What about dumping syndrome?

summary

Dumping syndrome was first reported in 1907. It requires patients to pay enough attention to the treatment of this disease. It can occur after any type of gastric surgery. The symptoms appear during eating or within 30 minutes after meals, lasting for 15-60 minutes. Lying flat after meals can reduce the symptoms. So we must do a good job of the disease related work, then how to do dumping syndrome?.

What about dumping syndrome?

First, the method of prevention is that the gastrectomy should not be too much, the remnant stomach should not be too small, the size of the anastomotic stoma should be moderate, and the width of 4cm is generally suitable. After eating, if you have symptoms, you should lie on your back, try to eat solid food with high nutrition and easy digestion, eat less and more meals, and avoid too sweet, too salty, too strong diet and dairy products. Drinking water and liquid food can be taken between meals instead of during meals. Most patients with early postprandial symptoms after operation have mild symptoms. After a period of gastrointestinal adaptation and diet adjustment, the symptoms of patients with early postprandial symptoms are mild, Symptoms can disappear or be easily controlled.

Second: antihistamines or anti acetylcholine preparations as well as antispasmodic and sedative drugs can be used. In recent years, some anti serotonin drugs have been tried and some effects have been achieved. It has been reported in the literature that somatostatin is also effective.

Third: a small number of patients with significant symptoms, after the above drug treatment and preventive measures ineffective, surgery can be considered. There are many kinds of surgical methods in clinical application. In principle, the purpose is to reduce the anastomotic stoma, to change gastrojejunostomy to Gastroduodenostomy, and to transplant a segment of jejunum between stomach and duodenum (jejunal stomach replacement).

matters needing attention

Eat less, eat more, chew slowly, avoid eating too much sweet, overheated liquid diet, lie down for 10-20 minutes after meal. Among them, the control of diet composition and meal times is the most important link in all treatments. He suggested that the total daily intake of patients should be divided into six times, and the diet should be low sugar and high protein food.