Definition: What is a dumping syndrome?
“Also known as chase syndrome Where is it rapid gastric emptyingdumping syndrome corresponds to the too rapid passage of food from the stomach to the duodenum, via the pylorus – the stomach’s outlet valve,” describes Dr. Saffers.
Normally, the food stays in the stomach for a whilewhere am I partially digested under the action of enzymes secreted by the pancreas and liver. This first stage of digestion is essential to facilitate the absorption of food in the small intestine.
During flushing syndrome, the sudden arrival of undigested food into the intestinal cavity causes unpleasant digestive symptoms and a feeling of discomfort after a meal.
The manifestations of this syndrome are all the greater when the meal is rich in carbohydrates.
Malaise after meal, hypoglycemia: what are the symptoms and effects of dumping?
Hunting syndrome is the cause of digestive disordersbut also a general malaise.
This discomfort is linked first of all to the too rapid absorption of carbohydrates causing a sharp rise in blood sugar (hyperglycemia) and unpleasant digestive symptoms – this is the early dumping syndrome.
In a second step, the body reacts by secreting excessive amounts of hypoglycemic insulin at the peak, which causes a hypoglycemia reactive : This is late dumping syndrome. A diarrhea This so-called osmosis is caused by the presence of excessively concentrated nutrients in the intestine causing a demand for water in the small intestine or colon.
“The symptoms resemble those of a hypoglycemic discomfortand they are more or less intense depending on the patient,” explains the gastroenterologist.
They can be :
- of the sweating and hot flashes
- a tachycardiapallor,
- of the abdominal paincramps and rumbling,
- of the diarrhea,
- a severe fatigue with drowsiness …
Gastrectomy, bypass, sleeve: what is it due to?
Raphaël Gruman: Dumping syndrome is very often the consequence of bariatric surgery operations, such as sleeve gastrectomy, gastric bypass or balloon, which modify the anatomy of the digestive system by reducing the volume of the stomach. The latter reacts by evacuating its contents more rapidly towards the intestine.
All gastric or esophageal surgeryfor example linked to oncological treatments, it also risks causing a flushing syndrome, especially when the vagus nerve and/or pylorus are affected.
How long does the discharge take?
Dumping syndrome usually occurs between 30 minutes and 1 hour and 30 minutes after the mealand its symptoms last on average between 20 and 40 minutes, depending on the content of the meal and its carbohydrate content.
Flushing syndrome is not a fatality for someone who has had stomach or esophageal surgery. By observing a few simple dietary and dietary rules, you can greatly improve your symptoms.
“The most important nutritional advice for patients is toavoid eating large meals. It is therefore advisable to divide the diet as much as possible, for example by having 3 small main meals alternating with three small snacks in the mid-morning, mid-afternoon and evening”, recommends the dietician. Each food intake is ideally spaced 2 or 3 hours apart earlier to allow the food bolus to leave the stomach.
The content of the meal is also very important.
Raphaël Gruman, dietitian: High glycemic index carbohydrate foods are the main culprits of dumping syndrome, especially when they are the majority in the meal.
So let’s avoid preparing meals or snacks containing only foods rich in simple carbohydrates, such as applesauce and white bread. “The ideal would be every meal or snack this is equilibrium and understands fiber, fat and proteinin order to reduce the glycemic index of the meal, slow down gastric emptying ea limit blood sugar fluctuations” sums up the nutritionist. An apple compote can therefore be judiciously accompanied by a handful of almonds as a snack.
In general, it is necessary prefer foods with a high nutrient densitythat is, they provide many calories in a small volume: so that the patient is satiated with small meals.
All sugary drinks – soft drinks and fruit juices – they are equally limit as much as possible.
Water or herbal teas remain the best way to stay hydrated: ideally they should be removed between meals to avoid weighing down the food bowl.
There is no drug treatment for flushing syndrome. The main management is nutritional, with application of the aforementioned recommendations. “You should know what this hunting syndrome is reversible after bariatric surgery: the body ends up getting used to it and adapting to his new physiology, and the symptoms decrease or even disappear over time” reassures the gastroenterologist.