Early dumping syndrome is not a complication but a desirable feature of Roux-en-Y gastric bypass surgery

Clin Obes. 2016 Oct;6(5):332-40. doi: 10.1111/cob.12158. Epub 2016 Aug 4.

Abstract

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.

Keywords: Dumping syndrome; psychological adaptation/coping skills; qualitative research.

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Body Mass Index
  • Combined Modality Therapy
  • Diet, Reducing*
  • Dumping Syndrome / diet therapy*
  • Dumping Syndrome / epidemiology
  • Dumping Syndrome / etiology
  • Dumping Syndrome / physiopathology
  • Female
  • Gastric Bypass / adverse effects*
  • Humans
  • Hyperphagia / physiopathology
  • Hyperphagia / prevention & control
  • Male
  • Middle Aged
  • Obesity, Morbid / diet therapy
  • Obesity, Morbid / etiology
  • Obesity, Morbid / prevention & control
  • Obesity, Morbid / surgery*
  • Patient Education as Topic
  • Postoperative Complications / diet therapy*
  • Postoperative Complications / epidemiology
  • Postoperative Complications / physiopathology
  • Risk Factors
  • Secondary Prevention
  • Severity of Illness Index
  • Supervised Machine Learning
  • Sweden / epidemiology
  • Terminology as Topic
  • Weight Loss