Laurenius A, Engström M
Department of Gastrosurgical Research and Education, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Clin Obes. 2016 Oct;6(5):332-40. doi: 10.1111/cob.12158. Epub 2016 Aug 4.
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.
胃旁路手术后早期倾倒综合征，是由于高渗性营养物质迅速进入肠道引发强烈症状，通常被视为一种并发症。对12名平均年龄47岁的患者在术后约9年进行了访谈。访谈进行了录音并逐字转录，随后进行归纳性内容分析，以揭示患者对倾倒综合征的体验。基于以下四个子类别确定了核心类别“倾倒综合征是Roux-en-Y胃旁路手术的积极结果及控制食物摄入量的工具”：（i）“倾倒综合征的多维度出现及影响”，（ii）“倾倒综合征虽不适但具有积极意义”，（iii）“形成应对机制和巧妙策略”，以及（iv）“若我使自己出现倾倒综合征是我自己的错”。从患者的角度来看，倾倒综合征能控制食物摄入量；尽管症状令人不适，但患者认为倾倒综合征是防止过度进食的一种积极保护。因此，医护人员不应将倾倒综合征视为一种并发症，而应将其视为控制饮食行为和过量食物摄入的一种辅助手段。
