title: [Dumping syndrome: Diagnostics and therapeutic options].
abstract: BACKGROUND
  Dumping syndrome is a common complication after surgery of the upper gastrointestinal tract with symptoms ranging from mild gastrointestinal discomfort and moderate vasomotor disturbances, to severe hyperinsulinemic hypoglycemia. Due to the increasing number of bariatric procedures being performed worldwide, bariatric surgery has become the most common cause for this disease entity.
  
  
  OBJECTIVE
  The aim of this review is to highlight the evidence for the physiological mechanisms contributing to dumping syndrome after the two most common bariatric surgery procedures, Roux-en-Y gastric bypass and sleeve gastrectomy, to discuss technical aspects of the procedures underlying the development of the syndrome, patient-related predictive factors and other differential diagnoses, together with diagnostic and therapeutic algorithms.
authors.affiliation: Klinik und Poliklinik für Allgemein- und Viszeral-, Gefäß- und Kinderchirurgie, Universitätsklinikum Würzburg, Würzburg, Deutschland, seyfried_f@ukw.de.
authors.forename: F
authors.initials: F
authors.lastname: Seyfried
authors.forename: A
authors.initials: A
authors.lastname: Wierlemann
authors.forename: M
authors.initials: M
authors.lastname: Bala
authors.forename: M
authors.initials: M
authors.lastname: Fassnacht
authors.forename: C
authors.initials: C
authors.lastname: Jurowich
mesh_terms: D004377:Dumping Syndrome / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D015390:Gastric Bypass / Q000009:adverse effects*; D005951:Glucose Tolerance Test; D006801:Humans; D006946:Hyperinsulinism / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D007003:Hypoglycemia / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*