Skip to main content

Dumping

  • Chapter

Abstract

Clinically it is difficult to define what is meant by dumping, but it is generally agreed that in its full form the dumping syndrome consists of both gastrointestinal and cardiovascular or vasomotor symptoms.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Hertz, A.F.: The cause and treatment of certain unfavourable after effects of gastroenterostomy. Ann. Surg. 58, 466 (1913)

    Article  PubMed  CAS  Google Scholar 

  2. Andrews, E.W.: “Dumping stomach” and other results of gastrojejunostomy: operative cure by disconnecting the old stoma. Surg. Clin. North America 4, 883 (1920)

    Google Scholar 

  3. Mix, C.L.: Dumping following gastrojejunostomy. Surg. Clin. N. America 2, 617 (1922)

    Google Scholar 

  4. Harvey, D.D., St. John, F.B., Volk, H.: Peptic ulcer: late followup results after partial gastrectomy: analysis of failures. Ann. Surg. 138, 680 (1953)

    Article  PubMed  CAS  Google Scholar 

  5. Muir, A.: Postgastrectomy syndromes. Brit. J. Surgery 37, 165 (1949)

    Article  CAS  Google Scholar 

  6. Jordan, G.L., Bolton, B.F., DeBakey, M.E.: Experience with gastrectomy at a Veterans Hospital. J.A.M.A. 161, 1605 (1956)

    Google Scholar 

  7. Hastings, N., Halsted, J.A., Woodward, E.R., Gasster, M., Hiscock, E.A.: Subtotal gastric resection for benign peptic ulcer. Arch. Surg. 76, 74 (1958)

    CAS  Google Scholar 

  8. Higginson, J.F., Claggett, O.T.: Gastric resection: the Shoemaker-Billroth I operation. Surgery 24, 613 (1948)

    PubMed  CAS  Google Scholar 

  9. Ross, F.P., Meadows, E.C.: The treatment of peptic ulceration by extensive partial gastrectomy with gastroduodenostomy. Surgery 32, 426 (1952)

    PubMed  CAS  Google Scholar 

  10. Fischer, P.B., Jordan, G.L.: The Billroth I gastrectomy for the treatment of duodenal ulcer. Ann. Surg. 24, 922 (1958)

    Google Scholar 

  11. Eisenberg, M.M., Woodward, E.R., Carson, T.J., Dragstedt, L.R.: Vagotomy and drainage procedure for duodenal ulcer: the results often year’s experience. Ann. Surg. 170, 111 (1969)

    Article  Google Scholar 

  12. O’Leary, J.F., Woodward, E.R., Hollenbeck, J.I., Dragstedt, L.R.: Vagotomy and drainage procedure for duodenal ulcer: the results of seventeen years’ experience. Ann. Surg. 183, 613 (1976)

    Article  PubMed  Google Scholar 

  13. Goligher, J.C., Hill, G.L., Kenny, T.E., Nutter, E.: Proximal gastric vagotomy without drainage for duodenal ulcer: results after 5-8 years. Brit. J. Surg. 65, 145 (1978)

    Article  PubMed  CAS  Google Scholar 

  14. Capper, W.M.: The etiology of the early postgastrectomy syndrome. Gastroenterology 76, 319 (1950)

    Article  Google Scholar 

  15. Machalla, T.E.: The mechanism of postgastrectomy dumping syndrome. Ann. Surg. 130, 145 (1949)

    Article  Google Scholar 

  16. Machella, T.E.: Mechanism of postgastrectomy dumping syndrome. Gastroenterology 14, 237 (1950)

    PubMed  CAS  Google Scholar 

  17. Amdrup, E., Jorgensen, J.B.: Further investigations on the pathogenesis of the dumping syndrome with special reference to the role of distension of efferent loop. Acta chirurg. Scand. 113, 22 (1957)

    CAS  Google Scholar 

  18. Roberts, K.E., Randall, H., Farr, H.: Acute alteration in blood volume plasma electrolytes and electrocardiogram produced by oral administration of hypertonic solutions to gastrectomized patients. Surg. Forum 4, 301 (1954)

    Google Scholar 

  19. Hinshaw, D.B., Joergenson, E.J., Davis, H.A., Stafford, C.E.: Peripheral blood flow and blood volume studies in the dumping syndrome. Arch. Surg. 74, 686 (1957)

    CAS  Google Scholar 

  20. Peddie, G.H., Jordan, G.L., DeBakey, M.E.: Further studies on the pathogenesis of the post-gastrectomy syndrome. Ann. Surg. 146, 892 (1957)

    Article  PubMed  CAS  Google Scholar 

  21. Thomson, J.P.S., Russell, R.C.G., Hobsley, M., Le Quesne, L.P.: The dumping syndrome and the hydrogen ion concentration of the gastric contents. Gut 15, 200 (1974)

    Article  PubMed  CAS  Google Scholar 

  22. Le Quesne, L.P., Hobsley, M., Hand, B.H.: “The dumping syndrome”. I. Factors responsible for the symptoms. Brit. Med. J. 1, 141 (1960)

    Article  Google Scholar 

  23. Butz, R.: Dumping syndrome studied during maintenance of blood volume. Ann. Surgery 154, 225 (1961)

    Article  CAS  Google Scholar 

  24. Read, R.C., Swenson, D.: Blood pressure and osmolarity changes in the dumping syndrome. Surg. Gynecol. Obstetr. 112, 448 (1961)

    Google Scholar 

  25. Bulbring, E., Lynn, R.C.: The effect of intraluminal application of 5-hydroxytryptamine and 5-hydroxytryptophan on peristalsis; the local production of 5-HT and its release in relation to intraluminal pressure and propulsive activity. J. Physiol. 140, 381 (1958)

    PubMed  CAS  Google Scholar 

  26. Johnson, L.P., Jesseph, J.E.: Evidence for a humoral etiology of the dumping syndrome. Surg. Forum 12, 316 (1961)

    PubMed  CAS  Google Scholar 

  27. Johnson, L.P., Sloop, R.D., Jesseph, J.E.: Plethysmographic evidence supporting the concept of a humoral etiology of the experimental dumping syndrome. J. Surg. Res. 2, 241 (1962)

    Article  PubMed  CAS  Google Scholar 

  28. Johnson, L.P., Sloop, R.D., Jesseph, J.E., Harkins, H.N.: Serotonin antagonists in experimental and clinical “dumping”. Ann. Surg. 165, 537 (1962)

    Article  Google Scholar 

  29. Jesseph, J.E.: Serotonin and dumping syndrome. Surgery 63, 536 (1968)

    PubMed  CAS  Google Scholar 

  30. Drapanas, T., McDonald, J.C., Stewart, J.D.: Serotonin release following instillation of hyper-tonic glucose into the proximal intestine. Ann. Surg. 156, 528 (1962)

    Article  PubMed  CAS  Google Scholar 

  31. Peskin, G.W., Miller, L.D.: The role of serotonin in the “dumping syndrome”. Arch. Surg. 85, 701 (1962)

    PubMed  CAS  Google Scholar 

  32. Silver, D., McGregor, F.H., Porter, J.M., Anylan, W.G.: The mechanism of the dumping syndrome. Surg. Clin. North Am. 46, 425 (1966)

    PubMed  CAS  Google Scholar 

  33. Howe, C.T.: Surg Gynecol. Obstetr. 119, 92 (1964)

    CAS  Google Scholar 

  34. Walker, G.R., Turner, M.D., Hardie, J.D.: Serotonin levels in portal vein blood in the experimental dumping syndrome. Surg. Forum 13, 241 (1962)

    PubMed  Google Scholar 

  35. Zeitlin, I.J., Smith, A.N.: 5-Hydroxyindoles and kinins in the carcinoid and dumping syndrome. Lancet II, 986 (1966)

    Article  Google Scholar 

  36. Cuschieri, A., Onabanjo, O.A.: Kinin release after gastric surgery. Brit. Med. J. II, 565 (1971)

    Google Scholar 

  37. MacDonald, J.M., Webster, M.M., Tennyson, C.H., Drapanas, T.: Serotonin and bradykinin in the dumping syndrome. Am. J. Surgery 111, 204 (1969)

    Article  Google Scholar 

  38. Bloom, S.R., Royston, C.M.S., Thomson, J.P.S.: Enteroglucagon release in the dumping syndrome. Lancet II, 789 (1972)

    Article  Google Scholar 

  39. O’Connor, F.A., Buchanan, K.D., Trimble, E.R., Hayer, J.R., Kennedy, T.L.: Characterization of glucagon responses to different meals in the dumping syndrome. Gut 15, 348 (1974)

    PubMed  Google Scholar 

  40. Chaimoff, C.H., Dintsman, M.: The long-term fate of patients with dumping syndrome. Arch. Surgery 705, 554 (1972)

    Google Scholar 

  41. Jenkins, D.J.A., Gassull, M.A., Leeds, A.R., Metz, G, Dilawari, J.G., Slavin, B., Blendis, J.L.M.: Effect of dietary fiber on complications of gastric surgery: prevention of postprandial hypoglycemia by pectin. Gastroenterology 72, 215 (1977)

    Google Scholar 

  42. Gyr, K., Berger, W., Goschke, H., et al.: Postprandiale Beschwerden nach Gastrektomie und ihre Beeinflussung durch Dimethylbiguanid. Dtsch. Med. Wochenschr. 95, 2421 (1970)

    Article  PubMed  CAS  Google Scholar 

  43. Humphreys, W.G., Parks, T.G., Buchanan, K.G., Love, A.H.G.: Effect of phenformin on provoked dumping in man. Gut 18, 956 (1977) (abstr.)

    Google Scholar 

  44. Caspary, W.F.: Biguanides and intestinal absorptive function. Acta Hepato-Gastroenterol. 24, 473–480 (1977)

    CAS  Google Scholar 

  45. Slatlocky, E.: Behandlung, des Dumping-Syndromes mit zuckerresorptionshemmenden Mitteln. Dtsch. Med. Wochenschr. 96, 308 (1971)

    Google Scholar 

  46. Becker, H.D.: Pathogenese, Diagnostik und Therapie des Dumping-Syndroms. Chirurg 48, 247 (1977)

    PubMed  CAS  Google Scholar 

  47. Amdrup, E.: Surgical treatment of postgastrectomy symptoms. Acta chir. Scand. 120, 151 (1960)

    PubMed  CAS  Google Scholar 

  48. Porter, H.W., Clarman, Z.B.: A preliminary report on the advantage of a small stoma in partial gastrectomy for ulcer. Ann. Surg. 729, 417 (1949)

    Article  Google Scholar 

  49. Salessiotis, N.A.: Gastroenteric anastomosis in Billroth II gastrectomy with maintenance of the pyloric diameter of the normal pylorus to prevent dumping syndrome. Amer. J. Surg. 129, 656 (1975)

    Article  Google Scholar 

  50. Kennedy, C.S., Reynolds, R.P., Cantor, M.O.: A study of the gastric stoma after partial gastrectomy. Surgery 22, 41 (1947)

    PubMed  CAS  Google Scholar 

  51. Perman, E.: The so-called dumping syndrome after gastrectomy. Acta med. Scand. 196, 361 (1947)

    Google Scholar 

  52. Bohmansson, G.: Prophylaxis and therapy in late postgastrectomy complications. Acta med. Scand. 246, 37 (1950)

    CAS  Google Scholar 

  53. Mathewson, C. Jr.: Conversion of Billroth II to Billroth I for the relief of postgastrectomy symptoms. Amer. J. Surg. 90, 317 (1955)

    Article  PubMed  Google Scholar 

  54. Holle, F.: Spezielle Magenchirurgie. Berlin, Heidelberg, New York: Springer 1968

    Google Scholar 

  55. Bushkin, F.L., Woodward, E.R.: Postgastrectomy syndromes. Vol. XX. Major problems in clinical surgery. Philadelphia: W.B. Saunders 1976

    Google Scholar 

  56. Barg, I., Borgström, S.G., Hager, K.: The value of B II-B I conversion operation in the treatment of the postgastrectomy syndrome. Acta chir. Scand. 134, 655 (1968)

    Google Scholar 

  57. Biebl, M.: “Interpositions-Billroth I” mittels ausgeschalteter Dünndarmschlinge; ein ptotisches Anastomosierungsverfahren bei Magenresektion mit Gültigkeit für das Ulcus. Zbl. Chir. 72, 1568 (1947)

    Google Scholar 

  58. Henley, F.A.: Gastrectomy with replacement. Brit. J. Surg. 40, 118 (1952)

    Article  PubMed  CAS  Google Scholar 

  59. Herrington, J.L.: Utilization of small bowel segments as a gastric reservoir for control of the dumping syndrome. Amer. J. Surg. 111, 89 (1966)

    Article  PubMed  Google Scholar 

  60. Poth, E.J.: The dumping syndrome and its surgical management. Am. Surg. 23, 1097 (1957)

    PubMed  CAS  Google Scholar 

  61. Fenger, HJ., Gudmand-Höyer, E., Kallehauge, H.E., Andreassen, M.: Clinical experience with isoperistaltic interposition of a jejunal segment for the incapacitating dumping syndrome. Ann. Surg. 175, 274 (1972)

    Article  PubMed  CAS  Google Scholar 

  62. Herrington, J.L., Sawyers, J.L.: Remedial operations. In: Nyhus, L.M., Wastell, C.: Surgery of the stomach and duodenum. 3. Ed. Boston: Little Brown and Company 1977

    Google Scholar 

  63. Hedenstedt, S.: Experiences with gastric resection with transposition of the jejunum and vagotomy. Acta chir. Scand. 125, 518 (1960)

    Google Scholar 

  64. Sawyers, J.L., Herrington, J. L.: Superiority of antiperistaltic jejunal segments in management of severe dumping syndrome. Ann. Surg. 278, 311 (1973)

    Article  Google Scholar 

  65. Alexander-Williams, J.: Gastric reconstructive surgery. Ann. R. College Surg. Engl. 52, 1 (1972)

    Google Scholar 

  66. Nygaard, K., Frethein, B.: Jejunal transposition in treatment of postgastrectomy syndromes. Scand. J. Gastroent. 9, 59 (1974)

    PubMed  CAS  Google Scholar 

  67. Fink, W.J., Hucke, S.T., Gray, T.W., Thompson, B.W., Read, R.C.: Treatment of postoperative reactive hypoglycemia by a reversed intestinal segment. Am. J. Surg. 131, 19 (1976)

    Article  PubMed  CAS  Google Scholar 

  68. Poth, E.J.: The dumping syndrome and its surgical management. Am. Surg. 23, 1097 (1957)

    PubMed  CAS  Google Scholar 

  69. Poth, E.J.: The use of gastrointestinal reversal in surgical procedure. Amer. J. Surg. 118, 893 (1969)

    Article  PubMed  CAS  Google Scholar 

  70. Hammer, J.M., Seay, P.H, Hill, E., Prust, F.H., Campbell, R.J.: The effect of antiperistaltic bowel segments in intestinal emptying time. Arch. Surg. 79, 537 (1959)

    PubMed  CAS  Google Scholar 

  71. Wilms, R.K., Barton, H.L., Angel, R.T., Jordan, G.L.: Reversed intestinal segments and their effect upon gastrointestinal motility, nutrition and the dumping syndrome following subtotal gastrectomy in 6 dogs. J. A. M. A. 178, 1008 (1961)

    Google Scholar 

  72. Poth, E.J., Cleveland, D.R.: A functional substitution pouch for the stomach. Arch. Surg. 83, 58 (1961)

    Google Scholar 

  73. Poth, E.J., Smith, L.B.: Gastric pouches, their evaluation. Amer. J. Surg. 112, 121 (1966)

    Article  Google Scholar 

  74. Christiansen, T.M., Hart-Hansen, O., Petersen, T.: Reconstruction of the pylorus for post-vagotomy diarrhea and dumping. Brit. J. Surg. 61, 519 (1975)

    Article  Google Scholar 

  75. Lapp, F.W., Diebold, H.: First description of rapid rise and fall of blood glucose after subtotal gastric resection. Blutzuckerablauf in seiner Beziehung zum resezierten Magen. Klin. Wschr. 12, 547 (1933)

    Article  CAS  Google Scholar 

  76. Beckermann, F.: Spontaneous hypoglycemia following gastric surgery. Dtsch. Med. Wschr. 59, 683 (1933)

    Article  Google Scholar 

  77. Glaessner, C.L.: Disturbances in sugar metabolism after subtotal gastrectomy. Am. J. Dig. Dis. 12, 157 (1945)

    Article  CAS  Google Scholar 

  78. Machella, T.E.: The mechanism of postgastrectomy dumping syndrome. Ann. Surg. 130, 145 (1949)

    Article  Google Scholar 

  79. Adlersberg, D., Hammerschlag, E.: Mechanism of the postgastrectomy syndrome. JAMA 139, 429 (1949)

    CAS  Google Scholar 

  80. Muir, A.: Postgastrectomy syndromes. Brit. J. Surgery 37, 165 (1949)

    Article  CAS  Google Scholar 

  81. Roth, D.A., Meade, R.C.: Hyperinsulinism — hypoglycemia in postgastrectomy patients. Diabetes 14, 526 (1965)

    PubMed  CAS  Google Scholar 

  82. Holdsworth, C.D., Turner, D., Mclntyre, N.: Pathophysiology of post-gastrectomy hypoglycemia. Brit. Med. J. 4, 257 (1969)

    Article  PubMed  CAS  Google Scholar 

  83. Bloom, S.R., Royston, C.M.S., Thomsen, J.P.S.: Enteroglucagon release in the dumping syndrome. Lancet II, 789 (1972)

    Article  Google Scholar 

  84. O’Connor, F.A., Buchanan, K.D., Trimple, E.R., Hayer, J.R., Kennedy, T.L.: Characterization of glucagon responses to different meals in the dumping syndrome. Gut 15, 348 (1974)

    PubMed  Google Scholar 

  85. Caspary, W.F.: Biguanides and intestinal absorptive function. Acta Hepato-Gastroenterol. 24, 473–480 (1977)

    CAS  Google Scholar 

  86. Gyr, K., Berger, W., Göschke, H., et al.: Postprandiale Beschwerden nach Gastrektomie und ihre Beeinflussung durch Dimethylbiguanid. Dtsch. Med. Wschr. 95, 2421 (1970)

    Article  PubMed  CAS  Google Scholar 

  87. Humphreys, W.G., Parks, T.G., Buchanan, K.G., Love, A.H.G.: Effect of phenformin on provoked dumping in man. Gut 18, 956 (1977) (abstr.)

    Google Scholar 

  88. Slatlocky, E.: Behandlung des Dumping-Syndromes mit zuckerabsorptionshemmenden Mitteln. Dtsch. Med. Wschr. 96, 308 (1971)

    Google Scholar 

  89. Jenkins, D.J.A., Gassuli, M.A., Leeds, A.R., Metz, G., Dilawari, J.G., Slavin, B, Blendis, J.L.M.: Effect of dietary fiber on complications of gastric surgery: prevention of postprandial hypoglycemia by pectin. Gastroenterology 72, 215 (1977)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1980 Springer-Verlag Berlin · Heidelberg

About this chapter

Cite this chapter

Becker, H.D., Caspary, W.F. (1980). Dumping. In: Postgastrectomy and Postvagotomy Syndromes. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67350-4_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-67350-4_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-67352-8

  • Online ISBN: 978-3-642-67350-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics