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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Gastric dumping syndrome surgery

Introduction

Overview

Overview

Surgery is not the first-line treatment option for patients with dumping syndrome. Surgery is usually reserved for patients as a last resort.

Indications

Indications

Surgical intervention is not recommended for the management of dumping syndrome. The indications for surgery are:[1]

  • After all other options are exhausted
Surgery

Surgery

The following are surgical procedures usable after the exhaustion of all other options of therapy:[2][3][4][5][6]

Surgical Procedures
Procedure Mechanism Complications
Stoma revision Narrowing of the gastrojejunal stoma Stomal strictures, Gastric outlet obstruction
Jejunal interposition Creation of a long iso- or antiperistaltic limb between stomach and jejunum Ulceration and stenosis of the interposed segment
Pyloric reconstruction Modification of pyloroplasty by cutting the pyloroplasty incision and its longitudinal closure Low-risk
Billroth I to Billroth II conversion Restoration of physiologic delivery of the meal to the duodenum Low-risk
Roux limb conversion to Roux-en-Y gastrojejunostomy Slowing rate of gastric emptying and chyme transit via the Roux limb Roux stasis
GI retrograde electrical pacing Experimental procedure (No human studies have been performed)
References

References

  1. ↑ Tack J, Arts J, Caenepeel P, De Wulf D, Bisschops R (2009). “Pathophysiology, diagnosis and management of postoperative dumping syndrome”. Nat Rev Gastroenterol Hepatol. 6 (10): 583–90. doi:10.1038/nrgastro.2009.148. PMID 19724252.
  2. ↑ “www.practicalgastro.com” (PDF).
  3. ↑ Delcore, Romano; Cheung, Lawrence Y. (1991). “Surgical Options in Postgastrectomy Syndromes”. Surgical Clinics of North America. 71 (1): 57–75. doi:10.1016/S0039-6109(16)45333-8. ISSN 0039-6109.
  4. ↑ Hinshaw, David B.; Stafford, Clarence E.; Joergenson, Eugene J. (1957). “Surgical treatment of the “dumping syndrome““. The American Journal of Surgery. 94 (2): 242–250. doi:10.1016/0002-9610(57)90651-7. ISSN 0002-9610.
  5. ↑ Nagel CB (1967). “Clinical experiences with jejunal interposition for postgastrectomy syndrome”. Calif Med. 107 (5): 399–405. PMC 1502978. PMID 6083245.
  6. ↑ Jordan PH, Thornby J (1987). “Should it be parietal cell vagotomy or selective vagotomy-antrectomy for treatment of duodenal ulcer? A progress report”. Ann. Surg. 205 (5): 572–90. PMC 1493033. PMID 3555364.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Umar Ahmad, M.D.[2]