Hypoglycemia due to late dumping is a significant problem postoesophagectomy but may not always be diagnosed sufficiently early. It can be difficult to treat and may severely compromise quality of life. The combination of diazoxide and octreotide or more probably pasireotide may transform the patient's life and should be considered in all problematic cases.

Identifying Municipal Solid Waste (MSW) disposal sites and appropriately managing them is a challenging task to many developing countries like Bangladesh. It is a complex issue in an urban area, as increasing population levels, rapid economic growth and rise in community living standard, accelerates the generation rate of MSW. The study area is zone-2 (Mirpur-Pallabi) of Dhaka North City Corpor...

This study was carried out to reveal the plastic wastes separation practice and disposal mechanism as well as awareness of the negative impact of plastic wastes on the environment, in Makurdi area of Benue State, Nigeria. Questionnaires were administered to 468 individual respondents in 6 sub-locations of the city. Inquisition was also made from 10 hospitals, 6 market centers and the waste mana...

The illegal dumping of waste has been a serious environmental concern of most countries in the world. This paper examines the relationship between the provision ofwaste treatment facilities and the frequency of illegal dumping. Our results show that a shortage of intermediate waste treatment facilities has played an important role in increasing the frequency of illegal dumping. 2010 Elsevier B....

BACKGROUND Dumping syndrome is a recognized complication of various gastric surgical procedures, such as vagotomy, pyloroplasty, and gastrojejunostomy. However, it has not to date been reported following laparoscopic Nissen fundoplication in adults. CASE REPORT We describe the case of a 34-year-old woman who developed late dumping syndrome following an uneventful laparoscopic Nissen fundoplic...

1. The pathophysiology of the dumping syndrome is poorly understood. Plasma levels of four small intestinal hormones have been measured after an oral glucose provocation test in 19 patients with dumping symptoms and in matched controls. 2. Plasma levels of neurotensin, a newly discovered highly potent, hypotensive ileal peptide, were significantly increased in symptomatic patients compared with...

Severe hypoglycemia characterized by neuroglycopenic symptoms is a recently described and relatively uncommon complication of gastric bypass surgery. It occurs several months to years after surgery and may be distinct from the more commonly encountered dumping syndrome that occurs early in the postoperative course and usually improves with time. Nesidioblastosis has been proposed as a possible ...