Dumping Syndrome: A Rare Complication Following Nissen Fundoplication

  • Joana Bernardino Cardoso Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • David Sousa Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Cátia Pereira Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • João Rua Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Ana Teixeira Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Jorge Fortuna Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Armando Carvalho Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal

Keywords

Dumping syndrome, hypoglycaemia, fundoplication, gastroesophageal reflux

Abstract

Dumping syndrome (DS) is a debilitating entity with gastrointestinal and vasomotor symptoms due to rapid gastric emptying. It is a rare complication of Nissen fundoplication in adults.
We report the case of a patient with oesophageal compressive symptoms (dysphagia, oesophageal food impaction and regurgitation) and frequent episodes of sweating and hypoglycaemia after a Nissen fundoplication to treat gastroesophageal reflux disease. Investigation revealed severe oesophagogastric stenosis and excluded insulinoma and other causes of hypoglycaemia. An oral glucose tolerance test and gastric emptying scintigraphy were performed, supporting the diagnosis of DS.

References

  • Kataria R, Linn S, Malik Z, Abbas AE, Parkman H, Schey R. Post-fundoplication dumping syndrome: a frequent “rare” complication. ACG Case Rep J 2008;5:e1.

  • Berg P, McCallum R. Dumping syndrome: a review of the current concepts of pathophysiology, diagnosis, and treatment. Dig Dis Sci 2016;61:11–18.

  • Hejazi RA, Patil H, McCallum RW. Dumping syndrome: establishing criteria for diagnosis and identifying new etiologies. Dig Dis Sci 2010;55:117.

  • Tack J, Arts J, Caenepeel P, De Wulf D, Bisschops R. Pathophysiology, diagnosis and management of postoperative dumping syndrome. Nat Rev Gastroenterol Hepatol 2009;6:583.

  • Hui C, Bauza GJ. Dumping syndrome. StatPearls Publishing; 2019.
  • Published: 2019-07-10

    Issue: LATEST ONLINE (view)

    Section: Articles

    How to cite:
    Cardoso, J., Sousa, D., Pereira, C., Rua, J., Teixeira, A., Fortuna, J., & Carvalho, A. (2019). Dumping Syndrome: A Rare Complication Following Nissen Fundoplication. European Journal of Case Reports in Internal Medicine, 2. https://doi.org/https://doi.org/10.12890/2019_001177