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Dumping syndrome: recognize and how to treat

Dumping syndrome: recognize and how to treat

Among the symptoms after bariatric surgery, dumping syndrome is a very characteristic post-surgical symptom and causes considerable discomfort.

It occurs after any gastric resection (cut or decrease of the stomach reservoir) that involves a communication between the stomach and the small intestine.

We performed a survey in the bariatric and metabolic surgery service of the State University of Campinas (Unicamp) under the supervision of Prof. Dr. Elinton Chaim and we observed that after 10 years of the operation, some patients still report that when they consumed sweets in general, they had some degree of dumping.

Symptoms of dumping syndrome:

  • The dumping syndrome is the set of symptoms occurring after meals rich in simple carbohydrates, but may also occur with the intake of high concentration of fat. The symptoms are:
  • Poor to moderate abdominal discomfort
  • Weakness
  • Tremors
  • Sweating
  • Paleness
  • Vertigo

Tachycardia

These manifestations arise due to rapid gastric emptying by virtue of of the new disproportionate stomach capacity (decreased stomach).

What do you do with a dumping syndrome?

When we observe the dumping syndrome, we advise the patient to remain the rest of the day with a lighter diet such as soups without too many condiments, teas, jellies and natural juice diluted in water. Thus, the discomfort decreases and the patient can resume normal feeding the next day.

Positive side of dumping syndrome

Despite being so uncomfortable, we can find a positive side to the dumping syndrome: some researchers say that the dumping syndrome can be an ally to provide weight loss.

Sweet and overfed foods such as soft drinks, sugar, sweet cake, fried foods, ice creams, filled biscuits, can provide the most frequent dumping. For this reason, there is a restriction to these foods, especially those rich in sugar. Patients who do not have this syndrome have a better chance of regaining lost weight, so there is a saying that

dumping is a a syndrome that helps in weight control, since the patient himself is restricted in the ingestion of these foods.


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