Gastric dumping syndrome laboratory findings: Difference between revisions
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==Overview== | ==Overview== | ||
There are no diagnostic laboratory findings that help in diagnosing [[Gastric dumping syndrome|dumping syndrome]] but there are associated laboratory finding that may present if severe. | There are no [[diagnostic]] laboratory findings that help in diagnosing [[Gastric dumping syndrome|dumping syndrome]] but there are associated laboratory finding that may present if severe. | ||
==Laboratory Findings== | ==Laboratory Findings== | ||
There are no diagnostic laboratory findings associated with | There are no [[diagnostic]] laboratory findings associated with dumping syndrome that help in establishing a [[diagnosis]]. People with severe [[malnutrition]] due to [[Gastric dumping syndrome|dumping syndrome]] may often suffer from:<ref name="urlDumping Syndrome Clinical Presentation: History, Physical Examination">{{cite web |url=https://emedicine.medscape.com/article/173594-clinical |title=Dumping Syndrome Clinical Presentation: History, Physical Examination |format= |work= |accessdate=}}</ref> | ||
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|[[Anemia]] | |[[Anemia]] | ||
|The severe [[Symptom|symptoms]] cause the patient to cut down on food to reduce symptoms this in turn makes them [[Weight loss|lose weight]] and become malnutritioned. | |The severe [[Symptom|symptoms]] cause the patient to cut down on food to reduce [[symptoms]] this in turn makes them [[Weight loss|lose weight]] and become [[Malnutrition|malnutritioned]]. | ||
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|[[Hypoglycemia]] | |[[Hypoglycemia]] | ||
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|[[Hypoalbuminemia]] | |[[Hypoalbuminemia]] | ||
|The severe [[Symptom|symptoms]] cause the patient to cut down on food to reduce [[Symptom|symptoms]] this in turn makes them [[Weight loss|lose weight]] and become malnutritioned. | |The severe [[Symptom|symptoms]] cause the patient to cut down on food to reduce [[Symptom|symptoms]] this in turn makes them [[Weight loss|lose weight]] and become [[Malnutrition|malnutritioned]]. | ||
|- | |- | ||
|Elevated [[hematocrit]] | |Elevated [[hematocrit]] | ||
|The fluid shift from the intravascular compartment to the [[lumen]] of the [[Gastrointestinal tract|gut]] causes the [[Blood vessel|blood vessels]] to [[Dehydration|dehydrate]]. | |The fluid shift from the [[intravascular]] compartment to the [[lumen]] of the [[Gastrointestinal tract|gut]] causes the [[Blood vessel|blood vessels]] to [[Dehydration|dehydrate]]. | ||
|} | |} | ||
[[Hypoglycemia|Low blood sugar]] has little clinical significance alone but is better when used in conjunction with the [[Symptom|symptoms]] of late [[Gastric dumping syndrome|dumping syndrome]]. The table below describes [[Blood sugar|blood glucose]] measurements.<ref name="pmid21676638">{{cite journal |vauthors=Ritz P, Hanaire H |title=Post-bypass hypoglycaemia: a review of current findings |journal=Diabetes Metab. |volume=37 |issue=4 |pages=274–81 |year=2011 |pmid=21676638 |doi=10.1016/j.diabet.2011.04.003 |url=}}</ref><ref name="pmid22853724">{{cite journal |vauthors=Ritz P, Vaurs C, Bertrand M, Anduze Y, Guillaume E, Hanaire H |title=Usefulness of acarbose and dietary modifications to limit glycemic variability following Roux-en-Y gastric bypass as assessed by continuous glucose monitoring |journal=Diabetes Technol. Ther. |volume=14 |issue=8 |pages=736–40 |year=2012 |pmid=22853724 |doi=10.1089/dia.2011.0302 |url=}}</ref><ref name="pmid19763705">{{cite journal |vauthors=Hanaire H, Dubet A, Chauveau ME, Anduze Y, Fernandes M, Melki V, Ritz P |title=Usefulness of continuous glucose monitoring for the diagnosis of hypoglycemia after a gastric bypass in a patient previously treated for type 2 diabetes |journal=Obes Surg |volume=20 |issue=1 |pages=126–9 |year=2010 |pmid=19763705 |doi=10.1007/s11695-009-9975-7 |url=}}</ref><ref name="pmid16544024">{{cite journal |vauthors=Oliveira CH, Berger K, Souza SC, Marui S, Khawali C, Hauache OM, Vieira JG, Maciel RM, Reis AF |title=[Continuous glucose monitoring: a critical appraisal after one year experience] |language=Portuguese |journal=Arq Bras Endocrinol Metabol |volume=49 |issue=6 |pages=983–90 |year=2005 |pmid=16544024 |doi=/S0004-27302005000600020 |url=}}</ref> | [[Hypoglycemia|Low blood sugar]] has little clinical significance alone but is better when used in conjunction with the [[Symptom|symptoms]] of late [[Gastric dumping syndrome|dumping syndrome]]. The table below describes [[Blood sugar|blood glucose]] measurements.<ref name="pmid21676638">{{cite journal |vauthors=Ritz P, Hanaire H |title=Post-bypass hypoglycaemia: a review of current findings |journal=Diabetes Metab. |volume=37 |issue=4 |pages=274–81 |year=2011 |pmid=21676638 |doi=10.1016/j.diabet.2011.04.003 |url=}}</ref><ref name="pmid22853724">{{cite journal |vauthors=Ritz P, Vaurs C, Bertrand M, Anduze Y, Guillaume E, Hanaire H |title=Usefulness of acarbose and dietary modifications to limit glycemic variability following Roux-en-Y gastric bypass as assessed by continuous glucose monitoring |journal=Diabetes Technol. Ther. |volume=14 |issue=8 |pages=736–40 |year=2012 |pmid=22853724 |doi=10.1089/dia.2011.0302 |url=}}</ref><ref name="pmid19763705">{{cite journal |vauthors=Hanaire H, Dubet A, Chauveau ME, Anduze Y, Fernandes M, Melki V, Ritz P |title=Usefulness of continuous glucose monitoring for the diagnosis of hypoglycemia after a gastric bypass in a patient previously treated for type 2 diabetes |journal=Obes Surg |volume=20 |issue=1 |pages=126–9 |year=2010 |pmid=19763705 |doi=10.1007/s11695-009-9975-7 |url=}}</ref><ref name="pmid16544024">{{cite journal |vauthors=Oliveira CH, Berger K, Souza SC, Marui S, Khawali C, Hauache OM, Vieira JG, Maciel RM, Reis AF |title=[Continuous glucose monitoring: a critical appraisal after one year experience] |language=Portuguese |journal=Arq Bras Endocrinol Metabol |volume=49 |issue=6 |pages=983–90 |year=2005 |pmid=16544024 |doi=/S0004-27302005000600020 |url=}}</ref> |
Latest revision as of 16:03, 15 December 2017
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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
There are no diagnostic laboratory findings that help in diagnosing dumping syndrome but there are associated laboratory finding that may present if severe.
Laboratory Findings
There are no diagnostic laboratory findings associated with dumping syndrome that help in establishing a diagnosis. People with severe malnutrition due to dumping syndrome may often suffer from:[1]
Laboratory finding | Cause |
---|---|
Anemia | The severe symptoms cause the patient to cut down on food to reduce symptoms this in turn makes them lose weight and become malnutritioned. |
Hypoglycemia | This is usually due to an exaggerated insulin release or from the cutting down of the intake of food. |
Hypoalbuminemia | The severe symptoms cause the patient to cut down on food to reduce symptoms this in turn makes them lose weight and become malnutritioned. |
Elevated hematocrit | The fluid shift from the intravascular compartment to the lumen of the gut causes the blood vessels to dehydrate. |
Low blood sugar has little clinical significance alone but is better when used in conjunction with the symptoms of late dumping syndrome. The table below describes blood glucose measurements.[2][3][4][5]
Blood glucose measurements |
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References
- ↑ "Dumping Syndrome Clinical Presentation: History, Physical Examination".
- ↑ Ritz P, Hanaire H (2011). "Post-bypass hypoglycaemia: a review of current findings". Diabetes Metab. 37 (4): 274–81. doi:10.1016/j.diabet.2011.04.003. PMID 21676638.
- ↑ Ritz P, Vaurs C, Bertrand M, Anduze Y, Guillaume E, Hanaire H (2012). "Usefulness of acarbose and dietary modifications to limit glycemic variability following Roux-en-Y gastric bypass as assessed by continuous glucose monitoring". Diabetes Technol. Ther. 14 (8): 736–40. doi:10.1089/dia.2011.0302. PMID 22853724.
- ↑ Hanaire H, Dubet A, Chauveau ME, Anduze Y, Fernandes M, Melki V, Ritz P (2010). "Usefulness of continuous glucose monitoring for the diagnosis of hypoglycemia after a gastric bypass in a patient previously treated for type 2 diabetes". Obes Surg. 20 (1): 126–9. doi:10.1007/s11695-009-9975-7. PMID 19763705.
- ↑ Oliveira CH, Berger K, Souza SC, Marui S, Khawali C, Hauache OM, Vieira JG, Maciel RM, Reis AF (2005). "[Continuous glucose monitoring: a critical appraisal after one year experience]". Arq Bras Endocrinol Metabol (in Portuguese). 49 (6): 983–90. doi:/S0004-27302005000600020 Check
|doi=
value (help). PMID 16544024.