An Alternative Method for Treating Dumping Syndrome Using Hemoclips

Yavuz, Arda; Akan, Kaya; Ulaşoğlu, Celal; Tuncer, İlyas; Çolak, Yaşar

doi:10.7759/cureus.14869

Cited by 1 publication

(1 citation statement)

References 10 publications

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“…This has been described in one female patient with dumping syndrome after sleeve gastrectomy. 75 Despite endoscopic reduction of the gastrojejunostomy being reported as a relatively safe procedure, this technique requires further clinical prospective evaluation. It is important that well-designed studies include patients prospectively and evaluate dumping diagnosis and efficacy according to a structured protocol before its use is considered in routine clinical practice.…”

Section: New Developments In Surgical and Endoscopic Interventionmentioning

confidence: 99%

Dumping Syndrome: Pragmatic Treatment Options and Experimental Approaches for Improving Clinical Outcomes

Masclee,

Masclee

2023

CEG

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Dumping syndrome is a common complication after esophageal, gastric and bariatric surgery and has a significant negative impact on the quality of life of patients. This narrative review describes the clinical syndrome, pathophysiology, diagnosis and reports on standard and pragmatic therapeutical treatment options in order to improve the clinical outcome of patients with dumping syndrome. Dumping syndrome consists of early and late dumping symptoms and can be diagnosed using clinical parameters with the help of the Sigstad's score, questionnaires or by provocative testing. The prevalence of dumping syndrome varies depending on the employed definition of dumping syndrome. Overall, dumping syndrome is more frequent nowadays due to increasing numbers of upper gastrointestinal and bariatric surgeries being performed. First treatment step includes dietary adjustment and dietary supplements, which are often sufficient to manage symptoms for the majority of patients. Next step of therapy includes acarbose, which is effective for late dumping symptoms, but the use is limited due to side effects. Somatostatin analogues are indicated after these two steps have failed. Somatostatin analogues are very effective for controlling early and late dumping, also in the long term. Glucagon like peptide-1 receptor agonists, endoscopic and surgical (re)interventions are reported as treatment options for refractory dumping syndrome; however, their use is not recommended in clinical practice due to the limited evidence on and uncertainty of outcomes. These alternatives should be considered only as last resort options in patients with otherwise refractory and invalidating dumping syndrome.

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Section: New Developments In Surgical and Endoscopic Interventionmentioning

confidence: 99%