Division of Gastroenterology, Hepatology and Nutrition, Jeanne de Flandre Children's Hospital and Lille University Faculty of Medicine, 59037 Lille, France.
J Pediatr Surg. 2010 Apr;45(4):E13-5. doi: 10.1016/j.jpedsurg.2010.01.016.
In childhood, the surgical treatment of gastroesophageal reflux is the main cause of dumping syndrome. We report the cases of 2 children with esophageal atresia who presented with dumping syndrome without any precipitating known factors, such as gastroesophageal reflux surgery or associated microgastria. Our data suggest (1) that dumping syndrome can occur after primary anastomosis of esophageal atresia without antireflux surgery and (2) that dumping syndrome should be considered in every child treated surgically for esophageal atresia presenting with digestive symptoms, malaise, failure to thrive, or refusal to eat.
在儿童时期，胃食管反流的手术治疗是导致倾倒综合征的主要原因。我们报告了 2 例患有食管闭锁的儿童，他们在没有任何已知诱发因素（如胃食管反流手术或相关的小胃）的情况下出现倾倒综合征。我们的数据表明：（1）在没有抗反流手术的情况下，食管闭锁的初次吻合后也可能发生倾倒综合征；（2）对于接受手术治疗的食管闭锁患儿，出现消化症状、不适、生长不良或拒绝进食时，应考虑倾倒综合征。
