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Related Experiment Videos

[Dumping syndrome: a case after Nissen's operation].

F Gottrand1, N Seret, D Turck

  • 1Service de pédiatrie et génétique médicale, Hôpital Claude-Huriez, CHRU, Lille, France.

Pediatrie
|January 1, 1988
PubMed
Summary

Dumping syndrome, a complication of gastric surgery, can cause late hypoglycemia in infants. This case highlights the importance of considering this condition in infants with non-specific symptoms after surgery.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Endocrinology

Background:

  • Nissen fundoplication is a surgical procedure to treat gastroesophageal reflux disease.
  • Dumping syndrome is a potential complication following gastric surgery, characterized by rapid gastric emptying.
  • Late hypoglycemia, or low blood sugar occurring hours after eating, can be a presenting symptom.

Observation:

  • A 5-month-old infant developed symptoms of late hypoglycemia one month post-Nissen fundoplication.
  • Diagnostic tests including blood glucose monitoring, oral glucose tolerance testing, and isotopic gastric emptying studies confirmed dumping syndrome.
  • The infant's symptoms were successfully managed with dietary modifications.

Findings:

  • This case demonstrates that dumping syndrome can occur in infants following Nissen fundoplication.

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  • The diagnostic workup confirmed the presence of abnormal gastric emptying and associated hypoglycemia.
  • Dietary therapy led to complete resolution of symptoms.

    • Implications:

    • Dumping syndrome should be considered in the differential diagnosis of infants presenting with non-specific symptoms after gastric surgery.
    • Early recognition and appropriate dietary management can effectively treat this condition in pediatric patients.
    • This case underscores the importance of a comprehensive diagnostic approach for post-surgical complications.