Dumping syndrome in a young Jamaican child.
The dumping syndrome in childhood is an uncommon complication of gastro-oesophageal surgery, principally Nissen fundoplication. A Jamaican child developed the syndrome after fundoplication and pyloroplasty to relieve gastro-oesophageal reflux complicating the repair of a congenital tracheo-oesophageal fistula. He developed marasmus and failed to gain weight on the standard remedial milk-based high-energy diet. An oral glucose tolerance test confirmed the diagnosis of dumping syndrome. A low sugar low milk diet based on adult type meals with continuous nibbling of fried dumplings relieved his diarrhoea and hypoglycaemia and he gained weight. This is a cheaper and more practical dietary therapy than the regimens described previously.
McKenzie
C
C
Tropical Metabolism Research Unit, University of the West Indies, Mona, Jamaica.
Boyne
M
M
Venugopal
S
S
Cooper
E
E
D004377:Dumping Syndrome / Q000178:diet therapy / Q000453:epidemiology / Q000209:etiology*; D018662:Fundoplication / Q000009:adverse effects; D006801:Humans; D007223:Infant; D007563:Jamaica / Q000453:epidemiology; D007674:Kidney Diseases / Q000601:surgery; D011706:Pyloric Antrum / Q000601:surgery