title: Early dumping syndrome is not a complication but a desirable feature of Roux-en-Y gastric bypass surgery.
abstract: Early dumping syndrome after gastric bypass surgery due to rapid delivery of hyperosmolar nutrients into the bowel causing intense symptoms is often described as a complication. Twelve patients, mean age 47 years, were interviewed approximately 9 years post-operation. The interviews were audiotaped and transcribed verbatim, followed by an inductive content analysis to reveal patients' experience of the dumping syndrome. The core category 'Dumping syndrome is a positive consequence of Roux-en-Y gastric bypass surgery and a tool to control food intake' was identified based on the following four sub-categories: (i) 'The multidimensional emergence and effects of dumping syndrome', (ii) 'Dumping syndrome as something positive although unpleasant', (iii) 'Developing coping mechanisms and ingenious strategies' and (iv) 'My own fault if I expose myself to dumping syndrome'. From the patients' perspective, dumping syndrome gives control over food intake; although the symptoms were unpleasant, patients considered dumping syndrome as a positive protection against over-consumption. Hence, healthcare professionals should not present dumping syndrome as a complication but rather as an aid to control eating behaviour and excessive food intake.
authors.affiliation: Department of Gastrosurgical Research and Education, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden. anna.laurenius@vgregion.se.
authors.forename: A
authors.initials: A
authors.lastname: Laurenius
authors.affiliation: Department of Gastrosurgical Research and Education, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
authors.forename: M
authors.initials: M
authors.lastname: Engström
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D015992:Body Mass Index; D003131:Combined Modality Therapy; D004038:Diet, Reducing; D004377:Dumping Syndrome / Q000178:diet therapy* / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects*; D006801:Humans; D006963:Hyperphagia / Q000503:physiopathology / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000178:diet therapy / Q000209:etiology / Q000517:prevention & control / Q000601:surgery*; D010353:Patient Education as Topic; D011183:Postoperative Complications / Q000178:diet therapy* / Q000453:epidemiology / Q000503:physiopathology; D012307:Risk Factors; D055502:Secondary Prevention; D012720:Severity of Illness Index; D000069553:Supervised Machine Learning; D013548:Sweden / Q000453:epidemiology; D009626:Terminology as Topic; D015431:Weight Loss
keywords: Dumping syndrome; psychological adaptation/coping skills; qualitative research