144:
Dumping syndrome has two forms, based on when symptoms occur. Early dumping syndrome occurs 10 to 30 minutes after a meal. It results from rapid movement of fluid into the intestine following a sudden addition of a large amount of food from the stomach. The small intestine expands rapidly due to the
400:
A person may need surgery if dumping syndrome is caused by previous gastric surgery or if the condition is not responsive to other treatments. For most people, the type of surgery depends on the type of gastric surgery performed previously. However, surgery to correct dumping syndrome often has
281:
test involves eating a bland meal that contains a small amount of radioactive material. An external camera scans the abdomen to locate the radioactive material. The radiologist measures the rate of gastric emptying at 1, 2, 3, and 4 hours after the meal. The test can help confirm a diagnosis of
306:
examines the small intestine. During the procedure, the person will stand or sit in front of an x-ray machine and drink barium, a chalky liquid. Barium coats the small intestine, making signs of a blockage or other complications of gastric surgery show up more clearly on x
611:
596:
39:
316:
Treatment for dumping syndrome includes changes in eating, diet, and nutrition; medication; and, in some cases, surgery. Many people with dumping syndrome have mild symptoms that improve over time with simple dietary changes.
242:
About 75 percent of people with dumping syndrome report symptoms of early dumping syndrome and about 25 percent report symptoms of late dumping syndrome. Some people have symptoms of both types of dumping syndrome.
298:
carefully feeds the endoscope down the esophagus and into the stomach and duodenum. A small camera mounted on the endoscope transmits a video image to a monitor, allowing close examination of the intestinal
251:
A health care provider will diagnose dumping syndrome primarily on the basis of symptoms. The following tests may also help confirm dumping syndrome and exclude other conditions with similar symptoms:
520:
Scarpellini, Emidio; Arts, Joris; Karamanolis, George; Laurenius, Anna; Siquini, Walter; Suzuki, Hidekazu; Ukleja, Andrew; Van Beek, Andre; Vanuytsel, Tim; Bor, Serhat; Ceppa, Eugene (August 2020).
1522:
1988:
168:
Late dumping syndrome occurs 2 to 3 hours after a meal. It results from excessive movement of sugar into the intestine, which raises the body's blood glucose level and causes the
133:. This condition is also called rapid gastric emptying. It is mostly associated with conditions following gastric or esophageal surgery, though it can also arise secondary to
700:
1204:
392:
acetate injections to treat dumping syndrome symptoms. The medication works by slowing gastric emptying and inhibiting the release of insulin and other GI hormones.
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Some people find that lying down for 30 minutes after meals also helps reduce symptoms, though evidence regarding the benefits of doing so is lacking.
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The symptoms of early and late dumping syndrome are different and vary from person to person. Early dumping syndrome symptoms may include:
286:
The health care provider may also examine the structure of the esophagus, stomach, and upper small intestine with the following tests:
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checks how well insulin works with tissues to absorb glucose. A health care provider often confirms dumping syndrome in people with:
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The first step to minimizing symptoms of dumping syndrome involves changes in eating, diet, and nutrition, and may include:
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469:"Postgastrectomy dumping syndrome : Definition(s) from the Unified Medical Language System ® Diseases Database"
1993:
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contents from the stomach, especially sweet foods. This causes symptoms due to the shift of fluid into the
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176:. The increased release of insulin causes a rapid drop in blood glucose levels, a condition known as
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or to the use of certain medications; it is caused by an absent or insufficiently functioning
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occurs when food, especially sugar, moves too quickly from the stomach to the
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522:"International consensus on the diagnosis and management of dumping syndrome"
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336:
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low blood sugar between 120 and 180 minutes after drinking the solution
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138:
588:
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a rise in pulse rate of more than 10 beats per minute after 30 minutes
161:, distension of the small bowel leading to crampy abdominal pain, and
1824:
1442:
1328:
600:
369:
1274:
1004:
329:
eating five or six small meals a day instead of three larger meals
157:, with plasma volume contraction and acute intestinal distention.
448:
National
Institute of Diabetes and Digestive and Kidney Diseases
352:
682:
332:
delaying liquid intake until at least 30 minutes after a meal
361:
such as table sugar, which can be found in candy, syrup,
46:
Diagram of the stomach, showing the different regions
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1937:
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231:The symptoms of late dumping syndrome may include:
90:
66:
50:
26:
21:
141:, the valve between the stomach and the duodenum.
491:"293. Peptic Ulcer Disease and Related Disorders"
1989:Syndromes affecting the gastrointestinal tract
129:—the first part of the small intestine—in the
694:
438:
436:
434:
8:
800:Esophagogastric junction outflow obstruction
432:
430:
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426:
424:
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418:
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368:increasing the thickness of food by adding
1820:
1471:
987:
839:Esophageal intramural pseudodiverticulosis
723:
701:
687:
679:
579:
496:Harrison's Principles of Internal Medicine
37:
18:
553:
376:—plant extracts used as thickening agents
224:flushing, or blushing of the face or skin
410:
172:to increase its release of the hormone
1067:Small intestinal bacterial overgrowth
388:A health care provider may prescribe
7:
484:
482:
269:of more than 3 percent at 30 minutes
499:(18th ed.). Accessmedicine.com
14:
1952:Spontaneous bacterial peritonitis
1799:Exocrine pancreatic insufficiency
131:upper gastrointestinal (GI) tract
1697:Secondary sclerosing cholangitis
347:—found in starchy foods such as
938:Gastric antral vascular ectasia
933:Portal hypertensive gastropathy
810:Gastroesophageal reflux disease
1692:Primary sclerosing cholangitis
1542:Hepatic veno-occlusive disease
1364:Solitary rectal ulcer syndrome
489:Del Valle, John (2010-01-21).
208:feeling uncomfortably full or
1:
1749:Sphincter of Oddi dysfunction
294:to see the upper GI tract. A
279:gastric emptying scintigraphy
1658:Postcholecystectomy syndrome
1177:Intestinal pseudoobstruction
785:Esophageal motility disorder
526:Nature Reviews Endocrinology
227:rapid or irregular heartbeat
257:oral glucose tolerance test
202:abdominal pain and cramping
2010:
1643:Gallstone / Cholelithiasis
1167:Functional colonic disease
963:Zollinger–Ellison syndrome
844:Acute esophageal necrosis
538:10.1038/s41574-020-0357-5
45:
36:
943:Gastric dumping syndrome
818:Laryngopharyngeal reflux
805:Diffuse esophageal spasm
473:www.diseasesdatabase.com
109:, absent or inefficient
30:Gastric dumping syndrome
22:Gastric dumping syndrome
1559:Alcoholic liver disease
1092:Bile acid malabsorption
1036:Peptic (duodenal) ulcer
509:(subscription required)
178:alimentary hypoglycemia
1569:Hepatic encephalopathy
953:Buried bumper syndrome
884:Peptic (gastric) ulcer
768:Mallory–Weiss syndrome
711:human digestive system
401:unsuccessful results.
99:gastric bypass surgery
32:rapid gastric emptying
1794:Pancreatic pseudocyst
1663:Porcelain gallbladder
775:Zenker's diverticulum
365:, and juice beverages
345:complex carbohydrates
335:increasing intake of
81:electrolyte imbalance
1598:Hepatorenal syndrome
1537:Budd–Chiari syndrome
1494:Autoimmune hepatitis
1319:Intestinal adhesions
1077:Short bowel syndrome
906:Functional dyspepsia
824:Esophageal stricture
790:Nutcracker esophagus
163:reduced blood volume
1737:Choledocholithiasis
1608:Metabolic disorders
1574:Acute liver failure
1547:Portal hypertension
1499:Alcoholic hepatitis
1342:Radiation proctitis
1261:Mesenteric ischemia
1233:Gastroenterocolitis
1062:Blind loop syndrome
872:Ménétrier's disease
780:Barrett's esophagus
1912:Undefined location
1903:Grynfeltt–Lesshaft
1804:Pancreatic fistula
1787:Pancreatic abscess
1742:Biliary dyskinesia
1713:Mirizzi's syndrome
1214:Large and/or small
894:Dieulafoy's lesion
763:Boerhaave syndrome
653:External resources
444:"Dumping Syndrome"
296:gastroenterologist
292:upper GI endoscopy
188:Signs and symptoms
107:esophageal surgery
77:digestive diseases
1994:Stomach disorders
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1975:
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1971:
1812:
1811:
1414:
1413:
1271:Bowel obstruction
973:
972:
676:
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321:Lifestyle changes
282:dumping syndrome.
139:pyloric sphincter
120:
119:
111:pyloric sphincter
16:Medical condition
2001:
1964:Pneumoperitoneum
1821:
1731:Common bile duct
1613:Wilson's disease
1603:Peliosis hepatis
1472:
1349:Proctalgia fugax
1256:Abdominal angina
1181:Ogilvie syndrome
1130:Pseudomembranous
988:
948:Gastric volvulus
913:Pyloric stenosis
724:
709:Diseases of the
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696:
689:
680:
580:
568:
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486:
477:
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450:. September 2013
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159:Osmotic diarrhea
155:intestinal lumen
123:Dumping syndrome
115:pyloric stenosis
57:Gastroenterology
41:
19:
2009:
2008:
2004:
2003:
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1979:
1978:
1977:
1968:
1933:
1922:Internal hernia
1808:
1753:
1718:Biliary fistula
1676:
1667:
1653:Adenomyomatosis
1648:Cholesterolosis
1624:
1618:Hemochromatosis
1489:Viral hepatitis
1461:
1410:
1368:
1354:Rectal prolapse
1323:
1290:Fecal impaction
1280:Intussusception
1243:Crohn's disease
1209:
1192:Toxic megacolon
1104:
1102:Large intestine
1096:
1041:Curling's ulcer
994:
992:Small intestine
981:
969:
877:Gastroenteritis
848:
713:
707:
677:
672:
671:
648:
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591:
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304:upper GI series
265:an increase in
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61:general surgery
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17:
12:
11:
5:
2007:
2005:
1997:
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1959:Hemoperitoneum
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1428:Blood in stool
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1409:
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1401:Anal dysplasia
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1266:Angiodysplasia
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1258:
1247:
1246:
1245:
1235:
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1228:
1217:
1215:
1211:
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1201:Diverticulosis
1197:Diverticulitis
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1159:
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1087:Milroy disease
1084:
1079:
1074:
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1059:
1057:Tropical sprue
1054:
1045:
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979:Lower GI tract
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719:Upper GI tract
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583:Classification
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575:External links
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532:(8): 448–466.
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1833:Diaphragmatic
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1638:Cholecystitis
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1583:
1582:
1581:Liver abscess
1579:
1575:
1572:
1570:
1567:
1566:
1565:
1564:Liver failure
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1221:Enterocolitis
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1108:
1103:
1099:
1093:
1090:
1088:
1085:
1083:
1080:
1078:
1075:
1073:
1070:
1068:
1065:
1063:
1060:
1058:
1055:
1053:
1049:
1048:Malabsorption
1046:
1042:
1039:
1038:
1037:
1034:
1030:
1027:
1025:
1022:
1020:
1017:
1016:
1015:
1012:
1011:
1009:
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998:
993:
989:
986:
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976:
964:
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951:
949:
946:
944:
941:
939:
936:
934:
931:
929:
926:
924:
923:Gastroparesis
921:
919:
916:
914:
911:
907:
904:
903:
902:
899:
895:
892:
890:
889:Cushing ulcer
887:
886:
885:
882:
878:
875:
873:
870:
868:
865:
864:
863:
860:
859:
857:
855:
851:
845:
842:
840:
837:
835:
834:Megaesophagus
832:
830:
827:
825:
822:
819:
816:
811:
808:
806:
803:
801:
798:
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629:
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531:
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417:
415:
411:
404:
402:
395:
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383:
381:
375:
371:
367:
364:
360:
359:simple sugars
356:
354:
350:
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342:
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331:
328:
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320:
318:
311:
305:
301:
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100:
96:
93:
89:
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78:
74:
71:
69:
68:Complications
65:
62:
58:
55:
53:
49:
44:
40:
35:
29:
25:
20:
1911:
1890:
1767:Pancreatitis
1729:
1679:biliary tree
1552:Nutmeg liver
1529:
1455:Hematochezia
1406:Pruritus ani
1391:Anal abscess
1386:Anal fistula
1382:Anal fissure
1295:Constipation
1249:
1120:Appendicitis
928:Gastroptosis
918:Achlorhydria
757:
746:Eosinophilic
660:
636:
625:
610:
595:
529:
525:
515:
501:. Retrieved
494:
472:
463:
452:. Retrieved
447:
399:
387:
379:
324:
315:
285:
250:
241:
235:hypoglycemia
230:
212:after a meal
191:
167:
165:can result.
151:hyperosmolar
145:presence of
143:
122:
121:
85:malnutrition
1947:Peritonitis
1709:Cholestasis
1687:Cholangitis
1630:Gallbladder
1518:Fatty liver
1438:Hematemesis
1420:GI bleeding
1226:Necrotizing
1155:Lymphocytic
1150:Collagenous
1145:Microscopic
1082:Steatorrhea
983:Enteropathy
829:Inlet patch
751:Herpetiform
736:Esophagitis
255:A modified
182:blood sugar
95:Gastrectomy
73:Dehydration
27:Other names
1983:Categories
1939:Peritoneal
1917:Incisional
1838:Congenital
1782:Hereditary
1759:Pancreatic
1723:Haemobilia
1396:Hemorrhoid
1374:Anal canal
1312:Infectious
1300:Functional
1135:Ulcerative
1019:Duodenitis
958:Gastrinoma
638:DiseasesDB
503:2014-02-01
454:2017-11-29
405:References
390:octreotide
384:Medication
267:hematocrit
147:hypertonic
1927:Richter's
1884:Spigelian
1879:Obturator
1869:Umbilical
1702:Ascending
1673:Bile duct
1506:Cirrhosis
1484:Hepatitis
1467:Accessory
1337:Proctitis
1188:Megacolon
1162:Dysentery
1072:Whipple's
1024:Jejunitis
1014:Enteritis
901:Dyspepsia
862:Gastritis
795:Achalasia
728:Esophagus
662:eMedicine
546:1759-5037
357:avoiding
312:Treatment
247:Diagnosis
221:dizziness
180:, or low
52:Specialty
1857:Indirect
1852:Inguinal
1586:Pyogenic
1531:Vascular
1307:Diarrhea
1285:Volvulus
1251:Vascular
1190: /
1179: /
1140:Ischemic
1107:Appendix
997:Duodenum
867:Atrophic
741:Candidal
564:32457534
374:guar gum
238:flushing
218:weakness
215:sweating
205:diarrhea
199:vomiting
170:pancreas
135:diabetes
127:duodenum
103:diabetes
1898:Petit's
1874:Femoral
1777:Chronic
1591:Amoebic
1359:Anismus
1125:Colitis
1052:Coeliac
1029:Ileitis
1001:Jejunum
854:Stomach
758:Rupture
667:med/589
632:D004377
555:7351708
396:Surgery
349:oatmeal
337:protein
299:lining.
210:bloated
174:insulin
1892:Lumbar
1862:Direct
1845:Hiatus
1825:Hernia
1677:Other
1443:Melena
1329:Rectum
812:(GERD)
562:
552:
544:
370:pectin
343:, and
196:nausea
91:Causes
1817:Other
1772:Acute
1523:MASLD
1476:Liver
1450:Lower
1433:Upper
1275:Ileus
1111:Colon
1005:Ileum
820:(LPR)
643:31227
621:564.2
606:K91.1
363:sodas
341:fiber
307:rays.
1205:SCAD
627:MeSH
616:9-CM
560:PMID
542:ISSN
353:rice
351:and
1511:PBC
1238:IBD
1172:IBS
612:ICD
597:ICD
550:PMC
534:doi
372:or
302:An
290:An
1985::
1675:/
1273::
1254::
1050::
665::
641::
630::
619::
604::
601:10
558:.
548:.
540:.
530:16
528:.
524:.
493:.
481:^
471:.
446:.
413:^
339:,
277:A
184:.
113:,
105:,
101:,
97:,
83:,
79:,
75:,
59:,
1711:/
1384:/
1203:/
1199:/
1113:)
1109:/
1105:(
1007:)
1003:/
999:/
995:(
702:e
695:t
688:v
614:-
599:-
589:D
566:.
536::
506:.
475:.
457:.
149:/
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