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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.

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Las estrategias nutricionales, incluidos los ajustes dietéticos y los suplementos, pueden controlar el síndrome de dumping. Para casos graves, se puede considerar la nutrición enteral, aunque se necesita más investigación.

Palabras clave:
Nutrición artificialSuplementos dietéticosSíndrome de dumpingViscosidad de los alimentosNutriciónTratamiento

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Área de la Ciencia:

  • Gastroenterología
  • Nutrición Clínica
  • Resultados Quirúrgicos

Sus antecedentes:

  • El síndrome de dumping implica un vaciamiento gástrico rápido después de una cirugía del tracto gastrointestinal superior, lo que causa síntomas tempranos y tardíos.
  • El manejo nutricional es un componente clave para abordar el síndrome de dumping.
  • Comprender los distintos perfiles de síntomas tempranos y tardíos es crucial para intervenciones específicas.

Objetivo del estudio:

  • Revisar la literatura existente sobre enfoques nutricionales para el manejo del síndrome de dumping.
  • Sintetizar la evidencia sobre modificaciones dietéticas, suplementos y nutrición artificial para el síndrome de dumping.

Principales métodos:

  • Se realizó una revisión narrativa de la literatura médica.
  • Se realizaron búsquedas en las principales bases de datos médicas utilizando palabras clave relacionadas con el síndrome de dumping, el tratamiento, la nutrición y la nutrición artificial.
  • Se analizaron las publicaciones para identificar intervenciones nutricionales efectivas.

Principales resultados:

  • Los ajustes dietéticos, como evitar los carbohidratos de rápida absorción y la lactosa, son la primera línea de tratamiento.
  • Los suplementos dietéticos que aumentan la viscosidad de los alimentos y las fibras solubles pueden mejorar los síntomas.
  • El almidón de maíz ha demostrado eficacia en casos pediátricos y la nutrición enteral es una opción para pacientes refractarios.

Conclusiones:

  • Las intervenciones nutricionales, incluidos los cambios dietéticos y los agentes que aumentan la viscosidad, están respaldadas por la literatura actual para el manejo del síndrome de dumping.
  • La nutrición enteral puede ser una opción viable para casos refractarios.
  • Se necesitan más ensayos controlados aleatorizados a gran escala para validar estos hallazgos.