Obese Patients with Type 2 Diabetes Submitted to Banded Gastric Bypass: Greater Incidence of Dumping Syndrome

Abstract

Dumping syndrome is a common postoperative complication in gastric bypass. Patients with DM2 show a greater postoperative prevalence of dumping.

The role of endoscopy in the bariatric surgery patient

“…The mechanism may be related to rapid fluid shifts, release of vasoactive peptides, and fluctuations in serum glucose. The true incidence in postbariatric surgery patients is unknown, but has been reported to be 14% in a meta-analysis of 62 studies [43], whereas individual studies have reported rates as high as 45% to 70% [44,45]. The diagnosis of dumping syndrome is based on clinical presentation, but endoscopy may be considered to exclude other causes [46].…”

Managing medical and surgical disorders after divided Roux-en-Y gastric bypass surgery

“…A small percentage of patients (4%) develop symptomatic (albeit transient) gastric dumping syndrome after RYGB which can induce diarrhea. 41 In this setting, the dumping usually resolves quickly and is only rarely a major problem after the first year; however, it is more common in patients with a history of diabetes mellitus.…”

Is Laparoscopic Duodenojejunal Bypass with Sleeve an Effective Alternative to Roux En Y Gastric Bypass in Morbidly Obese Patients: Preliminary Results of a Randomized Trial

“…Stomach carcinoma in the remnant stomach is not uncommon [28,29], and we have already operated on a post-RYGB patient with remnant gastrectomy for stomach carcinoma, and one patient was diagnosed with advanced-stage disease. Although not very common, the issue of dumping syndrome as a cause of postprandial hypoglycemia is also a point of concern in a post-gastric bypass patient, especially in diabetics where it has been shown to be significantly higher compared with patients without diabetes mellitus [30,31]. Duodenojejunal bypass with sleeve gastrectomy preserves the pyloric antrum and hence, avoiding any dumping syndrome.…”