title: Continuous glucose monitoring for suspected dumping syndrome in infants after Nissen fundoplication.
abstract: Dumping syndrome is infrequently reported, but known to occur after Nissen fundoplication in children. However, it may be difficult both to diagnose and manage. Here we presented four infants who received Nissen fundoplication for severe gastroesophageal reflux disease, two of whom developed dumping syndrome whilst the other two did not. Continuous glucose monitoring (CGM) was very useful to clearly detect large glycemic fluctuation around each feeding. CGM was also helpful to prove the effect of treatment to avoid abnormal glucose levels. We believe that dumping syndrome in children may be underdiagnosed if clinicians rely solely on the recognition of symptoms or limited frequency of blood samplings. CGM might be the most sensitive diagnostic tool.
authors: Department of Pediatrics, Kitano Hospital, Tazuke Kofukai Medical Research Institute, Osaka, Japan.
authors: Kazutoshi
authors: K
authors: Ueda
authors: Hiroshi
authors: H
authors: Mizumoto
authors: Hirofumi
authors: H
authors: Shibata
authors: Yuya
authors: Y
authors: Miyauchi
authors: Masahito
authors: M
authors: Sato
authors: Daisuke
authors: D
authors: Hata
mesh_terms: D001786:Blood Glucose / Q000032:analysis*; D004377:Dumping Syndrome / Q000097:blood* / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D018662:Fundoplication / Q000009:adverse effects; D006801:Humans; D007223:Infant; D008297:Male; D008991:Monitoring, Physiologic
chemical_list: D001786:Blood Glucose
keywords: Nissen fundoplication; children; continuous glucose monitoring; dumping syndrome