Di Vetta Véronique, Heller Aline, Pralong François, Favre Lucie
Service d'endocrinologie, diabétologie et métabolisme, Consultation de prévention et traitement de l'obésité, CHUV, 1011 Lausanne.
Rev Med Suisse. 2017 Mar 22;13(555):655-658.
Dumping syndromes are a frequent complication of gastric or bariatric surgery and include early and late dumping. Early dumping is a consequence of rapid delivery of hyperosmolar nutrients into the bowel. Late dumping is the result of a reactive hypoglycemia induced by a hyperinsulinemic response. These syndromes are becoming increasingly prevalent with the rising incidence of bariatric surgery. Effective management of these complications requires multidisciplinary collaboration. First line management of early and late dumping syndrome involves specific dietary and behavioral modifications which generally improve the quality of life of patients.
倾倒综合征是胃手术或减肥手术后常见的并发症，包括早期倾倒和晚期倾倒。早期倾倒症是高渗性营养物质快速进入肠道的结果。晚期倾倒症是高胰岛素反应诱发的反应性低血糖的结果。随着减肥手术发病率的上升，这些综合征越来越普遍。有效管理这些并发症需要多学科协作。早期和晚期倾倒综合征的一线管理包括特定的饮食和行为调整，这通常会改善患者的生活质量。
