q

What is Post-Bariatric Hypoglycemia (PBH)?

A

Low blood sugar occurring after bariatric surgery

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15
Q

What causes Post-Bariatric Hypoglycemia?

A

Hyperinsulinemic response to carbohydrate intake post-surgery

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16
Q

When do symptoms of Post-Bariatric Hypoglycemia typically appear?

A

Within 1-3 hours after eating

17
Q

What are common symptoms of Post-Bariatric Hypoglycemia?

A
  • Sweating
  • Shakiness
  • Weakness
  • Confusion
  • Palpitations
  • Visual disturbances
18
Q

What dietary factors are associated with Post-Bariatric Hypoglycemia?

A

High carbohydrate meals

19
Q

What are the diagnostic methods for Post-Bariatric Hypoglycemia?

A
  • Continuous glucose monitoring (CGM)
  • Mixed-meal tolerance test (MMTT)
20
Q

What management strategies are recommended for Post-Bariatric Hypoglycemia?

A
  • Small, frequent meals
  • Avoid refined carbohydrates
  • Increase protein and fiber
21
Q

What medications may be used for severe cases of Post-Bariatric Hypoglycemia?

A
  • Acarbose
  • Diazoxide
  • Continuous glucose monitoring
22
Q

What is the prognosis for patients with Post-Bariatric Hypoglycemia?

A

Generally good with dietary adjustments and monitoring

23
Q

What is a potential complication of Post-Bariatric Hypoglycemia?

A

Severe hypoglycemia leading to neurological damage

24
Q

In which patient population is Post-Bariatric Hypoglycemia more common?

A

More common in the late postoperative period

25
Q

PIC

A