Dumping syndrome
Alerts and Notices
Synopsis

Dumping syndrome can result in severe protein or calorie malnutrition and specific nutritional deficiencies. In the acute setting, patients can present with sequelae of dehydration including hypotension, hypovolemic shock, and end-organ injury (ie, acute kidney injury).
Nutritional counseling and dietary changes are the hallmarks of management.
Codes
ICD10CM:K91.1 – Postgastric surgery syndromes
SNOMEDCT:
235666009 – Early dumping syndrome
235667000 – Late dumping syndrome
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- Diabetes mellitus with hypoglycemic episodes
- VIPoma
- Menetrier disease
- Carcinoid syndrome
- Chronic pancreatitis
- Celiac disease
- Pheochromocytoma
- Small or large bowel obstruction
- Bile acid diarrhea
- Inflammatory bowel disease (eg, Crohn disease, ulcerative colitis)
- Irritable bowel syndrome
- Microscopic colitis
- Lactose intolerance
- Protein-losing enteropathy
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Management Pearls
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Therapy
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References
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Last Reviewed:03/06/2018
Last Updated:03/03/2020
Last Updated:03/03/2020