Stomach Disorders: Dumping Syndrome Flashcards
(30 cards)
What is Dumping Syndrome?
• A condition that occurs when food is emptied (dumped) from the stomach into the small intestine too quickly
When does dumping syndrome occur?
• Commonly seen after gastric surgeries
What are the two phases for symptoms of dumping syndrome?
- Early: 10-30mins right after a meal
- Late: 1-3hrs after a meal
What are the percentages of pts reporting early vs late dumping syndrome?
- 75% = early s/s
- 25% = late s/s
What are the s/s of early dumping syndrome?
- N/V
- Gas
- Bloating
- Cramping
What are the s/s of late dumping syndrome
- Hypoglycemia
- vertigo/syncope
- Pallor/Sweating
- Tachycardia/palpitations
- Diarrhea
What causes N/V in dumping syndrome?
• Not enough capacity in stomach
What causes vertigo and syncope w/ dumping syndrome?
• Blood flow prioritized to stomach, reducing flow to brain
How does dumping syndrome result in hypoglycemia?
• The food passes before insulin can be produced and absorbed causing sugar to drop
What diet changes can help slow gastric emptying and minimize dumping syndrome s/s?
- Eat freq, small meals that are chewed well or chopped up
- Limit concentrated sugars (cakes, pies, sweetened fruit juices, soft drinks)
- No artificial sweeteners (Splenda ok)
- No liquids w/ meals. 30 mins before and after
- Rest/lie down for 30mins after meal
What are the diet composition guidelines for dumping syndrome?
- Every meal should contain
- Complex carbs
- High fiber foods
- Small amount of extra fats
- Protein
What types of foods are high in fiber?
• Beans, lentils, fruits, vegetables, whole grains
What types of foods are good for fats?
• Avocado, nuts and nut butter
What types of foods are good for protein?
• Meat, poultry, fish, eggs, dairy, tofu, nut butters
With dumping syndrome, what can artificial sweeteners cause?
• Diarrhea, gas, bloating
Why are fruits that are high in pectin (peaches, apples, plums) helpful with dumping syndrome?
• It increases chyme viscosity and slows down gastric emptying/digestion
What three vitamins are important to eat or take supplements for w/ dumping syndrome?
- Vit B12
- Iron
- Calcium
Why would Octreotide (standostatin) be given to a pt with dumping syndrome?
• It is an antidiarrheal
What medication can be given to manage hypoglycemia as a result of dumping syndrome and how does it work?
- Acarbose
- It works by slowing the action of certain chemicals that break down food to release glucose (sugar) into your blood.
- Slowing food digestion helps keep blood glucose from rising very high after meals.
- Allows insulin time to be released
What is the nutritional therapy for postprandial hypoglycemia?
- Immediate ingestion of sugared fluid/candy
- Lower carb intake
- Moderate protein and fats
What is Bariatric Surgery?
- Removal of part of the stomach to reduce of gastric capacity or absorption in morbidly obese patients
- BMI >4, or BMI >35 w/ other risk factors
What is a key bariatric post-op complication to monitor for?
- Monitor for dumping syndrome
What is our pt teaching for bariatric surgery pts?
- Chew food slowly and completely
- Eat small freq meals
- Do NOT consume liquids with meals
- DO recline after meals to slow gastric emptying (with dumping syndrome)
- Keep diet low in sugar, fat and carbs
- Take vitamin/mineral supplements as directed
What is a gastric balloon?
- Also known as an intragastric balloon or a stomach balloon
- It is an inflatable medical device that is temporarily placed into the stomach to help reduce weight (can also be used to stop bleeding).
- It is designed to help provide weight loss when diet and exercise have failed, and surgery is not wanted or not recommended for the patient.
