Clinic of Surgery and Transplant Center, Jessenius Faculty of Medicine, Comenius University in Bratislava, University Hospital, Martin, Slovakia.
Clinic of Internal Medicine I. Jessenius Faculty of Medicine, Comenius University in Bratislava, University Hospital, Martin, Slovakia.
Neuro Endocrinol Lett. 2020 Sep;41(2):55-59.
Dumping syndrome is a common post-operative complication following gastric surgery. Clinically, severe dumping can be a serious medical condition with a negative impact on the patient's life. In our case report, we present a case of refractory dumping syndrome which developed after laparoscopic subtotal gastrectomy with gastrojejunoanastomosis due to massive gastroptosis with stomach evacuation problems. Conservative gastroenterology treatment was not successful. Due to the progression of weight loss and life-threatening hypoglycaemia, the decision for surgical treatment was made. After the corrective gastro-duodenal and jejuno-jejunal anastomoses, all clinical symptoms resolved completely. With regard to the presented case, we discuss the common treatment options for dumping syndrome: the standard recommendations for dietary habits, pharmacological treatment and finally the surgery and its pitfalls. Due to the absence of randomized trials and guidelines, every patient should be treated in a personalized way.
倾倒综合征是胃手术后常见的术后并发症。临床上，严重的倾倒综合征可能是一种严重的医疗状况，对患者的生活产生负面影响。在我们的病例报告中，我们介绍了一例腹腔镜胃大部切除术后胃空肠吻合术因胃排空问题伴胃下垂引起的难治性倾倒综合征。保守的胃肠病治疗无效。由于体重持续下降和危及生命的低血糖，决定进行手术治疗。胃十二指肠和空肠空肠吻合术后，所有临床症状完全缓解。关于所提出的病例，我们讨论了倾倒综合征的常见治疗方法：饮食习惯的标准建议、药物治疗，最后是手术及其陷阱。由于缺乏随机试验和指南，每个患者都应采用个性化的治疗方法。
