Dumping Syndrome

dumping syndrome

[′dəmp·iŋ ‚sin‚drōm] (medicine) An imperfectly understood symptom complex of disagreeable or painful epigastric fullness, nausea, weakness, giddiness, sweating, palpitations, and diarrhea, occurring after meals in patients who have gastric surgery which interferes with the function of the pylorus.

Dumping Syndrome

agastric asthenia, an illness that arises in some patients after partial or complete removal of the stomach, as a result of disruption of the neural and enzymatic correlations of organs that participate in digestion.

Observed in the dumping syndrome, as a rule, are accelerated emptying (“dumping”) of food from the remaining part (stump) of the stomach into the intestine and disturbance of carbohydrate metabolism and of the function of the remaining portion of the stomach or of the intestine. An attack begins after eating (most often upon taking readily assimilated food that is rich in carbohydrates); it is manifested by severe general weakness (sometimes with suspension of consciousness), dizziness, profuse sweating, increase in pulse rate and a drop in arterial pressure (sometimes a rise), drowsiness, belching, regurgitation or vomiting, and pains in the epigastrium. Treatment consists in eating on a definite regimen, limiting carbohydrate consumption, replacing deficient enzymes and vitamins and, sometimes (if the patient is in poor condition), operating again.

A. B. GALITSKII

dumping syndrome

nausea, weakness, sweating, palpitation, syncope, often a sensation of warmth, and sometimes diarrhea, occurring after ingestion of food in patients who have had partial gastrectomy" >gastrectomy (see surgery of the stomach at stomach).Patient Care. The symptoms experienced during dumping syndrome often are greater after ingestion of highly concentrated and refined carbohydrate foods. Hence the patient is instructed to avoid eating concentrated carbohydrates such as those in desserts and cereals sweetened with granulated sugar. To minimize the effects of the sudden entrance of large amounts of food into the jejunum, small, frequent meals are better than three large ones. Since fluids add to the volume of food ingested in a meal, the patient is encouraged to drink a limited amount of liquid during the meal and to avoid drinking fluids for an hour or two afterward. It also may be helpful for the patient to lie down and relax for about 30 minutes after eating.

dump·ing syn·drome

the syndrome that occurs after eating, most often seen in patients with shunts of the upper alimentary canal that bypass or remove the pylorus; characterized by flushing, sweating, dizziness, weakness, and vasomotor collapse, resulting from rapid passage of large amounts of food into the small intestine, with an osmotic effect removing fluid from plasma and causing relative hypovolemia. Synonym(s): early dumping syndrome, postgastrectomy syndrome

dumping syndrome

(dŭm′pĭng)n. A condition occurring after eating in patients with shunts of the upper alimentary canal and including flushing, sweating, dizziness, weakness, and vasomotor collapse.

A constellation of symptoms seen in ± 20% of those subjected to gastric surgery—e.g., resection, gastro-enterostomy with total gastric vagotomy, and gastric bypass; most inculpated in ‘dumping’ are pyloric ablation and bypass
Lab Increased glucose—worse with high carbohydrate meals—increased heamatocrit, decreased blood volume related to dehydration, decreased K+
Medical management Decreased carbohydrate intake, smaller meals, pectin—a dietary fiber— acarbose, anticholinergics, L-dopa, opiates
Surgical management 2–5% are medical failures, and require surgical conversion to a Roux-en-Y

dumping syndrome

Gastroenterology A disease complex confusing to both those who read about it and to those who write about it, seen in about 20% of those subjected to gastric surgery, including resection, gastroenterostomy with total gastric vagotomy, and gastric bypass; most inculpated in 'dumping' are pyloric ablation and bypass Clinical Diaphoresis, nausea, dizziness, palpitations, colicky abdominal pain and diarrhea, due to rapid movement–dumping of gastric contents into the small intestine; these syndromes can be divided into Lab ↑ Glucose–worse with high carbohydrate meals, ↑ hematocrit, ↓ blood volume related to dehydration, ↓ K⁺ Management, medical ↓ Carbohydrate intake, smaller meals, pectin–a dietary fiber, acarbose, anticholinergics, l-dopa, opiates Treatment, surgical 2-5% are medical failures, and require surgical conversion to a Roux-en-Y.

dump·ing syn·drome

(dŭmp'ing sin'drōm) A syndrome that occurs after eating, most often seen in patients with shunts of the upper alimentary canal; characterized by flushing, sweating, dizziness, weakness, and vasomotor collapse, occasionally with pain and headache; results from rapid passage of large amounts of food into the small intestine, with an osmotic effect removing fluid from plasma and causing hypovolemia.
Synonym(s): early dumping syndrome, postgastrectomy syndrome.

dumping syndrome

A feeling of drowsiness, with weakness, dizziness, nausea, sometimes vomiting, sweating and palpitations experienced after a meal by people who have had surgical removal of the stomach (gastrectomy).

单词	dumping syndrome
释义	dumping syndrome Translations Dumping Syndrome dumping syndrome [′dəmp·iŋ ‚sin‚drōm] (medicine) An imperfectly understood symptom complex of disagreeable or painful epigastric fullness, nausea, weakness, giddiness, sweating, palpitations, and diarrhea, occurring after meals in patients who have gastric surgery which interferes with the function of the pylorus. Dumping Syndrome agastric asthenia, an illness that arises in some patients after partial or complete removal of the stomach, as a result of disruption of the neural and enzymatic correlations of organs that participate in digestion. Observed in the dumping syndrome, as a rule, are accelerated emptying (“dumping”) of food from the remaining part (stump) of the stomach into the intestine and disturbance of carbohydrate metabolism and of the function of the remaining portion of the stomach or of the intestine. An attack begins after eating (most often upon taking readily assimilated food that is rich in carbohydrates); it is manifested by severe general weakness (sometimes with suspension of consciousness), dizziness, profuse sweating, increase in pulse rate and a drop in arterial pressure (sometimes a rise), drowsiness, belching, regurgitation or vomiting, and pains in the epigastrium. Treatment consists in eating on a definite regimen, limiting carbohydrate consumption, replacing deficient enzymes and vitamins and, sometimes (if the patient is in poor condition), operating again. A. B. GALITSKII dumping syndrome dumping syndrome nausea, weakness, sweating, palpitation, syncope, often a sensation of warmth, and sometimes diarrhea, occurring after ingestion of food in patients who have had partial gastrectomy" >gastrectomy (see surgery of the stomach at stomach).Patient Care. The symptoms experienced during dumping syndrome often are greater after ingestion of highly concentrated and refined carbohydrate foods. Hence the patient is instructed to avoid eating concentrated carbohydrates such as those in desserts and cereals sweetened with granulated sugar. To minimize the effects of the sudden entrance of large amounts of food into the jejunum, small, frequent meals are better than three large ones. Since fluids add to the volume of food ingested in a meal, the patient is encouraged to drink a limited amount of liquid during the meal and to avoid drinking fluids for an hour or two afterward. It also may be helpful for the patient to lie down and relax for about 30 minutes after eating. dump·ing syn·drome the syndrome that occurs after eating, most often seen in patients with shunts of the upper alimentary canal that bypass or remove the pylorus; characterized by flushing, sweating, dizziness, weakness, and vasomotor collapse, resulting from rapid passage of large amounts of food into the small intestine, with an osmotic effect removing fluid from plasma and causing relative hypovolemia. Synonym(s): early dumping syndrome, postgastrectomy syndrome dumping syndrome (dŭm′pĭng)n. A condition occurring after eating in patients with shunts of the upper alimentary canal and including flushing, sweating, dizziness, weakness, and vasomotor collapse. A constellation of symptoms seen in ± 20% of those subjected to gastric surgery—e.g., resection, gastro-enterostomy with total gastric vagotomy, and gastric bypass; most inculpated in ‘dumping’ are pyloric ablation and bypass Lab Increased glucose—worse with high carbohydrate meals—increased heamatocrit, decreased blood volume related to dehydration, decreased K+ Medical management Decreased carbohydrate intake, smaller meals, pectin—a dietary fiber— acarbose, anticholinergics, L-dopa, opiates Surgical management 2–5% are medical failures, and require surgical conversion to a Roux-en-Y dumping syndrome Gastroenterology A disease complex confusing to both those who read about it and to those who write about it, seen in about 20% of those subjected to gastric surgery, including resection, gastroenterostomy with total gastric vagotomy, and gastric bypass; most inculpated in 'dumping' are pyloric ablation and bypass Clinical Diaphoresis, nausea, dizziness, palpitations, colicky abdominal pain and diarrhea, due to rapid movement–dumping of gastric contents into the small intestine; these syndromes can be divided into Lab ↑ Glucose–worse with high carbohydrate meals, ↑ hematocrit, ↓ blood volume related to dehydration, ↓ K⁺ Management, medical ↓ Carbohydrate intake, smaller meals, pectin–a dietary fiber, acarbose, anticholinergics, l-dopa, opiates Treatment, surgical 2-5% are medical failures, and require surgical conversion to a Roux-en-Y. dump·ing syn·drome (dŭmp'ing sin'drōm) A syndrome that occurs after eating, most often seen in patients with shunts of the upper alimentary canal; characterized by flushing, sweating, dizziness, weakness, and vasomotor collapse, occasionally with pain and headache; results from rapid passage of large amounts of food into the small intestine, with an osmotic effect removing fluid from plasma and causing hypovolemia. Synonym(s): early dumping syndrome, postgastrectomy syndrome. dumping syndrome A feeling of drowsiness, with weakness, dizziness, nausea, sometimes vomiting, sweating and palpitations experienced after a meal by people who have had surgical removal of the stomach (gastrectomy). FinancialSeedumping
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