[Dumping syndrome in a child with an incorrectly positioned gastrostomy catheter].
A 13-month-old girl experienced an epileptic fit due to hypoglycaemia. She was born with a posterolateral diaphragm defect and at the age of 1.5 months had undergone a Nissen fundoplication with which a gastrostomy was also performed. The tip of the gastrostomy catheter was found to be lying in the bulbus duodeni. Once this had been pulled back, the patient made a good recovery. Dumping syndrome is usually the result of a quicker gastric emptying time or a smaller gastric capacity, and in children it is mostly due to a Nissen fundoplication. In patients fed by tube who exhibit symptoms of dumping syndrome, the position of the feeding tube must be checked before other diagnostic or therapeutic steps are undertaken.
Zonnenberg
I A
IA
Universitair Medisch Centrum St Radboud, afd. Kinderchirurgie, Postbus 9101, 6500 HB Nijmegen.
van der Staak
F H J M
FH
Cuppen
M P J M
MP
Zwart
A
A
D004377:Dumping Syndrome / Q000209:etiology*; D005260:Female; D018662:Fundoplication / Q000009:adverse effects; D005746:Gastric Emptying; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans; D007223:Infant; D011183:Postoperative Complications