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==Overview==
==Overview==
Dumping syndrome can be divided into two classifications. These classifications are based on the onset of symptoms after the first meal.
[[Gastric dumping syndrome|Dumping syndrome]] can be divided into two classifications. These classifications are based on the onset of [[Symptom|symptoms]] after the first meal.


==Classification==
==Classification==
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|-
|-
|'''Risk Factor'''
|'''Risk Factor'''
|Bariatric Surgery
|[[Bariatrics|Bariatric]] [[Surgery]]
|Hyperosmolar chyme
|Hyperosmolar [[chyme]]
|-
|-
|'''Mechanism'''
|'''Mechanism'''
|
|
* Increased release of multiple GI hormones
* Increased release of multiple [[Gastrointestinal tract|GI]] [[Hormone|hormones]]
* Decrease in gastric volume
* Decrease in [[Stomach|gastric]] [[volume]]
* Impaired retention
* Impaired [[retention]]
* Possible Pyloric dysfunction
* Possible Pyloric dysfunction
|
|
* Rapid glucose absorption
* Rapid [[glucose]] absorption
* Incretin release (GLP-1)
* [[Incretin]] release ([[Glucagon-like peptide-1|GLP-1]])
* Amplified insulin secretion
* Amplified [[insulin]] [[secretion]]
|-
|-
|'''Symptoms'''
|'''Symptoms'''
|
|
* Nausea
* [[Nausea and vomiting|Nausea]]
* Bloating
* [[Bloating]]
* Vomiting
* [[Nausea and vomiting|Vomiting]]
* Diarrhea
* [[Diarrhea]]
* Borborygmus
* [[Borborygmus]]
* Epigastric fullness
* [[Epigastric]] fullness
* Abdominal cramps
* Abdominal [[Cramp|cramps]]
* Diaphoresis
* [[Diaphoresis]]
* Desire to lie down
* [[Desire]] to lie down
* Headache
* [[Headache]]
* Flushing
* [[Flushing]]
* Fatigue
* [[Fatigue]]
* Lightheadedness
* [[Dizziness|Lightheadedness]]
* Pallor
* [[Pallor]]
* Palpitations
* [[Palpitation|Palpitations]]
* Syncope
* [[Syncope]]
|
|
* Tremor
* [[Tremor]]
* Hunger
* [[Hunger]]
* Perspiration
* [[Perspiration]]
* Difficulty with concentration
* Difficulty with [[concentration]]
* Decreased consciousness
* Decreased [[consciousness]]
|-
|-
|'''Hormones'''
|'''Hormones'''
|
|
* Vasoactive agents (VIP, Neurotensin)
* [[Vasoactive]] agents ([[Vasoactive intestinal peptide|VIP]], [[Neurotensin]])
* Incretins (GIP, GLP-1)
* [[Incretin|Incretins]] (GIP, [[Glucagon-like peptide-1|GLP-1)]]
* Glucose-modulating hormones (Glucagon, Insulin)
* Glucose-modulating hormones ([[Glucagon]], [[Insulin]])
|
|
* Incretin
* [[Incretin]]
|}
|}


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{{Reflist|2}}


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[[Category:Gastroenterology]]
[[Category:Gastroenterology]]

Revision as of 14:11, 11 December 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Dumping syndrome can be divided into two classifications. These classifications are based on the onset of symptoms after the first meal.

Classification

Early Dumping Late Dumping
Onset 15-30 minutes after a meal 60-180 minutes after a meal
Risk Factor Bariatric Surgery Hyperosmolar chyme
Mechanism
Symptoms
Hormones

References

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