Postsurgical dumping syndrome in a patient with gastric bypass: clinical case report
We report the case of a 42-year-old female patient with a history of gastric bypass surgery who presented with symptoms consistent with dumping syndrome, including sweating, palpitations, dizziness, and postprandial diarrhea. Paraclinical studies revealed a biphasic response in the oral glucose tole...
| Autores: | , , , , |
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| Formato: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | Uruguay |
| Recursos: | Sociedad de Cirugía del Uruguay |
| Repositorio: | Revista Cirugía del Uruguay |
| Idioma: | español inglés portugués |
| OAI Identifier: | oai:ojs2.revista.scu.org.uy:article/5909 |
| Acesso em linha: | https://revista.scu.org.uy/index.php/cir_urug/article/view/5909 |
| Access Level: | acceso abierto |
| Palavra-chave: | Síndrome de dumping Cirugía bariátrica Vaciamiento gástrico acelerado Dumping syndrome Bariatric surgery Accelerated gastric emptying |
| Resumo: | We report the case of a 42-year-old female patient with a history of gastric bypass surgery who presented with symptoms consistent with dumping syndrome, including sweating, palpitations, dizziness, and postprandial diarrhea. Paraclinical studies revealed a biphasic response in the oral glucose tolerance test, with early hyperglycemia followed by late hypoglycemia, as well as accelerated gastric emptying on radionuclide scintigraphy. Management included dietary modifications, such as meal fractionation, reduction of simple carbohydrates, and increased protein and fat intake, leading to clinical improvement. This case highlights the importance of early recognition of dumping syndrome and the implementation of nutritional strategies to enhance the quality of life of patients after bariatric surgery. |
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