Dumping syndrome is a disease,developing mainly after surgical intervention, namely, complete or partial removal of the stomach. This is the most common complication after such an operation. The disease occurs in both men and women, and gastroenterologists claim that the latter more often.
Although the main cause of dumping syndrome isresection of the stomach, the disease can develop in people who have not been on the surgeon's desk. Usually this happens in those patients who have problems with the organs of the gastrointestinal tract. Clinically, the disease does not manifest itself with additional symptoms and is characterized by dizziness and weakness, soreness, stool breaking, a malfunction in the heart rhythm, etc. To clarify the diagnosis, a comprehensive examination is carried out, including a number of laboratory tests. Treatment is selected depending on the stage of the disease. In most cases, enough conservative methods, but in particularly severe cases, additional surgical intervention may be necessary.
Суть демпинг-синдрома заключается в быстром receipt of undigested food in the cavity of the duodenum. Rapid evacuation and the ingress of coarse, undigested fibers adversely affect the state of the intestinal walls. The duodenum swells and swells significantly, which leads to the emergence of extravascular and vascular fluids that contain nutrients that the body needs. The consequence of such losses is the weakening of smooth intestinal musculature, as well as disruption of blood circulation and intestinal motility.
As a result of gastrectomy, that is fullremoval of the stomach is impaired motor function, which leads to the development of dumping syndrome about a week after the operation. In addition, there is a disruption in the work of the gastrointestinal tract and the endocrine system on the part of the digestive process.
The indication for gastrectomy is usuallya stomach ulcer or malignant formation that affects most of the organ. The syndrome manifests itself most often as a consequence of the following surgical manipulations:
There are also situations where the syndromeis manifested in patients who have not undergone any surgery. In the normal state, slow and gradual movement of the contents of the stomach, as well as a long process of digestion of eaten food, prevents the development of dumping syndrome. But every tenth person is at risk of this disease. As a rule, this is due to hormonal disorders in the following diseases:
Unbalanced and irregular eating or overeating, as well as psychoemotional instability, can also provoke the development of dumping syndrome of the stomach.
Dumping syndrome goes through several stages of development. In this regard, and the symptomatology will differ depending on the stage of the disease.
Early dumping syndrome has the following characteristics:
At a later stage, the dumping syndrome is manifested by the following symptoms:
The development of dumping syndrome will lead to an intensification and a more pronounced expression of such symptoms as:
Treatment for dumping syndrome after gastrectomy will be presented below.
This kind of pathology, like sympathoadrenal, is manifested by such external phenomena as:
Vagotonic dumping syndrome is characterized by the following features:
Sometimes the symptoms are so severe that even lifting from bed can be an insurmountable obstacle for the patient.
To properly establish a diagnosis, a comprehensive examination will be required. At the initial stage the following actions are carried out:
Врач назначает также ряд лабораторных research, including general and biochemical analysis of blood. These studies will show insulin, albumin and glucose levels. Various dumping reaction tests are also conducted. This is necessary to determine the severity of the pathology.
To instrumental methods of patient examinationincludes radiography of the stomach, conducted using a contrast agent. During the manipulation, one can observe a quick release of the operated stomach from its contents.
In addition to the above methods, it is also necessary to conduct a differential diagnosis with the following pathologies:
Sometimes a consultation with a neurologist is also prescribed.
How is the dumping syndrome treated?
The method of treatment depends on the type and stagediseases. With a mild, initial form of the disease, you can get by with conservative methods of treatment. With a moderately severe pathology, drug treatment can alleviate the condition of the patient, but not cure him completely. At a severe stage of the disease, surgical intervention is prescribed.
Conservative treatment includes the following:
Under the ban are teas and milk, jelly,porridges, soups and compotes. Do not eat too hot or cold food, as well as semi-liquid and liquid dishes. Also used and drug supportive therapy aimed at reducing intestinal motility and slowing gastric emptying.
