It is a group of symptoms, including weakness, abdominal discomfort, and sometimes abnormally rapid bowel evacuation, occurring after meals in some patients who have undergone gastric surgery. Also called rapid gastric emptying, dumping syndrome occurs when food, especially sugar, moves from your stomach into your small bowel too quickly.
Symptoms: A feeling of fullness, even after eating just a small amount. Abdominal cramping or pain. Nausea or vomiting. Severe diarrhea. Sweating, flushing, or light-headedness. Rapid heartbeat.
Diagnosis: Two ways of determining if a patient has dumping syndrome include barium fluoroscopy and radionuclide scintigraphy. In the first procedure, a contrast of barium-labeled medium is ingested and x-ray images are taken; early dumping can be easily recognized by premature emptying of the contrast medium from the stomach.patients with dumping syndrome generally exhibit steep drops in their activity plots, corresponding to abnormally rapid emptying of gastric contents into the duodenum.
Treament: Treatment includes changes in eating habits and medication. People who have gastric dumping syndrome need to eat several small meals a day that are low in carbohydrates, avoiding simple sugars, and should drink liquids between meals, not with them. Fiber delays gastric emptying and reduces insulin peaks. Surgical intervention may include conversion of a Billroth I to a Roux-en Y gastrojejunostomy.