Prevalence of Dumping Syndrome After Laparoscopic Sleeve Gastrectomy and Comparison with Laparoscopic Roux-en-Y Gastric Bypass

Ahmad, Arif; Kornrich, Daphne Baldwin; Krasner, Helaine; Eckardt, Sarah; Ahmad, Zoha F.; Braslow, AnnaMarie; Broggelwirth, Barbara

doi:10.1007/s11695-018-03699-y

Cited by 54 publications

(28 citation statements)

References 29 publications

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“…SG was associated with a signi cantly lower risk for DS compared to RYGB and OAGB (p<0,01). It is believed that DS is less likely to occur after SG due to preservation of the pyloric sphincter [16]. The overall incidence of DS in our study population was 40.2%.…”

Section: Discussionmentioning

confidence: 65%

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Incidence of Dumping Syndrome after Sleeve Gastrectomy, Roux-en-Y Gastric Bypass and One-Anastomosis Gastric Bypass 

Poljo¹,

Pentsch²,

Raab³

et al. 2021

Preprint

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Background: Dumping syndrome (DS) is an important but often missed problem occurring after bariatric surgery. It is believed that gastric bypass procedures like Roux-en-Y Gastric Bypass (RYGB) and One-Anastomosis Gastric Bypass (OAGB) are more likely to cause DS than the pylorus-preserving Sleeve Gastrectomy (SG). The aim of this study was to evaluate the incidence of DS in patients undergoing SG, RYGB and OAGB. Methods: A retrospective clinical study with additional phone interviews of 180 morbidly obese patients (130 females; 72.2%) undergoing SG (n=50), RYGB (n=53) and OAGB (n=77) in our clinic during 2016 - 2018 was performed. Clinical and demographic data were assessed. The incidence of dumping syndrome was evaluated using validated Sigstad Score. Results: Information about the occurrence of dumping symptoms and patient satisfaction was obtained from 127 patients; 53 could not be reached by phone. Median follow-up was 20.0 ± 11.4 months. Significant differences between the surgical procedures were found for the duration of surgery, complications, incidence of DS and satisfaction postoperatively. DS occurred in 15.6% after SG, in 56.4% after RYGB and in 42.9% after OAGB. While SG showed the shortest operative time with 66.5 ± 25.3 minutes and highest patient satisfaction, the lowest complication rate was observed after OAGB with 5.2%. The RYGB group reported the longest duration of surgery with 121.0 ± 28.9 minutes, most complications (17.0%), and lowest patient satisfaction. Conclusion: The present results showed a clear superiority of SG regarding both perioperative results and incidence of DS compared to RYGB and OAGB and may impact clinicians and patients in their choice of procedure.

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Section: Discussionmentioning

confidence: 65%

“…Accordingly, a higher incidence of DS is observed in patients after total gastrectomy compared to proximal gastrectomy. DS has been proven to occur in 15 to 70% after gastric bypass procedures, with symptoms improving over time [15,16]. Kefurt et.…”

Section: Discussionmentioning

confidence: 99%

Incidence of Dumping Syndrome after Sleeve Gastrectomy, Roux-en-Y Gastric Bypass and One-Anastomosis Gastric Bypass 

Poljo¹,

Pentsch²,

Raab³

et al. 2021

Preprint

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“…Dumping syndrome is a quite common complication of upper gastrointestinal surgery, with a prevalence ranging to almost 50% of the patients in some series. 16 , 17 It has also been reported in association with diabetes mellitus or viral infections, deteriorating the intrinsic gastric innervation. Even an idiopathic origin has been described, though with a previous history of gastroenteritis in about 50% of the patients.. 18 , 19 A distinction is often made between the more frequent early dumping (30–60 min after a meal), due to the rapid entrance of undigested hyperosmolar food into the small intestine and the release of various hormones including insulin and glucagon, incretins and vasoactive intestinal substances, and the less common late dumping (>1 h post‐ingestion), due to an incretin‐driven hyperinsulinemic response to high glucose concentrations in the foregut.…”

Section: Discussionmentioning

confidence: 99%

A surprising finding during solid‐phase gastric emptying scintigraphy

Hambye¹,

Kosmopoulou²

2021

Clinical Case Reports

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“…As up to 70% of Post LRYGB patients will report dumping syndrome 1-3 years after the surgery [9], thus, nutritional counseling should always be the rst therapeutic line for these patients. However, if the symptoms persist despite the dietary measures, an autonomous source of insulin should be investigated and if identi ed treated as needed.…”

Section: Discussionmentioning

confidence: 99%

Dumping-Like Symptoms After Roux-En-Y Gastric Bypass: Case Report

Sneineh

Dillemans

2020

Preprint

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BackgroundInsulinomas are the most common neuroendocrine tumors of the pancreas, they are rarely suspected as a cause of hyperinsulinemia in morbidly obese patients because these patients have hyperinsulinemia as a result of insulin resistance. One of the complications of LRYGB is dumping syndrome. The pathophysiology of this hypoglycemia after LRYGB is not well understood, and many theories have been proposed such as excessive GLP-1, nesidioblastosis, and increased glucose effectiveness.Case PresentationA 37-year-old female patient with a past history of LRYGB 6 years ago, diagnosed as having late dumping syndrome because of complaints of perspiration, palpitations, hunger, fatigue, aggression, and confusion not related to eating. After the failure of dietician counseling to treat her symptoms, biochemical tests were performed to investigate other possible causes of her symptoms such as hyperinsulinemia, Oral Glucose Tolerance Test demonstrated deep hypoglycemia after 90 min. MRI and endoscopic ultrasound were performed and demonstrated the presence of a well differentiated endocrine tumor of approximately 1.8 cm in diameter in the body of the pancreas. ConclusionBariatric surgeons should be aware of metabolic conditions including hypoglycemia, as a treatable cause of dumping-like symptoms.

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Prevalence of Dumping Syndrome After Laparoscopic Sleeve Gastrectomy and Comparison with Laparoscopic Roux-en-Y Gastric Bypass

Cited by 54 publications

References 29 publications

Incidence of Dumping Syndrome after Sleeve Gastrectomy, Roux-en-Y Gastric Bypass and One-Anastomosis Gastric Bypass

Incidence of Dumping Syndrome after Sleeve Gastrectomy, Roux-en-Y Gastric Bypass and One-Anastomosis Gastric Bypass

A surprising finding during solid‐phase gastric emptying scintigraphy

Dumping-Like Symptoms After Roux-En-Y Gastric Bypass: Case Report

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Prevalence of Dumping Syndrome After Laparoscopic Sleeve Gastrectomy and Comparison with Laparoscopic Roux-en-Y Gastric Bypass

Cited by 54 publications

References 29 publications

Incidence of Dumping Syndrome after Sleeve Gastrectomy, Roux-en-Y Gastric Bypass and One-Anastomosis Gastric Bypass&nbsp;

Incidence of Dumping Syndrome after Sleeve Gastrectomy, Roux-en-Y Gastric Bypass and One-Anastomosis Gastric Bypass&nbsp;

A surprising finding during solid‐phase gastric emptying scintigraphy

Dumping-Like Symptoms After Roux-En-Y Gastric Bypass: Case Report

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Incidence of Dumping Syndrome after Sleeve Gastrectomy, Roux-en-Y Gastric Bypass and One-Anastomosis Gastric Bypass

Incidence of Dumping Syndrome after Sleeve Gastrectomy, Roux-en-Y Gastric Bypass and One-Anastomosis Gastric Bypass