and symptoms of dumping syndrome

22 Feb

18:23 , Via Original

Condition analysis:
Dumping (Dumping) Syndrome refers to gastrectomy because of gastric emptying too fast, postprandial gastrointestinal tract and a group of vasomotor disorder syndrome. Also stimulated an extent which rendered the islet hyperinsulinemia, leading to low blood sugar syndrome. intrinsic to Billroth type most common after subtotal gastrectomy. gastric surgery 10 to 14 days after the onset, symptoms appear within 30 minutes after a meal are known as dumping syndrome, early onset, with high incidence of multi-time blood sugar, it is also known as the early postprandial hyperglycemia syndrome. 1 to 2 hours after meal onset, accompanied by low blood sugar are known as dumping syndrome is also known as delayed postprandial hypoglycemia syndrome.
Suggestion:
1. The disease mainly to adjust the diet based, should be smaller meals, eat less and more into the soup into the dry, limiting sugar, should be high protein, high fat and low carbohydrate diet. Need to lie down for half an hour after meals. 2. atropine half an hour before a meal or serving to slow down peristalsis Prussian benzene Sim 3. half an hour before a meal or the United States serving more than gliclazide or insulin injections up to shorten the duration of hyperglycemia. 4. of serious cases Try somatostatin. 5. mild to moderate cases were treated in a few months or years, reduce or cure the symptoms. serious cases by more than two years of treatment may be considered invalid surgery.

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Dumping syndrome (Dumping syndrome) is a common type of digestive complications of cancer, is the gastrectomy, because of rapid gastric emptying and postprandial gastrointestinal tract symptoms and vasomotor disorders of the syndrome, clinical According to the different pathogenesis and manifestations, is divided into two kinds of early-onset and late onset.
The incidence of dumping syndrome in the various reports ranging from 1% low were as high as 88%. The main reason for this difference are: each judge's standards are not uniform; ask follow-up, a different focus, ignore the symptoms of inquiry intrinsic; over time, patients are accustomed to self-regulate food control symptoms. In general, the longer patients, the incidence of dumping syndrome in the lower. The level of the intrinsic rate is still proportional to the extent of gastric resection. Gastrectomy there were different levels of almost 100% of the dumping syndrome. Gastric resection was 22% to 46%. Carvajal and Mulvihill (1994) considers that the levy rate is generally 25% to 50%, but only 1% to 5% had severe symptoms. Woodward reported 443 cases of gastrectomy dumping syndrome occurs about 15%, 257 patients were followed up for over 7 years and found that only 4% are still symptomatic, suggesting recovery of t

he levy their own tendencies.
First, the etiology and pathogenesis
Whether partial gastrectomy or vagotomy additional drainage, as long as the damage or disuse of the pyloric sphincter anatomy and physiological functions, gastrointestinal anastomosis between the established, this syndrome may be complicated, but most of Billroth gastric resection of the most common. The mechanism is due to excessive postoperative gastric emptying, small intestinal growth, a large number of fast food into the hypertonic
Jejunum to stimulate glucagon and insulin release triggered by blood sugar fluctuations. Symptoms of vascular disorders of plasma transferred to the Department of the jejunum to hypovolemia, intestinal release of a large number of bradykinin, vasoactive intestinal peptide, motilin, P substance, and autonomic instability caused.
Second, the clinical manifestations
1. Dumping syndrome, early onset
The most common type, accounting for about 75%. Usually 10 to 14 days after surgery incidence. More than 30 minutes after the meal symptoms, even with several meals that disease. The main symptoms are upper abdominal fullness, abdominal cramps in the sense of pain or agitation, abdo

minal Ming, Heating, nausea, vomiting, diarrhea followed by more. Can still palpitations, dizziness, headache, weak pulse, pale, orthostatic hypotension and other vasomotor symptoms and signs of disorder. The performance continued to 0.5 to 1 hour, the degree of food intake related. Prone to standing position, and severe symptoms, minor symptoms when supine.
Roberts and other symptoms found that the dumping of patients have reduced blood volume. Test 10 minutes after the meal began to decrease plasma volume, 30 to 40 minutes down to the lowest point, 100 ~ 120 minutes began to recover. Normal blood volume can be reduced 400 ~ 800ml, 1 400ml can of serious symptoms. Because hypovolemia, hematocrit volume increase accordingly.
Laboratory tests and more can be found in high blood sugar. In addition hypokalemia can still occur, the Department of jejunal hypertonic loading solvent drag phenomenon (solyent drag: phenomenon). Chang v. gravis patients, ECG showed T wave low-lying, S

Ricohard

2012/03/03 17:43

the symptoms of dumping syndrome include nausea, abdominal cramps, diarrhea, dizzy spells, . management of dumping symptoms involves dietary changes, and at times, the use of .

Betty

2012/03/09 21:56

dietary and nutritional recommendations for patients with .

Abelard

2012/03/09 22:54

dumping occurs after gastric bypass and can cause some unpleasant side effects for patients.

Beau

2012/03/16 07:08

dumping syndrome - gastric bypass surgery complication .

Frank

2012/04/07 16:10

symptoms of late dumping include weakness, sweating, and dizziness. dumping syndrome is most common in patients with certain types of stomach surgery, such .

Augustine

2012/04/26 00:25

gastric dumping syndrome - ask dr wiki

Antonia

2012/04/28 10:41

background: late dumping syndrome is a possible side-effect of gastric bypass. after a laparotomy and pancreatic tumor resection, she remains free of symptoms.

Marina

2012/05/02 21:06

insulinoma misdiagnosed as dumping syndrome after bariatric .

Robert

2012/05/13 15:17

dumping syndrome â€” comprehensive overview of rapid stomach emptying covers symptoms, causes, treatments, including diet.

Loretta

2012/05/18 18:08

ohiohealth - dumping syndrome

Marguerite

2012/05/19 02:18

dumping syndrome — comprehensive overview of rapid stomach emptying covers symptoms, causes, treatments, including diet.