eMedicine Specialties > Gastroenterology > Stomach

Dumping Syndrome: Differential Diagnoses & Workup

Author: Alan BR Thomson, MD, MSc, PhD, Professor, Department of Medicine, Division of Gastroenterology, University of Alberta Faculty of Medicine
Coauthor(s): Sukhdeep Padda, MD, Assistant Professor, Department of Internal Medicine, Section of Gastroenterology, University of Arizona Health Sciences Center; Francisco Ramirez, MD, FACG, Chief, Section of Gastroenterology, Carl T Hayden VA Medical Center; Associate Professor, Department of Medicine, University of Arizona; Thomas Aguirre, MD, Gastroenterology Fellow, Department of Internal Medicine, University of Arizona
Contributor Information and Disclosures

Updated: Jun 10, 2008

Workup

Laboratory Studies

  • Signs and symptoms can be elicited with the glucose challenge test.

Other Tests

  • A positive result from a hydrogen breath test after ingestion of glucose is also 100% sensitive.
  • A gastric emptying study may be helpful to document rapid gastric emptying.

Procedures

  • An endoscopy or a barium study can be helpful in discerning the anatomy.

More on Dumping Syndrome

Overview: Dumping Syndrome
Differential Diagnoses & Workup: Dumping Syndrome
Treatment & Medication: Dumping Syndrome
Multimedia: Dumping Syndrome
References
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References

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Further Reading

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Keywords

postgastrectomy syndromes, small stomach capacity, dumping, bile gastritis, afferent loop syndrome, efferent loop syndrome, anemia, metabolic bone disease, postprandial syndrome, peptic ulcer disease, vagotomy, partial gastric resection, stomach surgery, Nissen fundoplication, rapid gastric emptying, gastrojejunostomy, bloating, explosive diarrhea, early satiety, epigastric fullness, crampy abdominal pain, syncope, borborygmi, Sigstad's diagnostic index, Visick classification

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Contributor Information and Disclosures

Author

Alan BR Thomson, MD, MSc, PhD, Professor, Department of Medicine, Division of Gastroenterology, University of Alberta Faculty of Medicine
Alan BR Thomson, MD, MSc, PhD is a member of the following medical societies: American Federation for Aging Research, American Federation for Clinical Research, American Gastroenterological Association, American Geriatrics Society, American Physiological Society, Canadian Association of Gastroenterology, Gastroenterology Research Group, New York Academy of Sciences, and Royal Society of Medicine
Disclosure: Nothing to disclose.

Coauthor(s)

Sukhdeep Padda, MD, Assistant Professor, Department of Internal Medicine, Section of Gastroenterology, University of Arizona Health Sciences Center
Sukhdeep Padda, MD is a member of the following medical societies: American College of Gastroenterology
Disclosure: Nothing to disclose.

Francisco Ramirez, MD, FACG, Chief, Section of Gastroenterology, Carl T Hayden VA Medical Center; Associate Professor, Department of Medicine, University of Arizona
Francisco Ramirez, MD, FACG is a member of the following medical societies: American College of Gastroenterology
Disclosure: Nothing to disclose.

Thomas Aguirre, MD, Gastroenterology Fellow, Department of Internal Medicine, University of Arizona
Thomas Aguirre, MD is a member of the following medical societies: American College of Gastroenterology and American College of Physicians
Disclosure: Nothing to disclose.

Medical Editor

Vivek Gumaste, MD, Chief, Clinical Associate Professor, Department of Internal Medicine, Division of Gastroenterology, Elmhurst Hospital Center, Mount Sinai School of Medicine
Vivek Gumaste, MD is a member of the following medical societies: American Gastroenterological Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

BS Anand, MD, Department of Internal Medicine, Division of Gastroenterology, Professor, Baylor University College of Medicine
BS Anand, MD is a member of the following medical societies: American Association for the Study of Liver Diseases, American College of Gastroenterology, American Gastroenterological Association, and American Society for Gastrointestinal Endoscopy
Disclosure: Nothing to disclose.

CME Editor

Alex J Mechaber, MD, FACP, Assistant Dean for Medical Curriculum, Associate Professor of Medicine, Division of General Internal Medicine, University of Miami Miller School of Medicine
Alex J Mechaber, MD, FACP is a member of the following medical societies: Alpha Omega Alpha, American College of Physicians-American Society of Internal Medicine, and Society of General Internal Medicine
Disclosure: Nothing to disclose.

Chief Editor

Julian Katz, MD, Clinical Professor of Medicine, Drexel University College of Medicine; Consulting Staff, Department of Medicine, Section of Gastroenterology and Hepatology, Hospital of the Medical College of Pennsylvania
Julian Katz, MD is a member of the following medical societies: American College of Gastroenterology, American College of Physicians, American Gastroenterological Association, American Geriatrics Society, American Medical Association, American Society for Gastrointestinal Endoscopy, American Society of Law Medicine and Ethics, American Trauma Society, Association of American Medical Colleges, and Physicians for Social Responsibility
Disclosure: Nothing to disclose.

 
 
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