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Postgastric Surgery Syndromes

by Alike Medical Team ∙ Updated on June 13, 2023

General

Gastrectomies are performed due to gastric cancer, peptic ulcers, trauma or in order to control obesity. Due to this surgery, anatomical changes are made, resulting in changes in the stomach emptying time. The anatomical changes make the stomach less capable to retain for long enough for digestion to occur, and food travels down too quickly. This phenomenon is referred to as dumping syndrome. There is an early dumping syndrome, in which symptoms appear 30 minutes after eating a meal and a late dumping syndrome, in which the symptoms appear 2-4 hours after eating.

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Signs & symptoms

Symptoms of postgastric surgery syndromes include dumping which means rapid emptying of food into the small intestines, abdominal cramps, diarrhea, lightheadedness after eating, drops in blood sugar levels and tachycardia.

Diagnosis

Diagnosis is based on reported symptoms and a medical history of gastrectomy.

Treatment

Treatment of post-gastrectomy syndrome is with a diet high in protein and low in carbohydrates and concentrated sweets. Also, 5-6 small meals are recommended per day. Sometimes, vitamin B12 supplements are needed as well as iron and calcium.

Note

☝ We provide information on prescription and over-the-counter medicines, diagnosis, procedures and lab tests. This material is provided for educational purposes only and is not medical advice, diagnosis or treatment.

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