Gastric dumping syndrome epidemiology and demographics

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

Overview

Incidence and prevalence varies depending on the procedure or disease leading to dumping syndrome.

Epidemiology and Demographics

Incidence

  • The incidence of patients who have undergone gastric surgery ranges from approximately 20,000 per 100,000 to 50,000 per 100,000.[1]
  • Out of these about 1-5% reported severe symptoms.
  • After truncal vagotomy with drainage the incidence of dumping syndrome has been reported to be 6,000 per 100,000 to 14,000 per 100,000.
  • After proximal vagotomy without drainage the incidence of dumping syndrome has been reported to be is less than 2,000 per 100,000.
  • After partial gastrectomy the incidence of dumping syndrome has been reported to be 14,000 per 100,000 to 20,000 per 100,000.
  • Proximal vagatomy is a fairly newer procedure that leads to lower incidence rates due to the minimized interference in gastric emptying.[2]
  • Since the advent of proton pump inhibitors, the need for surgery has decreased and so has the incidence of dumping syndrome.

Prevalence

  • Prevalence has not been well studied in gastric dumping syndrome.[3]
  • Approximately 17.5% are affected.

Mortality rate

  • In 2012, the mortality rate of bariatric surgery leading to dumping syndrome was approximately 1,000 per 100,000 individuals with 10% having serious complications.[4]

Age[5]

  • People aged 45-74 are 2 times more likely to be diagnosed.
  • Children aged less than 1 year old are 3 times less likely to be diagnosed with dumping syndrome.
  • Toddlers and preschoolers are are 7 times less likely to be diagnosed with dumping syndrome.
  • Children aged 5 to 14 years old are 10 times less likely to be diagnosed with dumping syndrome.
  • Elderly people whose ages are over 75 years old are 11 times less likely to be diagnosed with dumping syndrome.
  • Teenagers and adults aged 15 to 29 years old are 23 times less likely to be diagnosed with dumping syndrome.

Gender[5]

  • Females have a higher chance of being diagnosed with dumping syndrome in comparison to men.

Race[5]

  • People who are of white ethnicity tend to be more likely diagnosed with dumping syndrome.


References

  1. Mala T, Hewitt S, Høgestøl IK, Kjellevold K, Kristinsson JA, Risstad H (2015). "[Dumping syndrome following gastric surgery]". Tidsskr. Nor. Laegeforen. (in Norwegian). 135 (2): 137–41. doi:10.4045/tidsskr.14.0550. PMID 25625992.
  2. Mala T, Hewitt S, Høgestøl IK, Kjellevold K, Kristinsson JA, Risstad H (2015). "[Dumping syndrome following gastric surgery]". Tidsskr. Nor. Laegeforen. (in Norwegian). 135 (2): 137–41. doi:10.4045/tidsskr.14.0550. PMID 25625992.
  3. Héraïef R, Giusti V (2014). "[Prevalence of early and late dumping after gastric bypass]". Rev Med Suisse (in French). 10 (423): 696–8, 700. PMID 24783736.
  4. Schneider A, Gottrand F, Sfeir R, Duhamel A, Bonnevalle M, Guimber D, Michaud L (2012). "Postoperative lower esophageal dilation in children following the performance of Nissen fundoplication". Eur J Pediatr Surg. 22 (5): 399–403. doi:10.1055/s-0032-1315807. PMID 22773348.
  5. 5.0 5.1 5.2 "The Dumping syndrome That Wouldn't Stop | The Award-winning Symcat App".

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