Gastric dumping syndrome surgery
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Differentiating Gastric dumping syndrome from other Diseases |
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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]
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).