Dumping syndrome


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Definition

By Mayo Clinic staff

Dumping syndrome is a group of symptoms that are most likely to develop if you've had surgery to remove all or part of your stomach, or if your stomach has been surgically bypassed to help lose weight. Also called rapid gastric emptying, dumping syndrome occurs when the undigested contents of your stomach move too rapidly into your small bowel. Common symptoms include abdominal cramps, nausea and diarrhea.

Most people with dumping syndrome experience symptoms soon after eating. In others, symptoms may occur one to three hours after eating. Some people experience both early and late symptoms.

Dumping syndrome is managed by adjusting your diet. In more-serious cases of dumping syndrome, you may need medications or surgery.

References
  1. Rapid gastric emptying. National Institute of Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/ddiseases/pubs/rapidgastricemptying/. Accessed April 27, 2012.
  2. Tack J, et al. Pathophysiology, diagnosis and management of postoperative dumping syndrome. Nature Reviews Gastroenterology and Hepatology. 2009;6:583.
  3. Townsend CM Jr, et al. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/books/linkTo?type=bookPage&isbn=978-1-4377-1560-6&eid=4-u1.0-B978-1-4377-1560-6..00049-4--s0425. Accessed April 25, 2012.
  4. Barbara Woodward Lips Patient Education Center. Dietary Guidelines for Managing Dumping Syndrome. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2008.
  5. Goldman L, et al. Cecil Medicine. 24th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/books/linkTo?type=bookPage&isbn=978-1-4377-1604-7&eid=4-u1.0-B978-1-4377-1604-7..00142-1--s0130&sid=1301851419&SEQNO=1&bookft=true&bookftset=1&bbSearchType=single&DOCID=2586). Accessed April 26, 2012.
  6. Hejazi RA, et al. Dumping syndrome: Establishing criteria for diagnosis and identifying new etiologies. Digestive Diseases and Sciences. 2010;55:117.
  7. Mine S et al. Large-scale investigation into dumping syndrome after gastrectomy for gastric cancer. Journal of the American College of Surgeons. 2010; 211: 628.
  8. Collazo-Clavell ML (expert opinion). Mayo Clinic, Rochester, Minn. May 1, 2012.
  9. Picco MF (expert opinion). Mayo Clinic, Jacksonville, Fla. May 8, 2012.
DS00715 Feb. 23, 2013

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