Gastric bypass surgery refers to a surgical procedure in which the stomach is divided into a .. patient eats a sugary food, the sugar passes rapidly into the intestine, where it gives rise to a physiological reaction called dumping syndrome . Critical analysis on dumping syndrome, its pathophysiology, diagnosis and .. submetidos à operação de bypass gástrico com reconstrução em Y de Roux. Molecular mechanisms that lead to congenital hyperinsulinemic hypoglycemia; 4. Mechanisms of action Dumping syndrome: ↑ insulin.

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September”Who would have thought it?

When the lumen of the small intestine dumpnig into contact with nutrients, a number of hormones are released, including cholecystokinin from the duodenum and PYY and GLP-1 from the ileum. Acta Soc Med Ups Suppl.

Pitombo Gashrico, Jones Jr. One complication of bariatric surgery gallstones reported dumping symptoms arising in operations to treat obesity. The sudden presence of gastric contents in the proximal small intestine has the physiological response to release of bradykinin, serotonin and enteroglucagon, together with the extracellular fluid, leading to early symptoms need to lie down, palpitations, hypotension, tachycardia, fatigue, dizziness, sweating, headache, flushing, heat sensation of satiety, epigastric pain and fullness, diarrhea, nausea, vomiting, cramps, bloating, and dukping in less than 30 min.

This conference, composed of physicians and scientists of both surgical and non-surgical disciplines, reached several conclusions, including:.

Proteins are essential food substances, contained in foods such as vegetables, fruits, legumes, nuts, meat, fish, poultry, dairy products and eggs. Dumping syndrome, reflux and vitamin deficiencies. For some patients, sublingual B 12 is not enough, and patients may require B 12 injections. The operation is prescribed to treat gasrico obesity defined as a body mass index greater than 40type 2 diabeteshypertensionsleep apneaand other comorbid conditions.


Thus, it appears RYGB affects weight loss by altering the gastirco of weight regulation and eating behavior rather than by simple mechanical restriction or malabsorption. Laparoscopic surgery is performed using several small incisions, or ports: Laparoscopy is also called limited access surgery, reflecting the limitation on handling and feeling tissues and also the limited resolution and two-dimensionality of the video image.

Low levels of iron and hemoglobin are common in patients who have undergone gastric bypass.


This article has been cited by other articles in PMC. To gain the maximum benefit from this physiology, it is important that the patient eat only at mealtimes, 5 to 6 small meals daily, and not graze between meals. Gastrointestinal complications of bariatric surgery: Extracellular spaces, blood volume, and the early dumping syndrome after total gastrectomy. The dumping syndrome treatment is based on delaying gastric emptying 4 large obeses underwent bariatric surgery in Current insights into pathophysiology, diagnosis and treatment.

RESULTS Were analyzed 48 references, of which 26 were excluded by selective and analytical reading due to not being specifically about dumping syndrome, not fitting the inclusion criteria, containing irrelevant information to the research or being in the exclusion criteria, leaving 22 articles.


This technique has been clinically researched since the mids. Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis. Diagnosis confirmation is obtained by dumpinb glucose tolerance test, which administer 50 g of glucose in water, evaluating blood glucose, hematocrit and the pulse for 3 h at 30 min intervals. In the study by Loss et al.

The gastric bypass pouch is usually formed from the part of the stomach which is least susceptible to stretching. Concentration on obtaining 80— g of daily protein is necessary. Antecolic antegastric Roux-en-Y gastric bypass surgery has been estimated to result in internal hernia in 0.


Analysis of the dumping syndrome on morbid obese patients submitted to Roux en Y gastric bypass

Fat tissue must be burned to offset the deficit, and weight loss results. After surgery, patients feel fullness after ingesting only a gasfrico volume of food, followed soon thereafter by a sense of satiety and loss of appetite.

August”Effects of bariatric surgery on mortality in Swedish obese subjects”, N.

There is an increased probability of formation of clots in the veins of the legs, or sometimes the pelvis, particularly in the morbidly obese patient. With reduced ability to eat a large volume of food, gastric bypass patients must focus on eating their protein requirements first, and with each meal.

In other projects Wikimedia Commons. With regard to Y-de-Roux gastric bypass the incidence of dumping symptoms can reach Alternative forms of iron fumarate, gluconatechelates are less irritating and probably better absorbed.

An operation is usually necessary to correct this problem. By correlating the symptoms reported by patients and reduction of its plasma volume, has been drawn associated symptoms, so that the higher the drop presented by the plasma volume, higher dumpng index determined by the score symptoms. Octreotide, a long-acting somatostatin analog, in the management of postoperative dumping syndrome. O IMC variou de 35,19 a 63, Scores greater than or equal to seven, after glucose intake, are considered diagnostic In dmuping severe cases, can be considered surgical methods such as the reconstruction of a gastric reservoir, add restrictive intervention, undo the operation or, if possible, insert a short antiperistaltic loop