Case 7 take home points and references

TAKE HOME POINTS:

1.Think of Dumping syndrome in patients who have undergone gastric or esophageal surgery, or are experiencing nausea, abdominal pain, bloating, diarrhea and vasomotor symptoms after meals.

2.Most cases can be managed with dietary modifications- high protein, high fiber diet which is low in simple sugars.

3.For patients who do not respond to dietary management, Octreotide, acarbose and slow jejunal feeding may help.

4. In refractory cases, anastomotic revision may be the only option.

REFERENCES

•Berg P, McCallum R. Dumping Syndrome: A Review of the Current Concepts of Pathophysiology, Diagnosis, and Treatment. Dig Dis Sci. 2016 Jan;61(1):11-8. doi: 10.1007/s10620-015-3839-x. Epub 2015 Sep 22. PMID: 26396002.

•Ukleja A. Dumping syndrome: pathophysiology and treatment. Nutr Clin Pract. 2005 Oct;20(5):517-25 PMID: 16207692.

Case Index