Gastric dumping syndrome surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
The following are surgical procedures usable after the exhaustion of all other options of [[therapy]]:<ref name="urlwww.practicalgastro.com">{{cite web |url=https://www.practicalgastro.com/pdf/February06/UklejaArticle.pdf |title=www.practicalgastro.com |format= |work= |accessdate=}}</ref> | The following are surgical procedures usable after the exhaustion of all other options of [[therapy]]:<ref name="urlwww.practicalgastro.com">{{cite web |url=https://www.practicalgastro.com/pdf/February06/UklejaArticle.pdf |title=www.practicalgastro.com |format= |work= |accessdate=}}</ref><ref name="DelcoreCheung1991">{{cite journal|last1=Delcore|first1=Romano|last2=Cheung|first2=Lawrence Y.|title=Surgical Options in Postgastrectomy Syndromes|journal=Surgical Clinics of North America|volume=71|issue=1|year=1991|pages=57–75|issn=00396109|doi=10.1016/S0039-6109(16)45333-8}}</ref><ref name="HinshawStafford1957">{{cite journal|last1=Hinshaw|first1=David B.|last2=Stafford|first2=Clarence E.|last3=Joergenson|first3=Eugene J.|title=Surgical treatment of the “dumping syndrome”|journal=The American Journal of Surgery|volume=94|issue=2|year=1957|pages=242–250|issn=00029610|doi=10.1016/0002-9610(57)90651-7}}</ref><ref name="pmid6083245">{{cite journal |vauthors=Nagel CB |title=Clinical experiences with jejunal interposition for postgastrectomy syndrome |journal=Calif Med |volume=107 |issue=5 |pages=399–405 |year=1967 |pmid=6083245 |pmc=1502978 |doi= |url=}}</ref><ref name="pmid3555364">{{cite journal |vauthors=Jordan PH, Thornby J |title=Should it be parietal cell vagotomy or selective vagotomy-antrectomy for treatment of duodenal ulcer? A progress report |journal=Ann. Surg. |volume=205 |issue=5 |pages=572–90 |year=1987 |pmid=3555364 |pmc=1493033 |doi= |url=}}</ref> | ||
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|+ '''Surgical Procedures''' | |+ '''Surgical Procedures''' |
Revision as of 06:19, 13 December 2017
Gastric dumping syndrome Microchapters |
Differentiating Gastric dumping syndrome from other Diseases |
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Diagnosis |
Treatment |
Case Studies |
Gastric dumping syndrome surgery On the Web |
American Roentgen Ray Society Images of Gastric dumping syndrome surgery |
Risk calculators and risk factors for Gastric dumping syndrome surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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
Surgical intervention is not recommended for the management of dumping syndrome. The indications for surgery are:
- Treatment refractory dumping syndrome
- After all other options are exhausted
Surgery
The following are surgical procedures usable after the exhaustion of all other options of therapy:[1][2][3][4][5]
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
- ↑ "www.practicalgastro.com" (PDF).
- ↑ 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.
- ↑ 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.
- ↑ Nagel CB (1967). "Clinical experiences with jejunal interposition for postgastrectomy syndrome". Calif Med. 107 (5): 399–405. PMC 1502978. PMID 6083245.
- ↑ 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.