A Delayed Presentation of Late Dumping Syndrome After Ivor Lewis Procedure

An accurate and timely diagnosis of dumping syndrome after gastric oesophageal surgery is often difficult. A delay in making this instituting therapy can result significant morbidity avoidable complications. As bariatric becomes more prevalent, the importance a increasing. We present case 77-year-old man who was admitted into intensive care unit with reduced conscious state secondary to hypoglycemia. The patient subsequently diagnosed late context an Ivor Lewis procedure seven years prior. Despite having history recurrent neuroglycopenic symptoms, there as had not previously been considered until admission. After confirmation diagnosis, commenced on dietary adjustments acarbose, resolution post-prandial hypoglycaemia. authors discuss pharmacological manage hypoglycaemia associated syndrome.