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Dumping syndrome after Nissen fundoplication
F Veit1, R G Heine, A G Catto-Smith
1Department of Gastroenterology, Royal Children's Hospital, Parkville, Victoria, Australia.
Journal of Paediatrics and Child Health
|April 1, 1994
Summary
Dumping syndrome, a condition with significant morbidity, can occur in children post-Nissen fundoplication. Continuous enteral feeding proved effective for managing symptoms like failure to thrive and reactive hypoglycemia.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Endocrinology
Background:
- Dumping syndrome is rarely documented in pediatric populations.
- It presents diagnostic and management challenges in children.
- Nissen fundoplication is a surgical procedure to treat gastroesophageal reflux disease.
Observation:
- Two pediatric cases of dumping syndrome following Nissen fundoplication are presented.
- Symptoms included post-meal pallor, sweating, lethargy, diarrhea, and failure to thrive.
- Biochemical findings revealed postprandial hyperglycemia, hyperinsulinemia, and reactive hypoglycemia.
Findings:
- Continuous enteral feeding was the only effective treatment for the observed symptoms.
- Dumping syndrome can manifest with significant morbidity in children after this procedure.
- Close monitoring for hypoglycemia and unresponsiveness is crucial in pediatric patients.
Implications:
- The incidence of dumping syndrome post-fundoplication in children may be underestimated.
- Early recognition and tailored management, including nutritional support, are vital.
- This highlights the need for increased awareness among healthcare providers treating pediatric surgical patients.