Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016:2016:2570237.
doi: 10.1155/2016/2570237. Epub 2016 May 8.

Risk of Dumping Syndrome after Sleeve Gastrectomy and Roux-en-Y Gastric Bypass: Early Results of a Multicentre Prospective Study

M Ramadan  1 , M Loureiro  2 , K Laughlan  3 , R Caiazzo  4 , A Iannelli  5 , L Brunaud  6 , S Czernichow  7 , M Nedelcu  1 , D Nocca  8
Affiliations

Risk of Dumping Syndrome after Sleeve Gastrectomy and Roux-en-Y Gastric Bypass: Early Results of a Multicentre Prospective Study

M Ramadan et al. Gastroenterol Res Pract. 2016.

Abstract

Background. Bariatric surgery is an important field of surgery. An important complication of bariatric surgery is dumping syndrome (DS). Aims. To evaluate the incidence of DS in patients undergoing bariatric surgery. Methods. 541 patients included from 5 nutrition and bariatric centers in France underwent either LSG or LRYGB. They were evaluated at 1 month (M1) and 6 months (M6) postoperatively by an interview and completion of a dumping syndrome questionnaire. Results. 268 patients underwent LSG (Group A) and 273 underwent LRYGB. From the LRYGB patients 229 had mechanical gastrojejunoanal anastomosis with 30 mm linear stapler (Group B) and 44 had manual (hand sewn) 15 mm gastrojejunal anastomosis (Group C). Overall incidence of DS was 8.5% at M1 and M6. In LSG group (Group A), only 4 patients (1.49%) reported episodes of DS at M1 and 3 (1.12%) at M6. In Group B, 41 patients (17.90%) reported episodes of DS at M1 and 43 (18.78%) at M6. Group C experienced one case (2.27%) of DS at M1 and none (0%) at M6. Conclusions. Patients undergoing LRYGB, especially with larger gastrojejunal anastomosis, are more prone to developing DS following surgery than patients undergoing LSG or LRYGB with calibrated manual anastomosis.

PubMed Disclaimer

References

    1. Wyllys E., Andrews E., Mix C. L. ‘Dumping stomach’ and other results of gastrojejunostomy: operative cure by disconnecting old stoma. Surgery Clinic Chicago. 1920;4:879–892.
    1. Camilleri M., Prather C. M. Gastric motor physiology and motor disorders. In: Feldman M., Scharschmidt B. F., Sleisenger M. H., editors. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 6th. chapter 37. Philadelphia, Pa, USA: WB Saunders; 1998. pp. 572–586.
    1. Takiguchi N., Takahashi M., Ikeda M., et al. Long-term quality-of-life comparison of total gastrectomy and proximal gastrectomy by Postgastrectomy Syndrome Assessment Scale (PGSAS-45): a nationwide multi-institutional study. Gastric Cancer. 2015;18(2):407–416. doi: 10.1007/s10120-014-0377-8. - DOI - PubMed
    1. Hobsley M. Dumping and diarrhoea. British Journal of Surgery. 1981;68(10):681–684. doi: 10.1002/bjs.1800681005. - DOI - PubMed
    1. Berg P., McCallum R. Dumping syndrome: a review of the current concepts of pathophysiology, diagnosis, and treatment. Digestive Diseases and Sciences. 2016;61(1):11–18. doi: 10.1007/s10620-015-3839-x. - DOI - PubMed