May 1960

Preoperative "Dumping Studies" in Peptic Ulcer Patients

Author Affiliations

Los Angeles
Department of Surgery, College of Medical Evangelists and Los Angeles County General Hospital.

AMA Arch Surg. 1960;80(5):738-742. doi:10.1001/archsurg.1960.01290220030005

The occurrence of the symptom complex known as the dumping syndrome is one of the most troublesome problems which confronts gastric surgery. For purposes of definition, the dumping symptoms referred to in this study consist of epigastric fullness and nausea, sensations of warmth, dizziness, weakness, sweating, palpitation, tachycardia, and sometimes intestinal cramps and diarrhea, all of which are partially relieved by lying down. The onset of symptoms is from 10 to 30 minutes after eating and is characteristically associated with excessively rapid gastric emptying.1,3,5,8 The symptom complex may appear after almost any type of gastric operation, but it is thought to occur with less severity and less often after those procedures in which gastroduodenal continuity is maintained, those in which vagotomy is employed, and those in which a minimum of stomach is removed.

It is well established that certain physiological changes occur during dumping attacks; among these are sudden

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