Dumping syndrome refers to a constellation of symptoms that occurs when food reaches the small bowel too rapidly. Symptoms are triggered by meals, and there are both early symptoms as well as late findings. In the acute care setting, diagnosis is based on symptoms in relationship to oral intake. Definitive diagnosis is made with a modified oral glucose tolerance test that can be done as an outpatient. The initial dumping syndrome management relies on dietary modifications. After dietary modifications, medications such as somatostatin analogs (e.g. octreotide) are the next step which delay gastric emptying and small bowel transit time, as well as inhibit gastric hormones and insulin secretion.
Dumping syndrome Abdominal pain Bariatric surgery Gastric bypass
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