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Encyclopedia > Gastric dumping syndrome

Gastric dumping syndrome, or rapid gastric emptying, happens when the lower end of the small intestine, the jejunum, fills too quickly with undigested food from the stomach. "Early" dumping begins during or right after a meal. Symptoms of early dumping include nausea, vomiting, bloating, cramping, diarrhea, dizziness and fatigue. "Late" dumping happens 1 to 3 hours after eating. Symptoms of late dumping include weakness, sweating, and dizziness. Many people have both types. Diagram of the Human Intestine In anatomy of the digestive system, the jejunum is the central of the three divisions of the small intestine and lies between the duodenum and the ileum. ... In anatomy, the stomach (in ancient Greek στόμαχος) is an organ of the gastrointestinal tract involved in the second phase of digestion, following mastication. ... Bloating is any abnormal general swelling, or increase in diameter of the abdominal area. ...


In addition, people with this syndrome often suffer from low blood sugar, or hypoglycemia, because the rapid "dumping" of food triggers the pancreas to release excessive amounts of insulin into the bloodstream. Hypoglycemia (hypoglycæmia in the UK) is a medical term referring to a pathologic state produced by a lower than normal amount of sugar (glucose) in the blood. ... For the song by Weird Al Yankovic, see Pancreas (song) The pancreas is an organ in the digestive and endocrine system that serves two major functions: exocrine (producing pancreatic juice containing digestive enzymes) and endocrine (producing several important hormones, including insulin). ... Insulin (from Latin insula, island, as it is produced in the Islets of Langerhans in the pancreas) is a polypeptide hormone that regulates carbohydrate metabolism. ...

Contents

Causes

The main cause of dumping syndrome are patients with certain types of stomach surgery, such as a gastrectomy or gastric bypass surgery, that allow the stomach to empty rapidly. Dumping syndrome can also occur as a result of complications after a cholecystectomy (gallbladder removal).[1] Diagram of the stomach, showing the different regions. ... Gastric Bypass (GBP) refers to a group of similar operative procedures used to treat morbid obesity, a condition which arises from severe accumulation of excess weight as fatty tissue, and the resultant health problems (co-morbidities) which occur. ... Cholecystectomy (), plural cholecystectomies, is the surgical removal of the gallbladder. ...


Patients with Zollinger-Ellison syndrome, a rare disorder involving extreme peptic ulcer disease and gastrin-secreting tumors in the pancreas, may also have dumping syndrome. Zollinger-Ellison syndrome is a disorder where increased levels of the hormone gastrin are produced, causing the stomach to produce excess hydrochloric acid. ... A benign gastric ulcer (from the antrum) of a gastrectomy specimen. ... For the song by Weird Al Yankovic, see Pancreas (song) The pancreas is an organ in the digestive and endocrine system that serves two major functions: exocrine (producing pancreatic juice containing digestive enzymes) and endocrine (producing several important hormones, including insulin). ...


Dumping is also common for esophageal cancer patients who have had an esophagectomy; surgery to remove the cancerous portion of their esophagus. The stomach is pulled into the chest and attached to what remains of the esophagus, leaving a short digestive tract. Both early and late dumping syndrome can occur.


Finally, patients with connective tissue conditions such as Ehlers-Danlos syndrome can experience "late" dumping as a result of decreased motility. Ehlers-Danlos syndrome is a group of rare genetic disorders that diminish the bodys ability to make connective tissues. ...


Diagnosis

Doctors diagnose dumping syndrome primarily on the basis of symptoms in patients who have had gastric surgery. Tests may be needed to exclude other conditions that have similar symptoms.


Treatment

Dumping syndrome is largely avoidable, by avoiding certain foods which are likely to cause it, therefore a balanced diet is important. Treatment includes changes in eating habits and medication. People who have gastric dumping syndrome need to eat several small meals a day that are low in carbohydrates, particularly simple sugars (candy, desserts, ice cream), and should drink liquids between meals, not with them. People with severe cases take medicine such as Questran, Protonix, or Prevalite to slow their digestion. Doctors may also recommend surgery. Fresh Vegetables A healthy diet contains a balance of food groups and all the nutrients necessary to promote good health. ... Lactose is a disaccharide found in milk. ... Cholestyramine (Questran®, Questran Light®, Cholybar®) is a bile acid sequestrant, which binds bile in the gastrointestinal tract to prevent its reabsorption. ... Categories: Medicine stubs | Proton pump inhibitors ... A cardiothoracic surgeon performs a mitral valve replacement at the Fitzsimons Army Medical Center. ...


Source

Most of the text of this article is taken from http://digestive.niddk.nih.gov/ddiseases/pubs/rapidgastricemptying/index.htm


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Gastric bypass surgery - Wikipedia, the free encyclopedia (2043 words)
Gastric bypass surgery, or Roux-en-Y gastric bypass surgery, is a procedure almost exclusively used in surgical weight-loss applications to correct morbid obesity.
Furthermore, since the gastric bypass has been performed for almost 50 years, surgeons have become very comfortable with the understanding of the risks and benefits of the procedure.
They will no longer be able to eat large portions of food at one sitting, nor will they be able to eat foods high in sugar or fat, which often result in gastric dumping syndrome, an unpleasant feeling of faintness caused by the sudden absorption of these foods in the shortened digestive tract.
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