Gastric dumping syndrome surgery: Difference between revisions
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==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. | |||
Surgery is not the first-line treatment option for patients with | |||
==Indications== | ==Indications== | ||
Surgical intervention is not recommended for the management of dumping syndrome. | |||
* Treatment refractory dumping syndrome | |||
* | * After all options are exhausted. | ||
==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> | |||
{| class="wikitable" style="margin: 1em auto 1em auto" | {| class="wikitable" style="margin: 1em auto 1em auto" | ||
|+ '''Surgical Procedures''' | |+ '''Surgical Procedures''' |
Revision as of 15:18, 12 December 2017
Gastric dumping syndrome Microchapters |
Differentiating Gastric dumping syndrome from other Diseases |
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Diagnosis |
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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.
- Treatment refractory dumping syndrome
- After all options are exhausted.
Surgery
The following are surgical procedures usable after the exhaustion of all other options of therapy:[1]
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).