Berg Patrick, McCallum Richard
Department of Surgery, University of Nevada, Las Vegas, NV, USA.
Department of Internal Medicine, Texas Tech University Health Sciences Center, 4800 Alberta Avenue, El Paso, TX, 79905, USA.
Dig Dis Sci. 2016 Jan;61(1):11-8. doi: 10.1007/s10620-015-3839-x. Epub 2015 Sep 22.
Gastric surgery has long been known to be a cause of dumping syndrome (DS). However, the increasing incidence of gastric bypass surgery, as well as reports of DS unrelated to previous gastric surgeries, has increased the importance of understanding DS in recent years. DS is due to the gastrointestinal response to voluminous and hyperosmolar chyme that is rapidly expelled from the stomach into the small intestine. This response involves neural and hormonal mechanisms. This review encompasses the symptoms, diagnosis, and treatment approaches of DS and also focuses on the current research status of the pathophysiology of DS.
长期以来,人们一直认为胃部手术是倾倒综合征(DS)的一个病因。然而,近年来胃旁路手术发病率的上升,以及与既往胃部手术无关的DS病例报告,使得了解DS变得愈发重要。DS是由于胃肠道对大量高渗食糜迅速从胃排入小肠所产生的反应。这种反应涉及神经和激素机制。本综述涵盖了DS的症状、诊断和治疗方法,同时也聚焦于DS病理生理学的当前研究现状。