title: Dumping syndrome following nissen fundoplication in an adult patient diagnosed by continuous online 13C/12C monitoring of ¹³C-Octanoic acid breath test "a case report".
abstract: BACKGROUND
  Nissen Fundoplication is a common surgical procedure performed in treating gastroesophageal reflux disease (GERD). Complications include dysphagia, gastric hypersensitivity, abnormal gastric motility, gas bloat syndrome and GERD relapse. Dumping syndrome may occur when a large volume of gastric content is delivered to the duodenum or jejunum, resulting in both gastrointestinal and vasomotor symptoms. Occasionally, dumping syndrome may be a complication in patients that have undergone nissen Fundoplication, especially in adults. The BreathID® continuous online 13C-Octanoicoctanoic acid breath test detects variations of less than 1/100,000 in the 13CO2/12CO2 ratio in exhaled air.
  
  
  METHODS
  We report a case of a 38 year old male who was admitted and diagnosed with dumping syndrome following nissen Fundoplication, who was diagnosed using the BreathID® continuous online 13C-Octanoic acid breath test.
  
  
  CONCLUSIONS
  Early performance of a gastric emptying rate breath test in symptomatic patients, following upper GI tract surgery may help in the prediction or diagnosis of nissen Fundoplication complications such as dumping syndrome.
authors.affiliation: Gastroenterology Institute, Hadassah Ein Karem Medical Center, Jerusalem, Israel. mizrahim@hadassah.org.il
authors.forename: Meir
authors.initials: M
authors.lastname: Mizrahi
authors.forename: Gideon
authors.initials: G
authors.lastname: Almogy
authors.forename: Tomer
authors.initials: T
authors.lastname: Adar
authors.forename: Joseph
authors.initials: J
authors.lastname: Lysy
mesh_terms: D000328:Adult; D001944:Breath Tests; D002210:Caprylates; D004377:Dumping Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D018662:Fundoplication / Q000009:adverse effects*; D005743:Gastrectomy; D015390:Gastric Bypass; D006801:Humans; D008297:Male
chemical_list: D002210:Caprylates; C031492:octanoic acid