Is the Dumping Syndrome a Problem After Standard Pancreatoduodenectomy?
نویسنده
چکیده
Linehan IP, Russell RCG and Hobsley M (1988) The dumping syndrome after pancreatoduodenectomy. Surgery, Gynecology & Obstetrics, 167:114-118 Some patients have postoperative nutritional problems after a pancreatoduodenectomy. These problems have been attributed without objective evidence to the partial gastrectomy that is performed at the time of the pancreatoduodenectomy. The dumping syndrome has been implicated, and the results of this study determine, for the first time, the role of the dumping syndrome in pancreatic surgical procedures. Sixty-four dumping provocation tests have been performed upon patients with pancreatic disease or after pancreatic surgical treatment. Three patients had the dumping syndrome, and in eight, the result of the testwas equivocal. Results of the present study demonstrate an incidence of dumping syndrome after pancreatoduodencetomy of 10%; however, in none of these patients, was the dumping syndrome a significant problem. There was no instance of the dumping syndrome after pylorus-preserving or duodenum-preserving pancreatectomy. It is concluded that, contrary to previous assumptions, the dumping syndrome does not contribute to long term postoperative problems after pancreatic surgical procedures. By Permission of Surgery, Gynecology & Obstetrics.
منابع مشابه
Therapeutic value of octreotide for patients with severe dumping syndrome--a review of randomised controlled trials.
Approximately 10%–50% of patients develop some manifestations of the dumping syndrome after gastric surgery. Among them, 5%–10% have clinically significant symptoms, and 1%–2% are debilitated by them. Early dumping, typically starting 10–30 minutes after a meal, usually involves both vasomotor and gastrointestinal complaints such as sweating, palpitation, weakness and faintness, abdominal bloat...
متن کاملDiazoxide for the treatment of hypoglycaemic dumping syndrome.
Dumping syndrome is a commonly recognized complication after gastric and oesophageal surgery. It is characterized by postprandial early gastrointestinal and vasomotor symptoms followed by late hypoglycaemia. Early dumping symptoms include abdominal pain, bloating, nausea, vomiting, flushing, tachycardia and hypotension. Late dumping symptoms which occur 1–3 h after food are thought to be due to...
متن کاملرژیمدرمانی در Colonic interposition و گاسترکتومی همزمان
Background: Diet therapy in gastrointestinal (GI) surgeries is influenced by site of surgery and its complications. Some GI surgeries are rare so diet therapy becomes complicated. The aim of this report is informed the appropriate nutritional management in wide and rare GI surgeries. Case report: The case is a patient by colon interposition and partial gastrectomy surgery. Complications suc...
متن کاملA case report: Liraglutide as a novel treatment option in late dumping syndrome
RATIONALE Postprandial hyperinsulinemic hypoglycemia, known as late dumping syndrome, is a rare but often misdiagnosed complication after gastric surgery. The pathophysiological mechanisms are poorly understood and the treatment of this syndrome is challenging. PATIENT CONCERNS New-onset postsurgical late dumping syndrome after Toupet fundoplication. DIAGNOSES Sigstad Score, OGTT, CGM. IN...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- HPB Surgery
دوره 2 شماره
صفحات -
تاریخ انتشار 1990