Dumping Syndrome Symptoms and Causes By Jonas Wilson, Ing. Med. Dumping syndrome is a known problem for persons who have undergone gastric, esophageal or bariatric surgeries. It is believed to as a direct consequence of the rapid transit of large osmotically active food particles into the lumen of the small intestine. It is estimated that up to 1 in 5 people who have had parts of their stomach removed for whatever reasons develop the condition. Depending on the timing of the occurrence of symptoms after a meal, dumping syndrome may be classified as early dumping syndrome (EDS) or late dumping syndrome (LDS), which both are due to the rapid transmit of food, but are proposed to have slightly different underlying pathophysiological mechanisms. Despite some overlap, they both have varying symptoms. The majority of people will tend to present with EDS symptoms, while …show more content…
low blood sugar level). It occurs anywhere between 1 to 3 hours after eating. The hypoglycemia associated with LDS causes symptoms such as: • Tremors • Sweating • Hunger • Palpitations • Sweating • Fatigue • Fainting • Confusion • Aggression LDS reactive hypoglycemia occurs due to a rapid absorption of glucose from the small intestine and a responsive hyper-secretion of insulin with stays elevated for a period longer than usual. GLP-1 is thought to play a crucial role in LDS as it is a potent anti-hyperglycemic hormone a. It often found to have an elevated response in patients who have had operations that speed up gastric emptying and causes increased insulin secretion, further compounding hypoglycemia. References • https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/dumping-syndrome/Pages/facts.aspx • http://www.ncbi.nlm.nih.gov/pubmed/19724252 •