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Nutritional approach to dumping syndrome.

E Scarpellini¹, W Siquini²

¹Translationeel Onderzoek van Gastro-Enterologische Aandoeningen (T.A.R.G.I.D.), Gasthuisberg University Hospital, KU Leuven, Herestraat 49, 3000, Leuven, Belgium; Internal Medicine and Nutrition Unit, "Madonna del Soccorso "General Hospital, San Benedetto del Tronto, Italy.

Best Practice & Research. Clinical Gastroenterology

|December 21, 2025

Summary

Nutritional strategies, including dietary adjustments and supplements, can manage dumping syndrome. For severe cases, enteral nutrition may be considered, though more research is needed.

Keywords:

Artificial nutrition”Dietary supplements Dumping syndrome Food viscosity Nutrition Treatment

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Area of Science:

Gastroenterology
Clinical Nutrition
Surgical Outcomes

Background:

Dumping syndrome involves rapid gastric emptying post-upper GI surgery, causing early and late symptoms.
Nutritional management is a key component in addressing dumping syndrome.
Understanding the distinct early and late symptom profiles is crucial for targeted interventions.

Purpose of the Study:

To review the existing literature on nutritional approaches for managing dumping syndrome.
To synthesize evidence regarding dietary modifications, supplements, and artificial nutrition for dumping syndrome.

Main Methods:

A narrative review of medical literature was conducted.
Searches were performed on major medical databases using keywords related to dumping syndrome, treatment, nutrition, and artificial nutrition.
Publications were analyzed to identify effective nutritional interventions.

Main Results:

Dietary adjustments, such as avoiding rapidly absorbable carbohydrates and lactose, are the first line of treatment.
Dietary supplements that increase food viscosity and soluble fibers can improve symptoms.
Corn starch has shown efficacy in pediatric cases, and enteral nutrition is an option for refractory patients.

Conclusions:

Nutritional interventions, including dietary changes and viscosity-enhancing agents, are supported by current literature for managing dumping syndrome.
Enteral nutrition can be a viable option for refractory cases.
Further large-scale randomized controlled trials are necessary to validate these findings.