Nutritional management of dumping syndrome associated with antireflux surgery.
Eight children were identified as having dumping syndrome by a glucose tolerance test and evidence of rapid gastric emptying. All had undergone a fundoplication with concomitant feeding gastrostomy placement at 18.4 +/- 17.4 months of age (range, 3 to 54 months). Symptoms suggestive of dumping syndrome occurred 1 to 4 months after surgery. There was considerable delay in diagnosis (3 to 8 months). These children were successfully managed with nutritional manipulation alone, using a combination of a complex carbohydrate and a fat emulsion. Complete resolution of symptoms and normoglycemia was achieved in all the children, without any complications.
Khoshoo
V
V
Children's Hospital, New Orleans, LA 70118.
Roberts
P L
PL
Loe
W A
WA
Golladay
E S
ES
Pencharz
P B
PB
D002675:Child, Preschool; D004377:Dumping Syndrome / Q000178:diet therapy* / Q000209:etiology; D004750:Enteral Nutrition; D005260:Female; D018662:Fundoplication / Q000009:adverse effects*; D005764:Gastroesophageal Reflux / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D018529:Nutritional Support; D016896:Treatment Outcome